J Telemed Telecare - Telemedicine-supported insulin optimisation in primary care.

Tópicos

{ time(1939) patient(1703) rate(768) }
{ monitor(1329) mobil(1314) devic(1160) }
{ treatment(1704) effect(941) patient(846) }
{ patient(2315) diseas(1263) diabet(1191) }
{ analysi(2126) use(1163) compon(1037) }
{ howev(809) still(633) remain(590) }
{ model(3404) distribut(989) bayesian(671) }
{ blood(1257) pressur(1144) flow(957) }
{ medic(1828) order(1363) alert(1069) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ take(945) account(800) differ(722) }
{ assess(1506) score(1403) qualiti(1306) }
{ chang(1828) time(1643) increas(1301) }
{ clinic(1479) use(1117) guidelin(835) }
{ compound(1573) activ(1297) structur(1058) }
{ spatial(1525) area(1432) region(1030) }
{ model(2656) set(1616) predict(1553) }
{ cost(1906) reduc(1198) effect(832) }
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{ method(2212) result(1239) propos(1039) }
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{ data(1737) use(1416) pattern(1282) }
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{ case(1353) use(1143) diagnosi(1136) }
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{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
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{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

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.

Resumo Limpo

investig feasibl mobilephon base system patient type diabet recent commenc insulin therapi remain poor control system evalu feasibl studi general practic set patient six month total patient success complet studi use system mean day rang blood glucos control improv reflect mean decreas hbac p mean insulin dose increas unit p blood glucos monitor complianc high read avail day per week although use mobil phone decreas studi averag mobil phone diari use day per week insulin dose adjust made throughout studi patient frequent expect degre hyperglycaemia observ

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