Complication reducing effect of the information technology-based diabetes management system on subjects with type 2 diabetes.
OBJECTIVE
We introduced a new information technology-based diabetes management system, called the Internet-based glucose monitoring system (IBGMS), and demonstrated its short-term and long-term favorable effects. However, there has been no report on clinical effects of such a new diabetes management system on the development of diabetic complications so far. This study was used to simulate the complication reducing effect of the IBGMS, given in addition to existing treatments in patients with type 2 diabetes.


METHODS
The CORE Diabetes Model, a peer-reviewed, published, validated computer simulation model, was used to project long-term clinical outcomes in type 2 diabetes patients receiving the IBGMS in addition to their existing treatment. The model combined standard Markov submodels to simulate the incidence and progression of diabetes-related complications.


RESULTS
The addition of IBGMS was associated with improvements in reducing diabetic complications, mainly microangiopathic complications, including diabetic retinopathy, diabetic neuropathy, diabetic nephropathy, and diabetic foot ulcer. The IBGMS also delayed the development of all diabetic complications for more than 1 year.


CONCLUSIONS
This study demonstrated that the simulated IBGMS, compared to existing treatment, was associated with a reduction of diabetic complications. As a result, it provides valuable evidence for practical application to the public in the world.
Cho
Jae-Hyoung
JH
Division of Endocrinology and Metabolism, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.
Lee
Jin-Hee
JH
Oh
Jeong-Ah
JA
Kang
Mi-Ja
MJ
Choi
Yoon-Hee
YH
Kwon
Hyuk-Sang
HS
Chang
Sang-Ah
SA
Cha
Bong-Yun
BY
Son
Ho-Young
HY
Yoon
Kun-Ho
KH