AIMS To examine gender differences in program completion and glycemic outcomes for patients with type 2 diabetes (T2D) in a remote patient monitoring (RPM) program for diabetes management. METHODS Based on data from an RPM program that enrolled post-discharge T2D patients (n = 1645) in 2014-2017, logistic regression models were estimated to assess gender difference in the likelihood of completing the three-month RPM program; whereas ordinary least squares (OLS) regression models were used to examine gender difference in post-RPM hemoglobin A1c (HbA1c), controlling for demographics, baseline health status, including HbA1c, patient activation scores, and physiological data upload frequency for patients who had completed the program. RESULTS Among enrolled participants, men had lower odds of completing the three-month RPM program than women (adjusted odds ratio, 0.61; 95% confidence interval [CI], 0.39-0.95). However, among those who completed the program, men had lower post-RPM HbA1c than women (-0.18; 95% CI, -0.33, -0.03) after controlling for baseline HbA1c and other covariates. CONCLUSIONS While female patients with T2D were more likely to complete the RPM program, they showed a higher glycemic level at the end of the program compared to male patients. To close gender disparities in health, interventions through telemedicine tailored towards women's diabetes outcomes and men's engagement level are warranted.

中文翻译：

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糖尿病患者远程监控程序中的程序完成和血糖控制：性别重要吗？

目的通过远程糖尿病患者监测（RPM）程序检查2型糖尿病（T2D）患者在程序完成和血糖结果方面的性别差异。方法根据2014-2017年2014-2017年招募出院后T2D患者（n = 1645）的RPM程序数据，估计逻辑回归模型以评估性别差异，以完成3个月RPM程序。而使用普通最小二乘（OLS）回归模型来检查RPM后血红蛋白A1c（HbA1c）中的性别差异，以控制人口统计学，基线健康状况（包括HbA1c），患者激活评分和已完成患者的生理数据上传频率该程序。结果在参加的参与者中，男性完成三个月RPM计划的几率比女性低（调整后的优势比为0.61； 95％的置信区间[CI]为0.39-0.95）。但是，在完成该计划的人中，控制基线HbA1c和其他协变量后，男性的RPM后HbA1c低于女性（-0.18； 95％CI，-0.33，-0.03）。结论尽管女性T2D患者更可能完成RPM计划，但与男性患者相比，他们在计划结束时显示出更高的血糖水平。为了缩小健康方面的性别差距，有必要通过针对女性糖尿病结局和男性参与度的远程医疗干预措施。03）控制基线HbA1c和其他协变量后。结论尽管女性T2D患者更可能完成RPM计划，但与男性患者相比，他们在计划结束时显示出更高的血糖水平。为了缩小健康方面的性别差距，有必要通过针对女性糖尿病结局和男性参与度的远程医疗干预措施。03）控制基线HbA1c和其他协变量之后。结论尽管女性T2D患者更可能完成RPM计划，但与男性患者相比，他们在计划结束时显示出更高的血糖水平。为了缩小健康方面的性别差距，有必要通过针对女性糖尿病结局和男性参与度的远程医疗干预措施。