Browsing by Author "Earle, Kenneth A"
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- ItemEvaluation of a mobile phone telemonitoring system for glycaemic control in patients with diabetes.(2009-04-14) Istepanian, Robert S H; Zitouni, Karima; Harry, Diane; Moutosammy, Niva; Sungoor, Ala; Tang, Bee; Earle, Kenneth AWe conducted a randomized controlled trial using mobile health technology in an ethnically diverse sample of 137 patients with complicated diabetes Patients in the intervention group n 72 were trained to measure their blood glucose with a sensor which transmitted the readings to a mobile phone via a Bluetooth wireless link Clinicians were then able to examine and respond to the readings which were viewed with a web based application Patients in the control arm of the study n 65 did not transmit their readings and received care with their usual doctor in the outpatient and or primary care setting The mean follow up period was 9 months in each group The default rate was higher in the patients in the intervention arm due to technical problems In an intention to treat analysis there were no differences in HbA 1c between the intervention and control groups In a sub group analysis of the patients who completed the study the telemonitoring group had a lower HbA 1c than those in the control group 7 76 and 8 40 respectively P 0 06
- ItemTechnical and compliance considerations for mobile health self-monitoring of glucose and blood pressure for patients with diabetes.(2009-12-07) Istepanian, Robert S H; Sungoor, Ala; Earle, Kenneth ASelf monitoring of blood glucose is an integral part of diabetes care which may be extended to other biometrics Cellular and short range communication technologies will be important for the routine usage of these systems However the issues of follow up and patient compliance with these emerging systems have not been yet studied evaluated but could be critical to the adoption of these technologies We evaluated the impact of mobile telemonitoring on the intensification of care on blood pressure control and exposure to hyperglycaemia in patients with diabetes We randomised 137 patients with diabetes to either mobile telemonitoring n 72 or usual care patients n 65 for 9 months In this paper we present some of the clinical results with focus on blood pressure control hypertension and highlight some of the technical and compliance issues that were encountered