Purpose: The aim of the study is to examine the impact of an Internet supported diabetes management program and to analyze the influencing factors of the improvement.

Methods: The Internet Diabetes Shared Care Program (IDSC) in Peking University Shougang Hospital was an application of DSMES (Diabetes Self-Management Education and Support) with Internet technologies. Interdisciplinary care team including diabetologist, nurses, dietitians and diabetes educators provide individualized consultation in hospital every 3 months, and continuous online lifestyle coaching via smartphone applications. Change of (HbA1c), BP, LDL-c, BMI at baseline and at last visit were compared. Multiple linear regression analysis were applied to analyze the data.

Results: Total of 349 patients (female 51%) were enrolled from 2018 to 2022 with average age 56.98±10.61 years, duration of DM 9.59±8.23 years. Patients were followed in the IDSC program for 1.78±0.90 years. At baseline, 41.8% used insulin. After the program. the HbA1c decreased 1.29±2.22%(8.41±2.23% vs 7.12±1.30%, t=10.32, P=0.000), BMI decreased 0.43±2.50 kg/m2(25.98±3.99kg/m2 vs 25.56±3.83 kg/m2, t=3.10, P=0.002). Multiple linear regression found and patient age (β=-0.036, P=0.001), followed duration (β=-0.349, P=0.004), baseline HbA1c achieved ≤7% (β=-2.477, P=0.000) and weekly communication with diabetes educators (β=0.828, P=0.013)were the impact factors for glycemic improvement.

Conclusion: The Internet supported diabetes management program significantly improved the glycemic control of DM patients, in which age, weekly communication and continuous care are essential factors for glycemic improvements.


Y. Wu: None.

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