Can a glucometer with an intelligent mobile application become an alternative to continuous glycemic monitoring?

O.M. Koteshkova, D.M. Antsiferova, M.B. Antsiferov

1) Endocrinology Dispensary of the Moscow Healthcare Department, Moscow, Russia; 2) Russian Medical Academy of Continuous Professional Education, Moscow, Russia

Objective. Substantiation of the use of intelligent mobile applications for glucometers for more effective remote management of diabetes mellitus (DM) as a real alternative to continuous glycemic monitoring (CGM) for diabetic patients with DM.
Key provisions. Achieving adequate control of DM is impossible without self-monitoring by the patient. Guidelines for managing patients with DM are regularly updated, more modern approaches to self-monitoring of glycemia are developed, innovative glucometers, systems with a mobile application, are introduced. Continuous glucose monitoring systems are increasingly used. The use of CGM and FMG technologies allows for real-time glycemia control. Meta-analyses of studies evaluating the effectiveness of these technologies show advantages in increasing the percentage of time glycemia is in the target range and reducing periods of hypoglycemia, and the use of a food diary in the form of an application contributes to more effective weight loss. The use of modern mobile applications to a glucometer or CGM allows for increasing patient motivation and expanding opportunities for disease management.

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About the Authors

Olga M. Koteshkova, Cand. Sci. (Med.), Head of the Department of Diabetes Education and Treatment, Endocrinology Dispensary of the Moscow Healthcare Department, Russia; koala58@mail.ru, ORCID: https://orcid.org/0000-0001-8428-4116, eLibrary SPIN: 6141-1224 (corresponding author)
Darya M. Antsiferova, Postgraduate Student, Department of Endocrinology, Russian Medical Academy of Continuous Professional Education; Endocrinologist, Endocrinology Dispensary, Moscow, Russia; cifrenda@yandex.ru, ORCID: https://orcid.org/0000-0002-3920-5914
Mikhail B. Antsiferov, Dr. Sci. (Med.), Professor, Chief Physician of the Endocrinology Dispensary, Moscow, Russia; antsiferov@rambler.ru,
ORCID: https://orcid.org/0000-0002-9944-2997, eLibrary SPIN: 1035-4773

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