Outcomes of a feasibility trial using an innovative mobile health programme to assist in insulin dose adjustment

Anish Menon, Farhad Fatehi, Hang Ding, Dominique Bird, Mohan Karunanithi, Leonard Gray, Anthony Russell

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective Intensification of diabetes therapy with insulin is often delayed for people with suboptimal glycaemic control. This paper reports on the feasibility of using an innovative mobile health (mHealth) programme to assist a diabetes insulin dose adjustment (IDA) service. Methods Twenty adults with diabetes referred to a tertiary hospital IDA service were recruited. They were provided with a cloud-based mobile remote monitoring system-the mobile diabetes management system (MDMS). The credentialled diabetes educator (CDE) recorded the time taken to perform IDA utilising the MDMS versus the conventional method-which is a weekly adjustment of insulin doses by a CDE through telephone contact based on three or more daily blood glucose readings. Participants and staff completed a feedback questionnaire. Results The CDE spent 55% less time performing IDA using MDMS than using the conventional method. The participants were satisfied with MDMS use and the CDEs reported improved efficiency. Conclusion Incorporating a mHealth programme for an IDA service has the potential to improve service delivery efficiencies while simultaneously improving the patient experience.

Original languageEnglish
Article numbere100068
Number of pages6
JournalBMJ Health & Care Informatics
Volume26
Issue number1
DOIs
Publication statusPublished - 31 Oct 2019
Externally publishedYes

Keywords

  • health care
  • medical informatics
  • patient care

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