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.
Kwon
Hyuk-Sang
HS
Department of Internal Medicine, The Catholic University of Korea, Kangnam St. Mary's Hospital, #505 Bapo-Dong, Seocho-ku, Seoul 137-701, Republic of Korea.
Cho
Jae-Hyoung
JH
Kim
Hee-Soo
HS
Lee
Jin-Hee
JH
Song
Bok-Re
BR
Oh
Jung-Ah
JA
Han
Je-Ho
JH
Kim
Hee-Seung
HS
Cha
Bong-Yun
BY
Lee
Kwang-Woo
KW
Son
Ho-Young
HY
Kang
Sung-Koo
SK
Lee
Won-Chul
WC
Yoon
Kun-Ho
KH
D000293:Adolescent; D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D002675:Child, Preschool; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D020407:Internet; D008875:Middle Aged; D012648:Self Care; D017216:Telemedicine; D013689:Telephone
D001786:Blood Glucose; D006442:Glycated Hemoglobin