Telemedicine-supported insulin optimisation in primary care.
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Date
2010-11-25
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Abstract
We investigated the feasibility of a mobile phone based system for patients with type 2 diabetes who had recently commenced insulin therapy but remained poorly controlled The system was evaluated in a feasibility study in a general practice setting with 23 patients over six months A total of 22 patients successfully completed the study and used the system for a mean of 217 days range 162 376 Blood glucose control improved as reflected by a mean decrease in HbA 1c of 0 66 P 0 05 with the mean insulin dose increasing by 17 units P 0 006 Blood glucose monitoring compliance was high with readings available for 6 2 days per week although use of the mobile phone decreased during the study On average the mobile phone diary was used for 3 5 days per week Insulin dose adjustments were made throughout the study by all patients but not as frequently as would be expected for the degree of hyperglycaemia observed
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Keywords
Diabetes, Chronic care, Treatment adherence, Remote client-to-provider consultations (Telemedicine), Disease management, Prototype, Low adherence to treatments, Addressing individual beliefs and practices, Feasibility, Physiologic Biosensors