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Insulin therapy is the mainstream glucose-lowering program for hospital glucose management. Intelligent insulin dose calculation software based on fingertip glucose monitoring is born in response to the situation. A new generation of continuous blood glucose monitoring technology compared with traditional monitoring technology provides more abundant blood sugar change information.The development of the continuous glucose monitoring technology espcially in blood sugar change trend arrow information, the intelligent insulin dose adjustment sequence based on WeChat program is developed. We plan to carry out a randomized controlled study on patients receiving insulin therapy, in which the insulin dose is adjusted according to the information of four blood glucose monitoring points (before meals and before bed), and randomly divided into two groups, one group is adjusted according to the experience of clinicians, the other group is adjusted according to Wechat program, and glucose monitoring is continued for 1 week. bBood glucose control index of TIR , and the incidence of hypoglycemia and hyperglycemia, hospitalization days and cost was observed. This study ihas great clinical value.
The problems related to blood glucose in non-endocrine departments are becoming more and more serious.Glucose control level is closely related to the prognosis and cost of inpatients. Insulin therapy is the mainstream glucose-lowering program for hospital glucose management. Intelligent insulin dose calculation software based on fingertip glucose monitoring is born in response to the situation. A new generation of continuous blood glucose monitoring technology compared with traditional monitoring technology provides more abundant blood sugar change information.The development of the continuous glucose monitoring technology espcially in blood sugar change trend arrow information, the intelligent insulin dose adjustment sequence based on WeChat program is developed. We plan to carry out a randomized controlled study on patients receiving insulin therapy, in which the insulin dose is adjusted according to the information of four blood glucose monitoring points (before meals and before bed), and randomly divided into two groups, one group is adjusted according to the experience of clinicians, the other group is adjusted according to Wechat program, and glucose monitoring is continued for 1 week. bBood glucose control index of TIR , and the incidence of hypoglycemia and hyperglycemia, hospitalization days and cost was observed. This study ihas great clinical value.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Wechat program guidance group | Experimental | Wechat program guidance group using insulin dose calculator |
|
| clinical experience treatment group | Active Comparator | clinical experience treatment group using physician experience |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Wechat program | Device | The experimental group used wechat program to calculate insulin dose to guide insulin treatment . |
|
| Measure | Description | Time Frame |
|---|---|---|
| Subjects in both groups targeted blood glucose range (TIR) time or ratio. | Subjects in both groups targeted blood glucose range (TIR) time or ratio. | one week |
| Measure | Description | Time Frame |
|---|---|---|
| Mean blood glucose | Mean blood glucose | one week |
| above target blood glucose range (TAR) for time or ratio, | above target blood glucose range (TAR) for time or ratio, |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaolong Zhao, PhD | Contact | 13501827230 | xiaolongzhao@163.con | |
| Duoduo Qu, Master | Contact | 19852812469 | quduoduonju@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaolong Zhao, PhD | Shanghai Public Health Clinical Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xiaolong Zhao | Recruiting | Shanghai | Shanghai Municipality | 200041 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41697460 | Derived | Zhou L, Wu C, Wang C, Yu X, Qu D, Yang Y, Xu X, Liu J, Zhu Q, Liao X, Zhao X. Smart insulin dosage software based on trend arrows: an effective method for controlling hyperglycemia in hospitalized diabetic patients in non-endocrine departments (a randomized controlled trial). Endocrine. 2026 Feb 16;91(1):86. doi: 10.1007/s12020-025-04509-z. |
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| one week |
| below target blood glucose range (TBR) for time or Proportion | below target blood glucose range (TBR) for time or Proportion | one week |
| insulin dose | insulin dose | one week |
| hospitalization cost | hospitalization cost | one week |
| hospitalization length of stay | hospitalization length of stay | one week |