Can a glucometer with an intelligent mobile application become an alternative to continuous glycemic monitoring?

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Abstract

Objective. Substantiation of the use of intelligent mobile applications for glucometers for more effective remote management of diabetes mellitus (DM) as a real alternative to continuous glycemic monitoring (CGM) for diabetic patients with DM.

Key provisions. Achieving adequate control of DM is impossible without self-monitoring by the patient. Guidelines for managing patients with DM are regularly updated, more modern approaches to self-monitoring of glycemia are developed, innovative glucometers, systems with a mobile application, are introduced. Continuous glucose monitoring systems are increasingly used. The use of CGM and FMG technologies allows for real-time glycemia control. Meta-analyses of studies evaluating the effectiveness of these technologies show advantages in increasing the percentage of time glycemia is in the target range and reducing periods of hypoglycemia, and the use of a food diary in the form of an application contributes to more effective weight loss. The use of modern mobile applications to a glucometer or CGM allows for increasing patient motivation and expanding opportunities for disease management.

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About the authors

Olga M. Koteshkova

Endocrinology Dispensary of the Moscow Healthcare Department

Author for correspondence.
Email: koala58@mail.ru
ORCID iD: 0000-0001-8428-4116
SPIN-code: 6141-1224

Cand. Sci. (Med.), Head of the Department of Diabetes Education and Treatment

Russian Federation, Moscow

Darya M. Antsiferova

Endocrinology Dispensary of the Moscow Healthcare Department; Russian Medical Academy of Continuous Professional Education

Email: cifrenda@yandex.ru
ORCID iD: 0000-0002-3920-5914

Postgraduate Student, Department of Endocrinology, Endocrinologist

Russian Federation, Moscow; Moscow

Mikhail B. Antsiferov

Endocrinology Dispensary of the Moscow Healthcare Department; Russian Medical Academy of Continuous Professional Education

Email: antsiferov@rambler.ru
ORCID iD: 0000-0002-9944-2997
SPIN-code: 1035-4773

Dr. Sci. (Med.), Professor, Chief Physician

Russian Federation, Moscow; Moscow

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Supplementary files

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1. JATS XML
2. Figure 1. Visualization of food portions on the smartphone screen

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3. Figure 2. Report form of the mobile application Contour Diabetes

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4. Figure3. Glycemic monitoring data using the Contour Diabetes application

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