Influence of internet plus diabetes shared care model on metabolic profiles in patients with type 1 diabetes mellitus
10.3969/j.issn.1006-6187.2025.11.002
- VernacularTitle:1型糖尿病患者互联网+糖尿病共同照护模式的研究
- Author:
Zijing LIU
1
;
Nan GU
1
;
Xiaohui GUO
1
Author Information
1. 100034 北京大学第一医院内分泌科
- Publication Type:Journal Article
- Keywords:
Diabetes shared care model;
Diabetes mellitus,type 1;
Hemoglobin A1c
- From:
Chinese Journal of Diabetes
2025;33(11):806-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of internet plus diabetes mellitus(DM)shared care model on metabolic profiles and explore its effect in the management of patients with type 1 diabetes mellitus(T1DM).Methods A total of 114 patients with T1DM who were regularly followed up in DM shared care clinic of our hospital more than half a year were enrolled in this study between October 2016 and August 2022.A total of 81 patients who completed the offline assessment of hemoglobin A1c(HbA1c)and other biochemical indicators at the end of 6 months'follow-up,the patients were divided into the standard group(TA,n=42)and the non-standard group(NTA,n=39).HbA1c and other metabolic indexes,chronic complications of DM,weekly average number of logins to the APP(times/week)and duration,weekly number of blood glucose(BG)monitoring sessions,weekly number of dietary monitoring sessions,and weekly number of out-of-hospital communications and duration were evaluated.Logistic regression analysis was used to explore the influencing factors for HbA1c target achievement.Results Compared with the baseline,HbA1c decreased from 7.6%to 6.9%significantly and HbA1c target achievement increased from 33.3%to 51.9%after 6 months of regularly follow-up in the DM shared care model(P<0.05).The weekly average frequency of BG monitoring was higher in the TA group than in the NTA group(P<0.05).Logistic regression analysis showed that the frequency of BG monitoring weeks was the influencing factor of reaching the standard of HbA1c.Conclusions Internet plus DM shared care model could improve HbA1c achievement in patients with T1DM.
