title: [Multicenter evaluation of the Nutri-Expert Telematic System in diabetic patients].
abstract: Nutri-Expert is a system for self-monitoring and dietetic education, accessible through Minitel. A preliminary randomised evaluation of one hundred diabetic patients in the Midi-Pyrénées region showed that Nutri-Expert improved dietetic knowledge, dietary habits and metabolic balance. The aim of the present study was to show that the system can be successfully prescribed to patients by physicians outside the center which originated it, indicating the benefit of a wider use of Nutri-Expert, among the diabetic population. One hundred and fifty-five patients, recruited by six French centres of diabetology, used Nutri-Expert from their homes for six months. Clinical examination, tests of dietetic knowledge and biological tests, including lipid fractions, were carried out before and after six months of use. After six months, there was a significant improvement in the patients' dietetic knowledge and in some biological parameters. Nutri-Expert is thus useful even when prescribed by a centre other than the hospital which devised the system. It is an additional beneficial tool in the ambulatory management of diabetic patients.
authors.affiliation: Service d'Endocrinologie et de Diabétologie, CHU de Rangueil, Toulouse, France.
authors.forename: M C
authors.initials: MC
authors.lastname: Turnin
authors.forename: C
authors.initials: C
authors.lastname: Bolzonella-Pene
authors.forename: S
authors.initials: S
authors.lastname: Dumoulin
authors.forename: I
authors.initials: I
authors.lastname: Cerf
authors.forename: G
authors.initials: G
authors.lastname: Charpentier
authors.forename: D
authors.initials: D
authors.lastname: Sandre-Banon
authors.forename: P
authors.initials: P
authors.lastname: Valensi
authors.forename: J L
authors.initials: JL
authors.lastname: Grenier
authors.forename: G
authors.initials: G
authors.lastname: Cathelineau
authors.forename: C
authors.initials: C
authors.lastname: Mattei
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015190:Blood Glucose Self-Monitoring / Q000379:methods*; D003920:Diabetes Mellitus / Q000178:diet therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic
vernacular_title: Evaluation multicentrique du Système Télématique Nutri-Expert aupres de patients diabétiques.