Evaluating Remote Patient Monitoring Integration in Outpatient Diabetes Care A Real-World Study of Over 12,000 People With Diabetes at Steno Diabetes Center Copenhagen

What this Trial Is About

This research aims to evaluate a remote-patient-monitoring system RPM integrated within an electronic health record EHR for about 12,000 people with diabetes receiving outpatient care. The study focuses on whether glycemic outcomes over two years after integrating the RPM system into the EHR are not worse than outcomes before a care restructuring that began in October 2024. It includes a wide range of patients with type 1, complicated type 2, rare hereditary, and other diabetes types under routine care. The RPM system called Steno Detektor was introduced outside the EHR in October 2024 and will be integrated into the EHR system Sundhedsplatformen EPIC in 2026. The study compares health data before and up to two years after this integration. Patients remain in the study as long as they receive care at Steno Diabetes Center Copenhagen SDCC, where visits may be spaced up to two years apart based on individual needs. Participants contribute data collected through routine outpatient care, including continuous glucose monitoring for children and adults with type 1 diabetes, HbA1c for adults with type 2 diabetes, and other health markers like cardiometabolic complications, kidney function, hospitalizations, and blood pressure. The study uses real-world electronic health records to track these outcomes and assess how the RPM system supports personalized diabetes care in a large, diverse population over an extended period.

Changing Outpatient Diabetes Care With Remote-Patient-Monitoring: A Real World Evidence Study With Pre-Post Comparison