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Barriers and Facilitators to the Implementation of a Mobile Insulin Titration Intervention for Patients With Uncontrolled Diabetes: A Qualitative Analysis

The patients who are not comfortable with self-titration are asked to keep a daily log of their FBG level and return to the clinic to review the FBG log in person with a provider to identify the need for a change in their insulin dose. The frequency and the timing of in-person visits to check the FBG logs can vary based on patient needs.

Erin Rogers, Sneha R Aidasani, Rebecca Friedes, Lu Hu, Aisha T Langford, Dana N Moloney, Natasha Orzeck-Byrnes, Mary Ann Sevick, Natalie Levy

JMIR Mhealth Uhealth 2019;7(7):e13906

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Transition of a Text-Based Insulin Titration Program From a Randomized Controlled Trial Into Real-World Settings: Implementation Study

MITI patients receive a daily weekday text message asking for them to type back their fasting blood sugar and a weekly phone call from a registered nurse advising them on how to adjust their basal insulin dose. Upward titration of basal insulin through the MITI program stops when one morning fasting blood sugar level falls into the desired range of 80-130 mg/d L (4.4-7.2 mmol/L), when the patient reaches a basal insulin dose of 50 units, when a patient withdraws from the program, or when 12 weeks elapse.

Natalie Koch Koch Levy, Natasha A Orzeck-Byrnes, Sneha R Aidasani, Dana N Moloney, Lisa H Nguyen, Agnes Park, Lu Hu, Aisha T Langford, Binhuan Wang, Mary Ann Sevick, Erin S Rogers

J Med Internet Res 2018;20(3):e93

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