TY  - JOUR
AU  - Xiao, Yuping
AU  - Wang, Zhenzhen
AU  - Zhang, Lintao
AU  - Xie, Nina
AU  - Chen, Fangyao
AU  - Song, Zihao
AU  - Zhao, Sha
PY  - 2025
DA  - 2025/3/3
TI  - Effectiveness of Digital Diabetes Management Technology on Blood Glucose in Patients With Type 2 Diabetes at Home: Systematic Review and Meta-Analysis
JO  - J Med Internet Res
SP  - e66441
VL  - 27
KW  - digital diabetes management
KW  - type 2 diabetes
KW  - patients
KW  - home monitoring
KW  - blood glucose management
KW  - meta-analysis
KW  - PRISMA
AB  - Background: Patients with type 2 diabetes mellitus (T2DM) face elevated morbidity, mortality, and care costs. Digital self-monitoring of blood glucose (SMBG) can automatically upload data to apps, share the data with health care providers, reduce errors, and aid long-term diabetes management. Objective: This study aimed to assess the effectiveness of digital diabetes management techniques based on digital SMBG on blood glucose in patients with T2DM at home. Methods: A systematic search was conducted in PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang, China Biomedical Literature Database, and Cochrane Library for articles published from the establishment of each database to December 25, 2023. Data were extracted independently by 2 researchers (YX and NX), and the risk of bias in individual trials was rated using the Cochrane risk-of-bias tool. A meta-analysis was conducted using RevMan 5.3 (Cochrane). Results: Twelve studies were included, involving 1669 participants. The meta-analysis found that in the digital diabetes management group, hemoglobin A1c (mean difference [MD] –0.52%, 95% CI –0.63% to –0.42%; P<.001), fasting blood sugar (MD –0.42, 95% CI –0.65 to –0.19 mmol/L; P<.001), 2-hour postprandial blood sugar (MD –0.64, 95% CI –0.97 to –0.32 mmol/L; P<.001), and BMI (MD –1.55, 95% CI –2.92 to –0.17 kg/m2; P=.03) were each improved compared to the control group. Conclusions: Digital diabetes management has been shown to effectively improve blood glucose levels and BMI in individuals with T2DM in home settings. A key feature of successful digital health interventions is the frequent SMBG by patients, supported by dedicated health care professionals who provide timely, personalized, and responsive guidance. Trial Registration: PROSPERO CRD42024560431; https://tinyurl.com/yfam3nms 
SN  - 1438-8871
UR  - https://www.jmir.org/2025/1/e66441
UR  - https://doi.org/10.2196/66441
UR  - http://www.ncbi.nlm.nih.gov/pubmed/40053775
DO  - 10.2196/66441
ID  - info:doi/10.2196/66441
ER  -