David Harlan, MDAmante, Daniel J2022-08-232022-08-232016-10-112016-11-2310.13028/M2RC7Dhttps://hdl.handle.net/20.500.14038/32221Background. Diabetes requires significant disease management, patient-provider communication, and interaction between patients, family members, caregivers, and care teams. Emerging patient-facing technologies, such as cellular-enabled glucose meters, can facilitate additional care support and improve diabetes self-management. This study evaluated patient acceptability, feasibility, and efficacy of a diabetes care support program facilitated by cellular-enabled glucose meters. Methods. A two-phase study approach was taken. Get In Touch – Phase 1 (GIT-1) was a 1-month pilot involving patients with type 1 and type 2 diabetes. Get In Touch – Phase 2 (GIT-2) was a 12-month randomized controlled crossover trial involving patients with poorly-controlled type 2 diabetes. Results from GIT-1 and preliminary results from GIT-2 are presented. Results. GIT-1 participants with type 1 (n=6) and type 2 (n=10) diabetes reported the intervention and cellular-enabled glucose meter were easy to use and useful while identifying potential areas of improvement. GIT-2 participants in both the intervention (n=60) and control (n=60) groups saw significant improvements in treatment satisfaction and A1c change, with intervention participants experiencing slightly greater improvements in each after 6 months (p=0.09 and p=0.16, respectively) compared to control participants. Conclusions. Patients reported favorable acceptability of the intervention. Preliminary results from a randomized trial demonstrated potential of intervention to improve patient-reported and physiological health outcomes. Future studies should evaluate feasibility and efficacy over a longer period of time, with a greater number of participants, and targeting different populations of patients with diabetes. Provider perspectives and changes in provider behavior, clinical work flow, and caregiver burden should also be assessed.en-USCopyright is held by the author, with all rights reserved.Dissertations, UMMSDiabetes MellitusSelf CareBlood GlucoseMonitoring, PhysiologicPoint-of-Care SystemsDiabetes MellitusSelf CareBlood GlucosePhysiologic MonitoringPoint-of-Care SystemsEndocrine System DiseasesEndocrinology, Diabetes, and MetabolismHealth Services AdministrationTelemedicineDoctoral Dissertationhttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1854&context=gsbs_diss&unstamped=1https://escholarship.umassmed.edu/gsbs_diss/8489412537gsbs_diss/848