Objectives: Our study aimed to investigate the correlative factors of HbA1c achieving rate in diabetic patients followed-up in Internet plus Diabetes Shared Care Clinic (IDSCC) in General Hospital.
Methods: Patients who were regularly followed-up in IDSCC were enrolled in the study from Oct. 2016. Up to Dec. 2018, demographic data of patients, HbA1c of each follow-up, diabetic medication and education power during online and offline follow-ups were recorded. Patients were divided into two groups according to whether HbA1c achieve target (<7%) or not at the last follow-up. Logistic regression analysis was performed to analyze covariates of HbA1c at last follow-up, including age, diabetic duration (<5 years, 5-10 years, 10-15 years, >15 years), gender, baseline HbA1c, insulin usage, self-monitoring of pre-meal and postprandial glucose (none, <=1 pair per week, >1 pair per week), intensity of offline support and exposure of online support.
Results: 515 patients were enrolled. Shorter diabetic duration (OR=2.64, p=0.005), no usage of insulin (OR=3.83, p<0.0001), achieving HbA1c target at first visit (OR=7.94, p<0.0001) and higher exposure of online support (OR=1.84, p=0.009) were positively correlated to better HbA1c achieving rate.
Conclusions: Higher online self-management support (over 41.9 min/quarter) could bring better HbA1c achieving rate for diabetic patients in IDSCC.
A. Li: None. X. Yuan: None. L. Lin: None. D. Lu: None. D. Zhang: None. Y. Sun: None. J. Li: None. L. Jing: None. Y. Wang: Employee; Self; iHealth Labs Inc. X. Guo: None. J. Zhang: None.
