Review of the Effect of Internet Therapeutic Intervention in Patients With Type 1 and Type 2 Diabetes

The use of the Internet has changed the way health care professionals manage diabetes, with platforms now available allowing patients to upload self-monitoring of blood glucose data and share with their health care provider (1). Previous studies have established the efficacy of Internet blood glucose monitoring systems (1–3).It is now our standard of care to offer an Internet blood glucose monitoring system to patients. We currently have 1,100 patients enrolled and have outcome data on the first 409 patients. Of the 409 patients, 388 had HbA1c at baseline and at least one subsequent HbA1c determination within 9 months. HbA1c values from 3–9 months were averaged to generate follow-up data. The relationship of reporting frequency and HbA1c change was determined by dividing patients into frequent reporters, who reported more than once per month, and infrequent reporters.Patients were instructed to upload self-monitoring …