Document Detail


Web-based comprehensive information system for self-management of diabetes mellitus.
MedLine Citation:
PMID:  20388042     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study is to evaluate the effect of a web-based comprehensive information system, consisting of Internet and cellular phone use, on blood glucose control. METHODS: We established eMOD (electronic Management of Diabetes), a web-based ubiquitous information system, for cell phone users along with a website for Internet users to provide diabetes education. We examined whether this information system has the same impact on glycemic control as conventional education for the diabetes patient. Forty volunteers were enrolled and randomly assigned to either the eMOD experimental group (n = 20) or the control group (n = 20). Blood glucose and glycated hemoglobin (A1C) levels were evaluated at baseline and after 6 months. RESULTS: The two groups were homogeneous in terms of age, sex, and diabetes' duration at baseline. A1C (from 9.0 +/- 2.3% to 7.5 +/- 1.4%, P = 0.031) and postprandial glucose level (228.1 +/- 79.7 to 173.5 +/- 50.2 mg/dL, P = 0.030) were significantly decreased over time in the intervention group but not in the control group. There was a significant relationship between the change in A1C and the frequency of access to the eMOD system via cellular phone (r = 0.766, P = 0.03; coefficient -0.147). CONCLUSIONS: A1C was improved by a web-based intervention not only via computer but also via cellular phone at 6 months post-initiation in patients with type 2 diabetes. These results indicate that the use of a convenient web-based education system could be more effective for glycemic control than traditional education for diabetes patients.
Authors:
Jung-Hyun Noh; Young-Jung Cho; Hong-Woo Nam; Jung-Han Kim; Dong-Jun Kim; Hye-Sook Yoo; Young-Woo Kwon; Mi-Hye Woo; Jae-Won Cho; Myeong-Hee Hong; Joo-Hwa Yoo; Min-Jeong Gu; Soon-Ai Kim; Kyung-Eh An; Soo-Mi Jang; Eun-Kyung Kim; Hyung-Joon Yoo
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Diabetes technology & therapeutics     Volume:  12     ISSN:  1557-8593     ISO Abbreviation:  Diabetes Technol. Ther.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-14     Completed Date:  2010-07-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889084     Medline TA:  Diabetes Technol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  333-7     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Inje University , Ilsan Paik Hospital, Goyang, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Glucose*
Blood Glucose Self-Monitoring / methods*
Cellular Phone
Chi-Square Distribution
Computer-Assisted Instruction
Databases as Topic*
Diabetes Mellitus, Type 2 / blood*
Female
Humans
Internet
Male
Middle Aged
Patient Education as Topic / methods*
Regression Analysis
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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