title: Web-based comprehensive information system for self-management of diabetes mellitus.
abstract: BACKGROUND
  The aim of this study is to evaluate the effect of a web-based comprehensive information system, consisting of Internet and cellular phone use, on blood glucose control.
  
  
  METHODS
  We established eMOD (electronic Management of Diabetes), a web-based ubiquitous information system, for cell phone users along with a website for Internet users to provide diabetes education. We examined whether this information system has the same impact on glycemic control as conventional education for the diabetes patient. Forty volunteers were enrolled and randomly assigned to either the eMOD experimental group (n = 20) or the control group (n = 20). Blood glucose and glycated hemoglobin (A1C) levels were evaluated at baseline and after 6 months.
  
  
  RESULTS
  The two groups were homogeneous in terms of age, sex, and diabetes' duration at baseline. A1C (from 9.0 +/- 2.3% to 7.5 +/- 1.4%, P = 0.031) and postprandial glucose level (228.1 +/- 79.7 to 173.5 +/- 50.2 mg/dL, P = 0.030) were significantly decreased over time in the intervention group but not in the control group. There was a significant relationship between the change in A1C and the frequency of access to the eMOD system via cellular phone (r = 0.766, P = 0.03; coefficient -0.147).
  
  
  CONCLUSIONS
  A1C was improved by a web-based intervention not only via computer but also via cellular phone at 6 months post-initiation in patients with type 2 diabetes. These results indicate that the use of a convenient web-based education system could be more effective for glycemic control than traditional education for diabetes patients.
authors.affiliation: Department of Internal Medicine, Inje University , Ilsan Paik Hospital, Goyang, Republic of Korea.
authors.forename: Jung-Hyun
authors.initials: JH
authors.lastname: Noh
authors.forename: Young-Jung
authors.initials: YJ
authors.lastname: Cho
authors.forename: Hong-Woo
authors.initials: HW
authors.lastname: Nam
authors.forename: Jung-Han
authors.initials: JH
authors.lastname: Kim
authors.forename: Dong-Jun
authors.initials: DJ
authors.lastname: Kim
authors.forename: Hye-Sook
authors.initials: HS
authors.lastname: Yoo
authors.forename: Young-Woo
authors.initials: YW
authors.lastname: Kwon
authors.forename: Mi-Hye
authors.initials: MH
authors.lastname: Woo
authors.forename: Jae-Won
authors.initials: JW
authors.lastname: Cho
authors.forename: Myeong-Hee
authors.initials: MH
authors.lastname: Hong
authors.forename: Joo-Hwa
authors.initials: JH
authors.lastname: Yoo
authors.forename: Min-Jeong
authors.initials: MJ
authors.lastname: Gu
authors.forename: Soon-Ai
authors.initials: SA
authors.lastname: Kim
authors.forename: Kyung-Eh
authors.initials: KE
authors.lastname: An
authors.forename: Soo-Mi
authors.initials: SM
authors.lastname: Jang
authors.forename: Eun-Kyung
authors.initials: EK
authors.lastname: Kim
authors.forename: Hyung-Joon
authors.initials: HJ
authors.lastname: Yoo
mesh_terms: D000328:Adult; D001786:Blood Glucose; D015190:Blood Glucose Self-Monitoring / Q000379:methods*; D040421:Cell Phone; D016009:Chi-Square Distribution; D003194:Computer-Assisted Instruction; D019992:Databases as Topic; D003924:Diabetes Mellitus, Type 2 / Q000097:blood*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D012044:Regression Analysis
chemical_list: D001786:Blood Glucose