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Diabetes, Metabolic Syndrome and Obesity Volume 14, 2021 - Issue
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Clinical Trial Report

Effectiveness of a WeChat Combined Continuous Flash Glucose Monitoring System on Glycemic Control in Juvenile Type 1 Diabetes Mellitus Management: Randomized Controlled Trial

Yuejie Xu1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0002-0974-4132View further author information
ORCID Icon,
Lei Xu1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
,
Weijing Zhao1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
,
Qing Li1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
,
Ming Li1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
,
Wei Lu1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
,
Hui Zeng1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
,
Jinhua Yan2 Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, People’s Republic of ChinaView further author information
,
Daizhi Yang2 Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, People’s Republic of ChinaView further author information
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Wei Wu3 Department of Pediatrics, Tongji Hospital, Wuhan Tongji Medical University, Wuhan, Hubei, 430030, People’s Republic of ChinaView further author information
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Jianping Weng2 Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, People’s Republic of ChinaView further author information
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Jiemin Pan1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaCorrespondence[email protected] [email protected]
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Fang Liu1 Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of ChinaView further author information
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Pages 1085-1094 | Published online: 09 Mar 2021

Figures & data

Figure 1 The screen captures to show how the KongTangTianDi WeChat public account works. (A) The platform module: diabetic frontier information and lifestyle guidance; (B) registration and update of the child’s health records; (C) real-time online consultation.

Figure 1 The screen captures to show how the KongTangTianDi WeChat public account works. (A) The platform module: diabetic frontier information and lifestyle guidance; (B) registration and update of the child’s health records; (C) real-time online consultation.

Table 1 Clinical Characteristics and Questionnaire Scores of Three Groups at Baseline

Figure 2 Study design and flow chart of participants recruitment and follow-up.

Figure 2 Study design and flow chart of participants recruitment and follow-up.

Figure 3 Comparison of HbA1c decline from baseline to 6 months later among SMBG, CGM, and CGM + WeChat groups of T1D patients.

Figure 3 Comparison of HbA1c decline from baseline to 6 months later among SMBG, CGM, and CGM + WeChat groups of T1D patients.

Figure 4 Incidence of hypoglycemia per month in three management groups.

Notes: *P<0.05, ***P<0.001 6-month follow-up vs baseline.
Figure 4 Incidence of hypoglycemia per month in three management groups.

Figure 5 Effects of SMBG, FGM, and FGM combined WeChat-interactive management methods on quality of life and self-perception of T1D patients. (A) Changes of DMTSQ Scores in three groups. (B) Changes of DQOL Scores in three groups. (C) Changes of CHFSII Scores in three groups.

Notes: *P<0.05, **P<0.01 6 months later vs baseline.
Figure 5 Effects of SMBG, FGM, and FGM combined WeChat-interactive management methods on quality of life and self-perception of T1D patients. (A) Changes of DMTSQ Scores in three groups. (B) Changes of DQOL Scores in three groups. (C) Changes of CHFSII Scores in three groups.

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