Web-Based Follow-Up Using Cellular Phone in Type 1 Diabetic Patients Under Insulin Pump Therapy : The PumpNet Study

Surveillance Des données De l'Autosurveillance glycémique Via Internet Et Le réseau téléphonique GSM Chez Le diabétique De Type 1 Sous Traitement Insulinique Par Pompe Externe : Etude Prospective randomisée PumpNet.

The purpose of this study is to determine if telecare using modern telecommunication devices can improve the metabolic control and the quality of life of type 1 diabetic patients.

We aim at comparing conventional follow-up of type 1 diabetic patients treated with continuous subcutaneous insulin infusion (CSII) (face-to-face visits) with an intensive coaching using the Web and the cellular phone network for data transmission and Short Message Service (SMS). This telecommunication device is called GlucoNet. The specific objectives are to measure the efficiency of GlucoNet in improving metabolic control, reducing health care costs and improving the quality of life of patients.

Inclusion Criteria:

• Type 1 diabetes mellitus
• Age ≥ 18
• HbA1c between 7.5 and 10%
• Treated with continuous subcutaneous insulin infusion for a minimum of 3 months

Exclusion Criteria:

• Unstabilized diabetic microangiopathy
• Ongoing pregnancy or planned pregnancy
• Unwilling to perform a minimum of 4 capillary blood tests per day
• Unable to use the GlucoNet device