# MobiDabet: Mobile Telemonitoring System for Patients with Type 2 Diabetes Mellitus (T2 DM)
## 3 Results: Telemonitoring System
### Mobile-Web-Application Focused on Health Personnel
#### 3.1.3 Nutritionist User Services  
This section presents the modules' services specific for users with a nutritionist role from the mobile web application. The first step to access these services is to select a patient (see Figure 27).  
The main services provided by the system to a nutritionist are nutrition, load patterns, and food menus. These services are described below by modules and sub-modules.  
**Nutrition module.** This module is composed of four sub-modules aimed at the registration and consultation of general parameters such as height, weight, age, among others, which are essential for the calculation of body mass index, adjusted weight, required calories, among others:  
* Anthropometry: For the patient's anthropometry record, the nutritionist first verifies or adjusts the current height and weight fields, and the system automatically calculates the ideal weight,  
Figure 27: Physician application interface: Main menu of the nutritionist user.  
Figure 26: Physician application interface: Eating pattern assigned to the patient.  
overweight (additional body weight), body mass index, total calorie requirement, fiber intake, total caloric value (TCV), and adjusted weight (see Figure 28). This module assists the nutritionist in determining the eating plan to be assigned to the patient. This sub-module also provides a history of anthropometry records.
* Menu and eating pattern: In this service, the menu and eating pattern assigned to the patient is presented (see Figure 29). This section shows to the nutritionist and general physician the nutritional plan of the patient in order to provide information for adjustment or change of treatment of the patient.
* Recommendations: This sub-module provides a service that allows the nutritionist to make recommendations in real-time to the patient to adjust the progress of nutritional management (see Figure 30). This service allows the nutritionist to communicate with the patient continuously and remotely. It also provides a history of the recommendations sent to the patient. Based on the current monitoring and control process carried out for patients with T2 DM, which aligns with the official Mexican standard NOM-015-SSA2-2018 [4], the physician must only make recommendations and/or modifications to pharmacological treatment of the patient in-person medical consultations through a medical prescription. Therefore, this functionality was not integrated into the physician's services.
* History of intake frequency: This section is for the visualization of responses in the food intake frequency questionnaire that patients complete from their application (see Figure 31). This section helps the nutritionist observe foods frequently eaten by the patient to consider them in the elaboration of food menus assigned to the patient.  
Figure 28: Nutritionist application interface: Anthropometry record.  
Figure 29: Nutritionist application interface: Menus and eating patterns assigned to the patient.  
**Load patterns and menus module.** The main function of this module is the registration of eating patterns and menus by nutritionists. These eating patterns and menus can later be assigned to patients (see Figure 32).  
* Patterns: In this service, the nutritionist records and edits the eating patterns that are assigned to patients (see Figure 33).  
Figure 31: Nutritionist application interface: The history of intake frequency.  
Figure 30: Nutritionist application interface: Recommendations in the food field.  
Figure 32: Nutritionist application interface: Module loading patterns and menus.  
* Menus: In this service, the nutritionist can record different food menus that are displayed by patients (see Figure 34). The sub-module also has a menu history section, in which the nutritionist can see a list of menus added to the system and remove them (see Figure 35).  
The nutritionist also has access rights to consult the information about general physician modules such as clinical history and laboratory results.