title: Development of web-based diabetic patient management system using short message service (SMS).
abstract: 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.
authors.affiliation: 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.
authors.forename: Hyuk-Sang
authors.initials: HS
authors.lastname: Kwon
authors.forename: Jae-Hyoung
authors.initials: JH
authors.lastname: Cho
authors.forename: Hee-Soo
authors.initials: HS
authors.lastname: Kim
authors.forename: Jin-Hee
authors.initials: JH
authors.lastname: Lee
authors.forename: Bok-Re
authors.initials: BR
authors.lastname: Song
authors.forename: Jung-Ah
authors.initials: JA
authors.lastname: Oh
authors.forename: Je-Ho
authors.initials: JH
authors.lastname: Han
authors.forename: Hee-Seung
authors.initials: HS
authors.lastname: Kim
authors.forename: Bong-Yun
authors.initials: BY
authors.lastname: Cha
authors.forename: Kwang-Woo
authors.initials: KW
authors.lastname: Lee
authors.forename: Ho-Young
authors.initials: HY
authors.lastname: Son
authors.forename: Sung-Koo
authors.initials: SK
authors.lastname: Kang
authors.forename: Won-Chul
authors.initials: WC
authors.lastname: Lee
authors.forename: Kun-Ho
authors.initials: KH
authors.lastname: Yoon
mesh_terms: 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
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin