Development of web-based diabetic patient management system using short message service (SMS)
Introduction
The incidence of diabetes mellitus and its chronic complications been on the increase for decades. And the economic burden of managing for diabetic patients has become a big social issue [1], [2], [3]. Recently, many evidences have supported that chronic diabetic complications can be prevented through strict blood glucose control [4], [5]. However, in order to achieve such good level of glycemic control in diabetic patients, intimate doctor–patient relationship and individualized care and education are essential. And this relationship and care system for the patients with diabetes should be lifelong and consistent. To maintain normal range of blood glucose and prevent diabetic complications, patients ought to contact more frequently with their heath care providers, but this will in turn increase health care expenditure.
The Internet is a world-wide communication system that allows a person to contact with others anywhere at anytime. So, whenever diabetic patients want to contact their health care providers, the patients can acquire information using the Internet. Korea is one of the most developed countries in the fields of Internet-networking. Nearly all the families have their own computers and can access the Internet via modem or high speed network system in Korea. So, we designed a web-based diabetic patient management system that could take the place of the standard face-to-face doctor–patient interviews in the hospital.
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Subjects
Patients who were diagnosed as diabetes mellitus for at least 1 year were recruited from the home page of Kangnam St. Mary’s Hospital on the web from July to September, 2000. Only those with Internet access available in their homes for web-based diabetes management system were chosen as participants. Patients were excluded if they had any significant disease that could affect the outcome of the study, such as hepatic or renal failure. Written informed consent was obtained from each participant.
Results
A total of 185 diabetic patients (male; 132, female; 53) participated, and the mean age of the participants was 42.4 year-old (4–79 year-old). Mean duration of diabetes in our participants was 5.0 ± 5.9 years (0–30 years). Classification of the diabetes mellitus of the participants (% of participants) was as follows: type 1 diabetes mellitus consisted 16.2%, type 2 diabetes mellitus 82.7%, and secondary diabetes mellitus 1.1% (Table 1). Modalities of treatment for diabetes mellitus were as
Discussion
We developed a specialized web-based diabetic patient management system and applied it to the field of clinical practice. Although the duration of the study was very short, glycated hemoglobin decreased significantly and triglycerides, HDL–cholesterol levels were also improved. Most participants in our study were satisfied with this system and compliance to this program was not poor.
We recruited study subjects from our hospital homepage, and there was a limitation for participating in this
Acknowledgements
This study was supported by a grant from the Korea Health 21 R&D Project (00-PJ3-PG6-GN07-001) and the Korea Health and Promotion Research Program, Ministry of Health and Welfare, Republic of Korea.
References (14)
Globalization, coca-colonization and chronic disease epidemic: can the doomsday scenario be averted?
J. Intern. Med
(2000)- et al.
The rising global burden of diabetes and its complications: estimates and projections to the year
Diabet. Med
(1997) - et al.
Global burden of diabetes, 1995–2010. Prevalence, numerical estimates and projections
Diabetes Care
(1998) - DCCT Research Group, The effect of intensive treatment of diabetes on the development and progression of long-term...
- UK Prospective Diabetes Study (UKPDS) Group, Intensive blood glucose control with sulfonylureas or insulincompared with...
- et al.
Application of database systems in diabetes care
Med. Inf
(1996) - et al.
DIABCARD: an application of a portable medical record for persons with diabetes
Med. Inf
(1996)
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