인슐린 치료 중인 제2형 당뇨병환자의 혈당조절에 당뇨병 휴대폰이 미치는 효과The Effect of Cellular Phone-Based Telemedicine on Glycemic Control in Type 2 Diabetes Patients Using Insulin Therapy
- Other Titles
- The Effect of Cellular Phone-Based Telemedicine on Glycemic Control in Type 2 Diabetes Patients Using Insulin Therapy
- Authors
- 이윤정; 정미현; 김주형; 박주리; 김희영; 서지아; 김신곤; 김난희; 최경묵; 백세현; 최동섭
- Issue Date
- Jun-2009
- Publisher
- 대한당뇨병학회
- Keywords
- Cellular phonne; Diabetes mellitus; Telemedicine
- Citation
- DIABETES & METABOLISM JOURNAL, v.33, no.3, pp 232 - 240
- Pages
- 9
- Indexed
- KCI
- Journal Title
- DIABETES & METABOLISM JOURNAL
- Volume
- 33
- Number
- 3
- Start Page
- 232
- End Page
- 240
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/35569
- DOI
- 10.4093/kdj.2009.33.3.232
- ISSN
- 2233-6079
2233-6087
- Abstract
- Cellular phones are extremely prevalent in modern society and they enable appropriate feedback mechanisms through real time monitoring and short message services regarding blood glucose levels. We investigated whether cellular phone-based telemedicine support system could improve blood glucose control in type 2 diabetes patients who were in inadequate glycemic control regardless of insulin therapy. METHODS: A randomized, controlled clinical trial was conducted involving 74 type 2 diabetic patients with suboptimal glycemic control (HbA1c levels > 7%) regardless of insulin therapy. The intervention (cellular phone-based telemedicine) group managed their blood glucose using a cellular phone for 3 months, while the control (self monitoring of blood glucose) group managed their blood glucose with a standard glucometer for the same period. RESULTS: Three months later, HbA1c levels were decreased in both groups. However, the decrease in the control group from 8.37% to 8.20% was only 0.20% (P = 0.152) which was not significant. In contrast, the intervention group had a significant reduction of 0.61% from 8.77% to 8.16% (P < 0.001). Moreover, among patients with a baseline > or = 8%, the patients in the intervention group showed a significant reduction of 0.81% from 9.16% to 8.34% (P < 0.001). CONCLUSION: HbA1c levels were significantly decreased in the cellular phone-based telemedicine group compared with the control group after 3 months. This study suggests that cellular phone-based telemedicine is helpful for better glucose control in type 2 diabetes patients who previously were unable to control glucose levels adequately with insulin therapy.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 2. Clinical Science > Department of Endocrinology and Metabolism > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.