J Telemed Telecare - Effects on diabetes management of a health-care provider mediated, remote coaching system via a PDA-type glucometer and the Internet.

Tópicos

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Resumo

We conducted a randomized controlled trial for 12 weeks in patients with type 2 diabetes living in a rural part of Korea. The intervention group (n = 35) was managed by a diabetes centre which provided specialized management mediated by a primary health-care nurse who used a PDA-type blood glucometer with a bar code detector to measure the capillary glucose levels. The control group (n = 36) received usual care. Compared with baseline, HbA(1c) was significantly reduced at three-month follow-up in the intervention group (8.0% vs. 7.5%; P < 0.01), but not in the control group. Total cholesterol was significantly reduced in the intervention group (10.7 mmol/L vs. 10.4 mmol/L; P = 0.043). Fasting plasma glucose and triglyceride levels were lower at follow-up in both groups, but the difference was not significant. The new system could be implemented widely and would contribute to improving the quality of diabetes care, even in isolated rural areas.

Resumo Limpo

conduct random control trial week patient type diabet live rural part korea intervent group n manag diabet centr provid special manag mediat primari healthcar nurs use pdatyp blood glucomet bar code detector measur capillari glucos level control group n receiv usual care compar baselin hbac signific reduc threemonth followup intervent group vs p control group total cholesterol signific reduc intervent group mmoll vs mmoll p fast plasma glucos triglycerid level lower followup group differ signific new system implement wide contribut improv qualiti diabet care even isol rural area

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