@Article{信息:doi 10.2196 / / jmir。6659，作者=“唐宁，Janelle和Bollyky，詹娜和施耐德，詹妮弗”，标题=“使用连接血糖仪和认证糖尿病教育家指导，以减少异常血糖变化的可能性:Livongo for Diabetes Program”，期刊=“J Med Internet Res”，年=“2017”，月=“7月”，日=“11”，卷=“19”，数=“7”，页=“e234”，关键词=“SMBG;血糖自我监测;糖尿病远程监测;糖尿病管理;糖尿病;背景:Livongo for Diabetes Program为会员提供(1)一种支持细胞技术的双向消息设备，可以测量血糖(BG)，集中存储葡萄糖数据，并实时向个人发送消息;(2)无限量BG试纸条;以及(3)获得糖尿病教练团队的问题，目标设定，以及对异常血糖的自动支持。该计划由有风险的自我保险雇主、健康计划和提供者组织赞助，其中糖尿病患者可以免费获得该计划，糖尿病患者可以直接获得该计划，但由他们支付费用。 Objective: The objective of our study was to evaluate BG data from 4544 individuals with diabetes who were enrolled in the Livongo program from October 2014 through December 2015. Methods: Members used the Livongo glucose meter to measure their BG levels an average of 1.8 times per day. We estimated the probability of having a day with a BG reading outside of the normal range (70-180 mg/dL, or 3.9-10.0 mmol/L) in months 2 to 12 compared with month 1 of the program, using individual fixed effects to control for individual characteristics. Results: Livongo members experienced an average 18.4{\%} decrease in the likelihood of having a day with hypoglycemia (BG <70 mg/dL) and an average 16.4{\%} decrease in hyperglycemia (BG >180 mg/dL) in months 2-12 compared with month 1 as the baseline. The biggest impact was seen on hyperglycemia for nonusers of insulin. We do not know all of the contributing factors such as medication or other treatment changes during the study period. Conclusions: These findings suggest that access to a connected glucose meter and certified diabetes educator coaching is associated with a decrease in the likelihood of abnormal glucose excursions, which can lead to diabetes-related health care savings. ", issn="1438-8871", doi="10.2196/jmir.6659", url="//www.mybigtv.com/2017/7/e234/", url="https://doi.org/10.2196/jmir.6659", url="http://www.ncbi.nlm.nih.gov/pubmed/28698167" }