Decrease in High Readings and Severe Hyperglycemic Events for People with T2D over the Full Year of 2017 in Users Monitoring with a Digital Diabetes Management System

One of the goals of a digital diabetes management system is to improve patient’s self-management and control of their condition. High blood glucose level is defined as 180-400 mg/dL while severe hyperglycemia (above 400 mg/dL) is considered a medical emergency. Digital engagement can play a pivotal role in the care of patients with diabetes and other chronical conditions, assisting patients to enhance their compliance. The Dario^TM Blood Glucose Monitoring System (BGMS) connects physically to a smart mobile device and automatically logs blood glucose measurements into designated App. Data is transmitted to the Dario cloud.

Method: A retrospective data evaluation study was performed on the Dario^TM cloud database. A population of active type 2 diabetic (T2D) users that continuously measured their blood glucose using Dario^TM BGMS during the full year of 2017 was evaluated. The study assessed the ratio of high (180-400 mg/dL) and hyperglycemic (>400mg/dL) blood glucose readings during full year of 2017 as recorded in the database. The average of high and hyperglycemic glucose readings were calculated in periods of 30-60, 60-90, 90-120, 120-150, 150-180, 180-210, 210-240, 240-270, 270-300, 300-330, 330-360 days and compared to first 30 days as a starting point of analysis.

Results: For 225 T2D active users the ratio of high events (180-400 mg/dL) was reduced gradually in 19.6% (from 23.4% to 18.8% of the entire measurements) from baseline compared to the 12^th month of the year. Moreover, the ratio of severe hyperglycemia events (>400 mg/dL) was decreased in 57.8% (from 0.90% to 0.38% of the entire measurements) at the same period.

Conclusion: By means of glucose meter and App patients have the potential to promote behavioral modification and enhance adherence to diabetes management, demonstrating better glycemic control.