Summary:
In adults with diabetes undergoing insulin initiation or intensification, Bluetooth-enabled glucometers (BTG) did not significantly improve glycemic control compared to Traditional glucometers (TG), with both groups following a telehealth insulin titration protocol, though it was associated with reduced emergency department visits.
| PICO | Description |
|---|---|
| Population | Adults aged 21–70 years with Type 2 diabetes mellitus requiring insulin initiation or intensification, enrolled in a 24-week telehealth insulin titration program. |
| Intervention | Use of Bluetooth-enabled glucometers (BTG) for self-monitored blood glucose reporting during biweekly teleconsultations with Diabetes Nurse Educators. |
| Comparison | Use of traditional glucometers (TG) without Bluetooth connectivity under the same telehealth insulin dosing regimen. |
| Outcome | Both groups showed significant HbA1c reductions at Weeks 12 and 24 (TG: -2.8% and -3.1%; BTG: -2.23% and -2.18%, respectively), with no significant between-group difference. The BTG group had significantly fewer emergency department visits (4.1% vs. 16.7%, p = 0.039), suggesting potential healthcare utilization benefits. |
Source: Xia Lian, et al. “Telehealth insulin titration in adults with diabetes: a randomized controlled trial comparing bluetooth-enabled versus traditional glucometers.” Frontiers in Endocrinology. Read article here.
