Evaluation of a Prototype Diabetes Management System Applied to Insulin Initiation and Titration

Evaluation of a Prototype Diabetes Management System Applied to Insulin Initiation and Titration

The purpose of this study is to determine if using a diabetes management technology system, including a tablet computer, to track diabetes care and communicate with a clinician coach (a doctor or nurse from the Joslin Clinic) makes starting and adjusting insulin easier and safer for people with type 2 diabetes. Hypothesis: The use of a diabetes management technology system with a clinician coach helps more individuals starting basal insulin achieve better glycemic control with less hypoglycemia compared with standard clinical practice at Joslin Diabetes Center.

Inclusion:

• 18 years or older
• Has type 2 diabetes, starting on basal insulin therapy
• Hemoglobin A1c between 9-14%
• Has Wi-Fi internet connection at home
• Is willing to monitor blood glucose at least once per day
• Is willing to inject and self-titrate insulin dose
• Able to read and communicate in English proficiently

Exclusion:

• Has severe visual impairment impacting visual acuity
• Has severe hearing impairment impacting communication
• Has Type 1 diabetes
• Pregnant or lactating women
• Alcohol dependency
• Require multiple daily insulin injections