Cellphone System Improves Glucose Self-Monitoring in Gestational Diabetes
Pregnant women with gestational diabetes or type 2 diabetes benefited from a cellphone system.
(HealthDay News) — For pregnant women with gestational diabetes or type 2 diabetes, use of a cellphone-Internet technology system, which collects and sends glucose readings directly to a cellphone, is associated with improved compliance in self-monitoring of blood glucose (SMBG), according to a report published in Clinical Diabetes.
Marguerite Lisa Bartholomew, MD, from the University of Hawaii John A. Burns School of Medicine in Honolulu, and colleagues compared a conventional voicemail system (control) with a cellphone-Internet technology system for management of hyperglycemia during pregnancy.
Seventy-four women with gestational diabetes or type 2 diabetes were randomly assigned to a cellphone-Internet technology system (n=40) or control (n=34) for the first 3 weeks; participants then switched to the other method.
The researchers found that compliance with SMBG reporting was higher for total, fasting, and 2-hour postprandial glucose values with use of the cellphone-Internet technology method. The highest compliance rate was seen for women who used the cellphone-Internet technology system first (91.7%), which was significantly higher than compliance with the cellphone-Internet technology system among women who used the voicemail method first (P=.048).
More women preferred the cellphone-Internet technology method vs the voicemail method (68.9% vs 24.3%; P<.001).
"The use of [cellphone-Internet technology] for self-management of hyperglycemia during pregnancy increased glucose reporting compliance by a small but statistically significant amount compared to the use of the traditional control method (voicemail)," the researchers wrote.