Therefore, this study aims to clarify the effect of the WeChat intervention combined with FGM management on glycemic control, hypoglycemia incidence, and life quality in T1D patients. 11, 12 However, to our knowledge, no well-designed studies have focused on a WeChat–based intervention for T1D in China. Many studies have shown that WeChat has great potential in health intervention. Through the app, complex information can be presented through video and graphics and provide a feasible way to spread health information to the public. In China, WeChat is the most popular social networking platform it is a free app characterized by high convenience and accessibility. Furthermore, few of the web-based intervention provided users with personalized education, feedback, or motivation, which are emphasized in current clinical guidelines for behavior change and comprehensive self-management. 8 To date, most studies were performed in adults with type 2 diabetes, rarely among adolescents with T1D. ![]() 7 Given adolescents’ propensity for new technology, web-based interventions may provide a feasible communication with healthcare providers and motivate them to improve self-management.Īlthough interest in this technology increases, the clinical value of these web-based interventions remains unclear. The widespread use of smartphones, especially among the younger population, offers an opportunity to provide diabetes information and interaction with physicians. Additionally, owing to many patients with diabetes and the shortage of medical staff in China, clinicians and nurses are often too overwhelmed to provide normative and continuous management for patients with diabetes. ![]() However, adolescents with T1D struggle with achieving therapeutic targets for their shortage of medical knowledge, variable lifestyles, and less outpatient visits. The use of FreeStyle Libre allows not only recurrent painless glucose sampling but also a real-time observation of glycemic excursions and daily profiles, which can impact immediate therapy decisions.Īchieving optimal glycemic control requires intensive self-management for adolescents with T1D. HbA1c reflects average glucose over the last 2–3 months, but it does not reflect glycemic variability. HbA1c is currently recognized as the key surrogate marker for developing long-term diabetes complications and has been used as the primary endpoint for many CGM studies. 5, 6 The newly developed Abbott FreeStyle Libre is a flash glucose monitoring system (FGM) that requires a reader to scan the subcutaneous probe to obtain glycemic values. Continuous glucose monitoring systems (CGM) measure interstitial fluid glucose concentrations (ISFG) throughout the day and night thus, they can provide much more sufficient blood glucose management information than SMBG. 4 However, it is also accompanied by the burden and pain associated with multiple needle pricks for blood collection and the complexity of the procedures for use. Regular self-monitoring of blood glucose (SMBG) is particularly important for patients with T1D to assess glycemic control, determine the risk of hypoglycemia, and respond promptly. 2 The goal of diabetes treatment in adolescents is to maintain blood glucose level within the normal range without recurrent or severe hypoglycemia that is, a balance between hyperglycemia treatment and minimizing the frequency of hypoglycemic episodes should be maintained. In severe cases, changes in brain metabolism can even cause permanent sequelae and be potentially life-threatening. ![]() ![]() It is well known that hypoglycemia causes cognitive impairment and mood changes, such as depression, irritation, and fear. 1Įarly glycemic control is particularly important for preventing the development and progression of chronic complications of diabetes. According to the latest nationwide population-based registry study, the estimated incidence of T1D per 100,000 person-years for all ages in China was 1.01. Type 1 diabetes mellitus (T1D) is an autoimmune disease in which immune cells attack and destroy insulin-producing pancreatic β cells.
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