Effectiveness of metabolic management centers online tools in patients with type 2 diabetes

作者：Miao Xu, Jialin Li, Ying Peng, Fengmei Xu, Qidong Zheng, Yufan Wang, Tingyu Ke, Dong Zhao, Yuancheng Dai, Qijuan Dong, Bangqun Ji, Juan Shi, Yifei Zhang, Li Li, Weiqing Wang · 发表于：Annals of Medicine · 年份：2025 · DOI：10.1080/07853890.2025.2563751 · 被引用次数：2 · 研究领域：Diabetes, Cardiovascular Risks, and Lipoproteins、Hyperglycemia and glycemic control in critically ill and hospitalized patients、Diabetes Management and Education

SUMMARYObjectives To assess the value of National Metabolic Management Centers (MMC) specialized online tools, for the maintenance of metabolic control among patients with type 2 diabetes (T2DM).Patients This retrospective study enrolled T2DM patients from 10 MMCs (June 2017–April 2021) and divided into non- and application of online tools (non-AOT and AOT) groups.Measurements Propensity score matching (PSM) was used to balance the characteristics of patients between groups. The effect of online tools was evaluated by the change in HbA1c, with additional stratified analyses in subgroups.Results After PSM, 12528 patients with T2DM were followed for a median of 15.88 (7.10, 24.27) months, the AOT group demonstrated better control of HbA1c (−0.90 [−2.60, 0.00] % vs. −0.70 [−2.20, 0.10] %, p < 0.0001), and a greater reduction in body mass index (−0.34 ± 1.68 kg/m2 vs. −0.13 ± 1.55 kg/m2, p < 0.0001) and Visceral fat area (VFA) (−5.33 ± 30.95 cm2 vs. −3.97 ± 26.11 cm2, p = 0.009), compared to the non-AOT group, and the high-frequency AOT group achieved a more significant HbA1c reduction than the low-frequency AOT group (−1.50 [−3.60, −0.30] % vs. −0.80 [−2.38, 0.10] %, p < 0.0001) and a greater reduction in VFA (−7.07 ± 30.32 cm2 vs. −4.90 ± 31.10 cm2, p = 0.010) after adjustment. Stratification analyses revealed greater HbA1c reductions in those with younger age, lower education level or poor HbA1c control at baseline.Conclusions MMC online tools significantly improve metabolic o...