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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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A Roadmap to an Equitable Digital Diabetes Ecosystem.

David Kerr1, David C Klonoff2, Richard M Bergenstal3

  • 1Diabetes Technology Society, Burlingame, California.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
|December 30, 2022
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Developing a connected digital diabetes ecosystem requires addressing access inequities and technological barriers. This roadmap aims to optimize digital tools for improved and equitable diabetes care outcomes.

Keywords:
diabetesdigital healthinsulinself-caretechnologytelehealth

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Area of Science:

  • Digital Health
  • Diabetes Technology
  • Health Equity

Background:

  • Diabetes management poses significant challenges for patients, families, professionals, and healthcare systems.
  • Numerous digital tools exist for diabetes care, yet barriers hinder their effective utilization.

Purpose of the Study:

  • To propose a roadmap for establishing an equitable, connected digital diabetes ecosystem.
  • To identify key milestones for optimizing digital health tools in diabetes management.

Main Methods:

  • A roadmap approach was developed to guide the creation of a connected digital diabetes ecosystem.
  • Analysis of digital tool usage during the Coronavirus 2019 pandemic informed the strategy.

Main Results:

  • The Coronavirus 2019 pandemic highlighted both increased digital tool adoption and significant inequities in access and use.
  • A connected diabetes ecosystem should integrate glucose monitoring, data analysis, and insulin dosing for better health outcomes.

Conclusions:

  • Overcoming obstacles like interoperability and data security is crucial for ecosystem development.
  • An integrated digital system promises to optimize devices and treatments, leading to improved diabetes care and equitable outcomes.