title: Telemedical devices in diabetes management.
abstract: This paper reviews telemedicine and its recent expansions within diabetes management. Diabetes mellitus continues to be one of the major chronic diseases with up to 11% of national health care expenditure, when all late complications are taken into account. Over and above this, the incidence of diabetes is increasing in pandemic fashion. Diabetes has been the focus of telemedicine and information technology over the past two decades. Useful applications supporting high quality treatment exist in clinical management, education, decision support and modelling. Development of high-speed networks enables transmission of good quality photographs making consultations from distant locations possible. Databases and data analysis are fundamental to diabetes outcome research. Less successful has been the development of electronic medical records although this is a dream of many. Evidence of improved clinical outcome using telemedical applications still awaits the breakthrough.
authors.affiliation: Department of Medicine, Medical School, Tampere University Hospital, University of Tampere, Finland. jorma.lahtela@iki.fi
authors.forename: Jorma T
authors.initials: JT
authors.lastname: Lahtela
authors.forename: Heikki
authors.initials: H
authors.lastname: Lamminen
mesh_terms: D015190:Blood Glucose Self-Monitoring; D003657:Decision Making; D003920:Diabetes Mellitus / Q000628:therapy*; D003930:Diabetic Retinopathy / Q000175:diagnosis; D006801:Humans; D008403:Mass Screening / Q000379:methods; D016347:Medical Records Systems, Computerized; D010353:Patient Education as Topic; D011785:Quality Assurance, Health Care; D012042:Registries; D017216:Telemedicine / Q000379:methods*; D013813:Therapy, Computer-Assisted