[Effects of Web-based diabetic education in obese diabetic patients].
OBJECTIVE
The purpose of this study was to evaluate the effect of web-based diabetic education on plasma glucose and serum lipids in obese people with diabetes.


METHODS
A random allocation design with control and experimental groups being assessed pre- and post-intervention was used. Eighteen patients were randomly allocated to an intervention group and 16 to a control group. Participants were requested to input their blood glucose levels weekly for 3 months at http://www.biodang.com by cellular phone or wire Internet. The researcher sentoptimal recommendations to each patient weekly for 3 months using a short message service (SMS) of the cellular phone and wire Internet.


RESULTS
Patients in the intervention group had a mean decrease of 1.2% in glycosylated haemoglobin (HbA1c) levels and those in the control group had no difference in HbA1c levels. There was a significant mean change in 2-hour post prandial blood glucose (2HPPG) for the intervention group, with a mean change of -120.1 mg/dl. The mean change in the control group, however, was not significant.


CONCLUSIONS
These findings indicate that this web-based intervention using SMS of the cellular phone for 3 months improved HbA1c and 2HPPG, but did not affect total cholesterol, triglyceride, and high density lipoprotein cholesterol in obese type 2 diabetic patient.
Kim
Hee-Seung
HS
College of Nursing, Catholic University, Seoul, Korea. hees@catholic.ac.kr
D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D016922:Cellular Senescence; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D020407:Internet; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000097:blood / Q000150:complications*; D010353:Patient Education as Topic; D012648:Self Care
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D008055:Lipids