Diabetes, Intensified Insulin Therapy
Conditions
Keywords
telemedicine
Brief summary
Investigation of the effect of a 3-month telemedicine-led lifestyle intervention in individuals requiring intensified insulin therapy.
Detailed description
The primary objective of this study was to evaluate the development of HbA1c levels in patients requiring 3 months of intensified insulin therapy using standard therapy and telemedicine devices currently in use. The telemedicine system contains a mobile phone-based nutrition diary, bluetooth-related wrist activity meter, weight scale, blood pressure monitor, blood glucose meter, and IT system for transmitting and displaying data from these devices.
Interventions
Telemonitoring by medical devices connected to a software system with a router.
Sponsors
Study design
Eligibility
Inclusion criteria
* Women or men between the ages of 18 and 75 * Patient with Diabetes who needs intensified insulin therapy HbA1c\> = 8% * IT proficiency is at least basic for cell phones (answering / making a voice call). * Signing a informed consent * For women with childbearing potential, by definition, all women who who are physiologically able to conceive are twofold use of contraception * The subject communicates well with the investigator and is able to perform the test to understand and help comply with the requirements of the protocol
Exclusion criteria
* informed refusal any time after the sign of the informed consent * Planned invasive cardiac intervention (catheter vasodilation or surgical coronary artery bypass grafting, keyboard surgery or replacement) * Tumor disease * Pregnant or lactating women * Any medical condition that does not allow participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of HbA1c level | 3 months | Investigation of the effect of a 3-month telemedicine-led lifestyle intervention on HbA1c levels in individuals requiring insulin therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | 3 months | Safety of the device system |
| change of hypoglycemic episodes | 3 months | Number of hypoglycemic episodes |
| Difference in the decisions between the two type of visits | 3 months | Consistency of investigators' decisions based on telemedicine data and personal visit |
Countries
Hungary