Original Article
The effect of mobile application based interactive peer support on glycemic control in patients with type 1 diabetes mellitus
Zheng Xueying, Yang Daizhi, Liu Ziyu, Yan Jinhua, Weng Jianping, Luo Sihui
Published 2019-12-01
Cite as Chin J Intern Med, 2019, 58(12): 889-893. DOI: 10.3760/cma.j.issn.0578-1426.2019.12.004
Abstract
ObjectiveTo evaluate the effect of mobile application (APP) based interactive peer support on glycemic control in patients with type 1 diabetes mellitus (T1DM).
MethodsThe data of the present study were from the largest mobile APP platform for patients with T1DM in China, Tangtangquan. Patients with T1DM who has registered in the APP for at least 1 year and had completed data entry were recruited. According to the monthly interaction index during the first year of APP registration (including four indicators: praise, comment, posting and collection), the eligible patients were divided into the high-interaction group and the low-interaction group. The changes from baseline of self-blood glucose monitoring frequency (SMBG), glycosylated hemoglobin (HbA1c), incidence of hyperglycemia and incidence of hypoglycemia were compared between the two groups after one year of using the APP.
ResultsA total of 238 patients with T1DM with an age of (27±8) years were included. Among them, 77.3% (184/238) were female. The baseline SMBG [the low-interaction group (1.71±1.14) times/day vs. the high-interaction group (1.82±1.15) times/day] and HbA1c [the low-interaction group (6.72±0.99)% vs. the high-interaction group (6.76±1.04)%] were comparable between the two groups. After one year use of the APP, the frequency of SMBG in the high-interaction group was significantly higher than that in the low-interaction group [ΔSMBG (0.59+2.06) times/d vs. (0.08+1.69) times/d,t=4.280, P=0.04), and the reduction of HbA1c was more obvious in the high-interaction group [ΔHbA1c (-0.40+1.10)% vs. (-0.06+1.13)%,t=5.651, P=0.018] than in the lower-interaction group. The incidence of hyperglycemia in the high-interaction group was significantly lower than that in the low-interaction group [13.19(6.22,23.19)% vs. 17.69(10.56,30.49)%, Z=2.850, P=0.005]. There was no significant difference in the incidence of hypoglycemia between the two groups [4.62(2.14, 8.03)% vs. 4.83(2.06, 8.87)%, Z=1.276, P=0.204]. The correlation analysis showed that interaction index was significantly associated with the reduction of HbA1c and incidence of hyperglycemia.
ConclusionParticipation in interactive peer education via mobile APP may be beneficent for glycemic control in patients with T1DM.
Key words:
Diabetes mellitus,type 1; Mobile APP; Glycemic control
Contributor Information
Zheng Xueying
Department of Endocrinology and Metabolism, the First Affiliation Hospital of University of Science and Technology (Anhui Provincial Hospital), Hefei 230001, China
Yang Daizhi
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center
Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Liu Ziyu
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center
Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Yan Jinhua
Department of Endocrinology and Metabolism, the Third Affiliation Hospital of Sun Yat-sen University, Guangdong Diabetes Prevention and Control Research Center
Guangdong Provincial Key Laboratoryof Diabetology, Guangzhou 510630, China
Weng Jianping
Department of Endocrinology and Metabolism, the First Affiliation Hospital of University of Science and Technology (Anhui Provincial Hospital), Hefei 230001, China
Luo Sihui
Department of Endocrinology and Metabolism, the First Affiliation Hospital of University of Science and Technology (Anhui Provincial Hospital), Hefei 230001, China
