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.

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.