Development of web-based diabetic patient management system using short message service (SMS).

We developed a blood glucose management system using the Internet and short message service SMS which can lessen the social economic burden and materialize an individualized diabetes mellitus management A total of 185 diabetic patients participated in this study and their mean age was 42 4 years old 8 79 year old Participants sent their self measured blood glucose levels medication and its dosages amount of meal and degree of exercise to their health providers in this specialized web based diabetes management system for 3 months The health providers consisting of endocrinology specialists dietitians and nurses sent recommendations for individualized diabetes management according to the data on the web Laboratory tests including lipid profiles and glycated hemoglobin HbA1c and a survey of satisfaction about this system were performed before and after the study period The mean HbA1c improved from 7 5 1 5 to 7 0 1 1 after using the management program P 0 003 The mean serum triglyceride and HDL cholesterol levels turned for the better also HbA1c improved from 8 4 1 2 to 7 5 1 0 after applying this program to patients with the HbA1c of 7 or higher at baseline P 0 010 We propose this web based diabetic patient management system as a new tool for communication between health care providers and patients