Conclusions Telemonitoring interventions may be a better option than usual care in improving glycated haemoglobin control of patients with type 2 diabetes .
Aims This study evaluated clinical effectiveness of telemonitoring on the management of patients with type 2 diabetes .
Efficacy of a New Medical Information system, Ubiquitous Healthcare Service with Voice Inception Technique in Elderly Diabetic Patients
We have demonstrated previously that an individualized health management system using advanced medical information technology , named ubiquitous (u)-healthcare , was helpful in achieving better glycemic control than routine care . Recently , we generated a new u-healthcare system using a voice inception technique for elderly diabetic patients to communicate information about their glucose control , physical activity , and diet more easily . In a r and omized clinical trial , 70 diabetic patients aged 60–85 years were assigned r and omly to a st and ard care group or u-healthcare group for 6 months . The primary end points were the changes in glycated hemoglobin ( HbA1c ) and glucose fluctuation assessed by the mean amplitude glycemic excursion ( MAGE ) . Changes in body weight , lifestyle , and knowledge about diabetes were also investigated . After 6 months , the HbA1c levels decreased significantly in the u-healthcare group ( from 8.6 ± 1.0 % to 7.5 ± 0.6 % ) compared with the st and ard care group ( from 8.7 ± 0.9 % to 8.2 ± 1.1 % , P < 0.01 ) . The MAGE decreased more in the u-healthcare group than in the st and ard care group . Systolic blood pressure and body weight decreased and liver functions improved in the u-healthcare group , but not in the st and ard care group . The u-healthcare system with voice inception technique was effective in achieving glycemic control without hypoglycemia in elderly diabetic patients ( Clinical trials.gov : NCT01891474 )
Conclusions Telemonitoring interventions may be a better option than usual care in improving glycated haemoglobin control of patients with type 2 diabetes .
Aims This study evaluated clinical effectiveness of telemonitoring on the management of patients with type 2 diabetes .