Aim: After periodic implementation of the Home and sELf care Program (HELP, a pilot project supported by the ministry of health and welfare of the Korean government) in patients with T1DM, we evaluated the long-term effects on glycemic control.
Methods: We included 120 T1DM patients aged 15 years or older. Structured educations, including physician consultation as well as nursing and nutrition education, were provided to the subjects up to four times a year, and remote support using digital apps and phones was provided between educations. Patients were followed up at average intervals of 2 to 4 months, up to a maximum of 24 months. The primary endpoint was mean HbA1c of subjects at f/u visit.
Results: Patients who received at least one structured education had a mean HbA1c reduction of more than 1.0% from baseline, even after adjusting for confounders [%, from 8.52 ± 2.11(SD) to 7.31 ± 1.20 at 1st f/u visit (p < 0.001); 7.42 (after adjustment, 7.29-7.54, 95% CI), from 8.50 ± 2.12 to 7.37 ± 1.32 at 7th f/u visit (p < 0.001); 7.42 (after adjustment,7.31-7.53, 95% CI)]. TIR was maintained at least 55% or more on average for 24 months, and TBR (70 & 54) also gradually improved to the recommended range (<5% & <1%, 18 - 24 moths).
Conclusion: The effect of HELP on glycemic control in patients with T1DM was found to be a significant improvement, as well as an improvement in CGM-based indices.
D. Koo: None. L. Dayeon: None. J. Ko: None. S. Moon: None. C. Park: None.
