A Virtual Type 2 Diabetes Clinic Using Continuous Glucose Monitoring and Endocrinology Visits.
Ronald F DixonHoward ZisserJennifer E LayneNathan A BarleenDavid P MillerDaniel P MoloneyAmit R MajithiaRobert A GabbayJosh RiffPublished in: Journal of diabetes science and technology (2019)
The Onduo Virtual Diabetes Clinic (VDC) telehealth technology/care model for adults with type 2 diabetes (T2D) combines connected devices, remote lifestyle coaching, and clinical support with a mobile App. Key differentiating program features are the availability of live video consultations with board-certified endocrinologists for medication management and real-time continuous glucose monitor use for higher-risk participants. Preliminary data (n = 740) suggest that participation was associated with a significant improvement in HbA1c with up to 6 months follow-up in those not meeting treatment targets. HbA1c decreased by 2.3% ± 1.9%, 0.7% ± 1.0%, and 0.2% ± 0.8% across baseline categories of >9.0%, 8.0%-9.0% and 7.0% to <8.0%, respectively (all P < .001). These findings suggest that the VDC has potential to support individuals with T2D and their clinicians in diabetes management between office visits.
Keyphrases
- type diabetes
- cardiovascular disease
- glycemic control
- healthcare
- palliative care
- quality improvement
- primary care
- physical activity
- blood glucose
- metabolic syndrome
- weight loss
- insulin resistance
- emergency department
- blood pressure
- combination therapy
- pain management
- skeletal muscle
- magnetic resonance imaging
- magnetic resonance
- machine learning
- deep learning
- data analysis
- smoking cessation
- replacement therapy