A systematic review of effect of information technology based on network and mobile phone on blood glucose management in children and adolescents with type 1 diabetes mellitus
Zhao Xiaolei
Zheng Silin
Huang Houqiang
Abstract：Objective:To evaluate the effect of modern information technology such as network and mobile phone on blood glucose management in children and adolescents with type 1 diabetes mellitus.Methods:Randomized controlled trials (RCT) of network and mobile phone effect on blood glucose management in children and adolescents with type 1 diabetes mellitus were retrieved among Cochrane Library,Joanna Briggs Institute Library,PubMed,EMbase,CBMdisc,CNKI,Wanfang data and other databases.The quality of the literature was evaluated using Cochrane handbook 5.1.0,and meta-analysis was performed using Revman 5.3.Results:A total of 14 RCTs were included,of which 13 were in English and 1 was in Chinese.Network,mobile phone and other information technology cannot help type 1 diabetes children and adolescents to control the blood glucose effectively [WMD=-0.09,95%CI (-0.22,0.02),P=0.12],in which the network has no effect on blood glucose control of type 1 diabetes children and adolescents [WMD=0.09,95%CI(-0.11,0.29),P=0.35],while the mobile phone could decrease the control of blood glucose in type 1 diabetes children and adolescents [WMD=-0.18,95%CI (-0.32,-0.04),P=0.01].The application of modern information technology such as network and mobile phone cannot reduce the use of insulin [WMD=0.06,95%CI (-0.06,0.19),P=0.32].Conclusions:The network and mobile phone did not contribute to the effective self-management of children and adolescents with type 1 diabetes mellitus.However,since the heterogeneity of the outcome index was large,the quality of the literature was not good,and the sample size is small,there still need more reasonable design,union objective outcome of a large sample,and high-quality RCTs,in order to obtain a more reliable evidence.
Keywords：networkmobile phonetype 1 diabetes mellituschildrenadolescentsblood glucose managementsystematic evaluationmeta-analysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 3134-3140 )