Patients with diabetes mellitus monitor blood glucose levels throughout their pregnancy to determine if intervention is required. Traditional paper recording only allows readings to be reviewed during visits. The aim of this study is to determine if remote monitoring of blood glucose levels through a mobile application increases the availability of data and allow providers to expedite intervention.
Women with gestational diabetes mellitus or pre-existing diabetes mellitus were invited to participate in the remote monitoring program. Patients received Babyscripts, a mobile application with a digital glucose log, and were asked to enter fasting and postprandial glucose levels. Physicians used a web portal to monitor patients' glucose logs. The physician's office was also contacted for triggers needing immediate attention. These thresholds were as follows: Fasting CBG < 60 mg/dl or >150 mg/dl or postprandial >250 mg/dl. Offices were also notified if 7 or more elevated readings occurred during alone week period (fasting >96 mg/dl, or postprandial >120 mg/dl).
Eighteen pregnant women were offered the program and 17 agreed to be enrolled. A total of 1304 glucose levels were recorded by 17 patients. Providers were alerted 60 times to review abnormal values.
Remote monitoring of blood glucose levels resulted in an increased availability of data for providers outside of the scheduled visit setting. Trigger protocols improved the provider's response times to both hypo- and hyperglycemia. Noncompliance was also quickly identified. Further research is needed to determine if the availability of blood glucose levels impacts maternal health and birth outcomes.