Remote Monitoring to Achieve Self-Management of Type 2 Diabetes Mellitus: A Prospective Study.

Background: The world’s population is aging, and more people are living with chronic conditions including diabetes mellitus. Healthcare providers are moving towards the use of telemonitoring to identify patient self-management approaches and ensure the delivery of health care at their home.Aim: to explore three telemonitoring technologies that intend to achieve self-management of Type 2 diabetes mellitus thereby improve HbA1c levels and quality of life.Methods: Interrupted time series design to evaluate the impact of three different telemonitoring solutions provided by one large combined health and social care Trust with technology-naïve people, aiming to manage their Type 2 diabetes mellitus.Sample: A total of 166 patients met the criteria at the diabetes clinic, with 29 patients consenting to take part in the study.Results: participants’ baseline measurements were similar. The d-Nav solution exhibited significant improvement in HbA1c over the other telemonitoring solutions. Participants showed acceptability and significant satisfaction of using all three solutions and exhibited improved quality of life.Conclusion: This exploratory study demonstrates the feasibility of using telemonitoring to self-manage Type 2 diabetes mellitus offering a line of communication between the patient and their clinical care team at a distance.