title: Telemedicine in the Management of Type 2 Diabetes Mellitus.
abstract: OBJECTIVE
  To explore a model of Internet-based integrated management of diabetes, we established a remote diabetes medical service platform (U-Healthcare) and evaluated its effectiveness and practicality.
  
  
  METHODS
  In total, 212 patients with type 2 diabetes mellitus were randomly assigned to 2 groups. Data from the intervention group were automatically transmitted through a glucometer; furthermore, this group received information regarding medicines, diet, exercise and other management through U-Healthcare. The control group received conventional medical treatment without any additional intervention. All patients were regularly followed up every 3 months for half a year.
  
  
  RESULTS
  At the 3-month follow-up, fasting plasma glucose levels of the intervention group were significantly lower than those at the baseline as well as those of the control group. Triglyceride levels of the intervention group were much lower than those at the baseline. At the 6-month follow-up, 2-hour postprandial plasma glucose levels of the intervention group significantly improved compared with those of the control group. HbA1c levels gradually decreased every 3 months in the intervention group, and the mean change in the levels was significantly greater in this group than in the control group (from 1.27-0.68%). At the end of the study, more than 80% of the patients in the intervention group adhered to blood glucose monitoring 2-3 days per week, and their compliance degree was 72%.
  
  
  CONCLUSIONS
  The Internet-based U-Healthcare system of integrated management in diabetes not only achieved better glycemic control, effectively improved HbA1c levels and decreased triglyceride levels but also enhanced patients' adherence to the medical team's instructions.
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Guixia
authors.initials: G
authors.lastname: Wang
authors.affiliation: Department of Surgery, Shanghai Sixth People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Zhengyun
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Yakun
authors.initials: Y
authors.lastname: Feng
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Sun
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Xianchao
authors.initials: X
authors.lastname: Xiao
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Wang
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Gao
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Huan
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Deng
authors.affiliation: Department of Endocrinology, First Hospital of Jilin University, Changchun, China. Electronic address: clsun213@163.com.
authors.forename: Chenglin
authors.initials: C
authors.lastname: Sun
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000628:therapy*; D004032:Diet; D015444:Exercise; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D017216:Telemedicine; D014280:Triglycerides / Q000097:blood
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D014280:Triglycerides
keywords: Diabetes; Telemedicine; U-Healthcare