1092-P：混合护理模式对 2 型糖尿病的疗效--为期三个月的评估

IF 6.2 1区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes Pub Date : 2024-07-19 DOI:10.2337/db24-1092-p

IHSAN ALMARZOOQI, HALA ZAKARIA, MILENA CACCELLI, CIGDEM OZKAN, JESTONI BANGAYAN, MIRABELLE C. DANDAN, DIANNE JANE DIVINO, SOFIA ALEABOVA, YOUSEF SAID, ALI HASHEMI

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引用次数: 0

摘要

糖尿病护理中的连续监测可提高可及性、便利性、依从性和血糖控制。纯数字化解决方案面临的挑战包括信任的建立和面对面互动的局限性，以及护理团队在诊所之外缺乏参与。在混合模式中，医疗服务提供者既要进行远程数据监控，又要参与面对面的就诊，这样就能应对这些挑战。本研究旨在评估对 T2D 患者实施混合护理方法对血糖控制和临床结果的影响。阿联酋的一家混合医疗机构（GluCare.Health）开展了一项为期 3 个月的回顾性病例对照观察研究，研究对象包括 T2D 患者（n=262）。病例组既有诊所内就诊，也有每两周一次通过应用程序进行的虚拟就诊，其中包括一系列护理人员（医生、营养师、教育工作者和教练，人数=162）。对照组只进行诊所内就诊，没有模拟传统偶发护理的虚拟参与（人数=100）。参与数据包括饮食、生活方式、药物、运动和连续血糖监测互动。与对照组（-0.10%）相比，病例组（混合模式）的 HbA1c 显著改善（-2.19%）（-25%）。基线 HbA1c 较高（≥ 9.0%）的患者的降幅更大（-3.67%）（-34%）。病例组在体重（-6%）、体重指数（-6%）、低密度脂蛋白（-21%）、总胆固醇（-17%）和心血管疾病风险（-41%）方面也有改善。对照组的改善幅度较小（p&;gt;0.05）。参与与更好的结果密切相关；与参与次数≥11 次（超过 90 天）的患者相比，HbA1c（-2.38%）和体重（-6.00 千克）显著降低。GluCare.Health混合模式在2型糖尿病管理方面取得了可喜的成果，与纯物理（类似传统护理）对照组的结果相比，远程参与的次数与结果之间存在很强的相关性。披露 I. Almarzooqi：无。H. Zakaria：无。M. Caccelli：无。C. Ozkan：无：C. Ozkan: None.J. Bangayan：无。M.C. Dandan：无。D. 迪维诺：无。S. Aleabova：无。Y. Said：无。A. Hashemi：无。

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1092-P: Effectiveness of a Hybrid Care Model for Type 2 Diabetes —A Three-Month Evaluation

Continuous monitoring in diabetes care enhances access, convenience, adherence, and glycemic control. Challenges in digital-only solutions include trust-building and limitations in face-to-face interactions, along with the lack of engagement by care teams outside the clinic setting. A hybrid model where providers incorporate both remote data monitoring and engagement with in-person visits would address these challenges. The aim of this study is to evaluate the impact of implementing the hybrid care approach on patients with T2D on glycemic control and clinical outcomes. A retrospective case-control observational study over 3 months by a hybrid provider (GluCare.Health) in the UAE included patients with T2D (n=262). The case group had both in-clinic visits and bi-weekly virtual engagements via an app that included a range of caregivers (physicians, dietitians, educators and coaches, n=162). The control group only conducted in-clinic visits without virtual engagement mimicking traditional, episodic care (n=100). Engagement data included dietary, lifestyle, medication, exercise and continuous glucose monitoring interactions. The case group (hybrid model) showed significant HbA1c improvements (-2.19%) (-25%) compared to the control group (-0.10%). Patients with higher baseline HbA1c (≥ 9.0%) experienced greater reductions (-3.67%) (-34%). The case group also showed improvements in weight (-6%), BMI (-6%), LDL (-21%), total cholesterol (-17%), and CVD risk (-41%). The control group had smaller improvements (p >0.05). Engagement strongly correlated with better outcomes; patients with ≥11 interactions (over 90 days) showed significant reductions in HbA1c (-2.38%) and weight (-6.00 kg) in comparison with those <11. The GluCare.Health hybrid model demonstrates promising outcomes in Type 2 diabetes management with a strong correlation between the number of remote engagement and outcomes in comparison to results seen in the physical-only (traditional-care like) control group. Disclosure I. Almarzooqi: None. H. Zakaria: None. M. Caccelli: None. C. Ozkan: None. J. Bangayan: None. M.C. Dandan: None. D. Divino: None. S. Aleabova: None. Y. Said: None. A. Hashemi: None.

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来源期刊

Diabetes 医学-内分泌学与代谢

CiteScore

12.50

自引率

2.60%

发文量

1968

审稿时长

1 months

期刊介绍： Diabetes is a scientific journal that publishes original research exploring the physiological and pathophysiological aspects of diabetes mellitus. We encourage submissions of manuscripts pertaining to laboratory, animal, or human research, covering a wide range of topics. Our primary focus is on investigative reports investigating various aspects such as the development and progression of diabetes, along with its associated complications. We also welcome studies delving into normal and pathological pancreatic islet function and intermediary metabolism, as well as exploring the mechanisms of drug and hormone action from a pharmacological perspective. Additionally, we encourage submissions that delve into the biochemical and molecular aspects of both normal and abnormal biological processes. However, it is important to note that we do not publish studies relating to diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus. Our aim is to provide a platform for research that contributes to advancing our understanding of the underlying mechanisms and processes of diabetes.

1092-P： 混合护理模式对 2 型糖尿病的疗效--为期三个月的评估

摘要

1092-P：混合护理模式对 2 型糖尿病的疗效--为期三个月的评估