Discussion Findings suggest that medically underserved patients with diabetes achieve glycemic benefit following HIT DSME interventions , with dissipating but significant effects at 12 months .
Telemedicine/telehealth interventions were the most successful HIT type because they incorporated interaction with educators similar to in-person DSME .
Conclusion These results are similar to in-person DSME in medically underserved patients , showing that well- design ed HIT DSME has the potential to increase access and improve outcomes for this vulnerable group
Objective The purpose of this systematic review and meta- analysis was to examine the effect of health information technology ( HIT ) diabetes self-management education ( DSME ) interventions on glycemic control in medically underserved patients .
A review of the United Kingdom Prospective Diabetes Study (UKPDS) and a discussion of the implications for patient care.
Introduction Diabetes Mellitus is a chronic illness that increases the risk of microvascular complication and results in blindness , kidney failure , and lower extremity amputations , and macrovascular complication of coronary artery disease and stroke . In the State of Hawaii , an estimated eight to ten percent of the population have diabetes mellitus , i.e. about 80,000 to 100,000 individuals , primarily adults with type 2 diabetes . Alarmingly , native Hawaiian adults over 30 years of age have been identified with a diabetes prevalence rate of 20 % . Several studies clearly document the increasing rate of diabe tes among native Hawaiians over the past 30 years . Based on recent data , it is estimated that about 20,000 adult native Hawaiians ( 1820 % prevalence rate ) have diabetes mellitus ) It would appear that interventions to prevent diabetes and diabetic complications receive the highest priority in the effort to improve the health status of the people of Hawaii , especially native Hawaiians . Two major intervention trials have clearly demonstrated that intensive glycemic control prevents and delays the development of microvascular complication in patients with type 1 diabetes : the Diabetes Control and Complications Trial ( DCCT ) and the Stockholm Diabetes Intervention Study ( SDIS ) . 23 Results from a r and omized prospect i ve 6-year study in Japan show that intensive insulin treat ment of type 2 diabetic patients reduces microvascular complica tion . 4Many studies have demonstrated the association of hypergly cemia with macrovascular complications of ischemic heart disease and stroke and increased cardiovascular disease risk factors , e.g. , dyslipidemia , hypertension , and obesity . The 12-year cardiovascu lar mortality of men screened in the Multiple Risk Factor Interven tion Trial ( MRFIT ) showed that diabetic patients consistently had higher cardiovascular mortality than non-diabetic men matched for one or more of the major risk factors for CVD . 5 The data from
Discussion Findings suggest that medically underserved patients with diabetes achieve glycemic benefit following HIT DSME interventions , with dissipating but significant effects at 12 months .
Telemedicine/telehealth interventions were the most successful HIT type because they incorporated interaction with educators similar to in-person DSME .
Conclusion These results are similar to in-person DSME in medically underserved patients , showing that well- design ed HIT DSME has the potential to increase access and improve outcomes for this vulnerable group
Objective The purpose of this systematic review and meta- analysis was to examine the effect of health information technology ( HIT ) diabetes self-management education ( DSME ) interventions on glycemic control in medically underserved patients .