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虚拟糖尿病"训练营":改善血糖控制的创新模式
Yi-Ju Chen1, Renu Joshi1, Anas Atrash1
1From the Department of Internal Medicine, UPMC Central Pa., Harrisburg, PA (YJC, AA); Department of Family Medicine, Telehealth UPMC Central Pa., Harrisburg, PA (SMS, SK); Department of Endocrinology, UPMC Central Pa., Harrisburg, PA, USA (RJ).
Journal of the American Board of Family Medicine : JABFM
|August 11, 2025
概括
一个为期12周的远程医疗糖尿病计划显著改善了未控制糖尿病患者的血糖控制 (A1C). 较高的初始A1C水平与较大的减少相关,证明了远程医疗.
科学领域:
- 内分泌学 在内分泌学.
- 数字健康数字健康
- 主要护理医学 医疗保健
背景情况:
- 远程医疗改善了患者和医生的接触和结果,特别是在慢性疾病管理方面.
- COVID-19大流行加速了远程医疗的采用,扩大了其在医疗保健中的应用.
- 一个机构为无法控制的糖尿病患者推出了为期12周的远程医疗糖尿病"训练营".
研究的目的:
- 评估基于远程医疗的糖尿病干预计划的有效性.
- 评估糖尿病控制不良患者血糖控制和其他健康指标的改善.
主要方法:
- 从2020年9月到2021年11月,自愿招募了134名患有糖尿病 (DM) 和A1C>8.0%的患者.
- 两周一次的远程医疗访问由营养学家和糖尿病护理专家在12周内进行.
- 在干预前和后测量人口统计,A1C,BMI和血压.
主要成果:
- 在所有参与者中观察到平均A1C降低为-2.09%±2.4%.
- 在各种人口统计和诊所类型中,A1C降低是一致的.
- 较高的初始A1C水平与A1C变化呈负相关性,表明更大的改善.
结论:
- 远程医疗糖尿病计划在控制不良的糖尿病患者中有效改善了A1C.
- 无论患者的特征如何,都观察到干预的好处.
- 最初的血糖严重程度是更大A1C降低的预测因素.
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