Seto Emily, Istepanian Robert S H, Cafazzo Joseph A, Logan Alexander, Sungoor Ala
Centre for Global eHealth Innovation, University Health Network, Toronto, ON, Canada.
Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:6584-7. doi: 10.1109/IEMBS.2009.5333998.
The use of mobile technologies for self-monitoring of blood glucose and blood pressure for diabetes patients is becoming increasingly popular worldwide. This is propelled by the proliferation of the wider usage of mobile phones and other wireless technologies and computing platforms in the healthcare sector. Such technologies can play a pivotal role in chronic disease management and patient self-care. There have been several clinical trials in recent years on mobile diabetes management in UK and Canada. However, no studies to date have addressed and correlated the technological and clinical outcomes concerning the use of mobile chronic disease management systems for diabetes from the UK and Canadian perspectives. In this paper we address some of these correlative issues based on similar clinical trials on mobile type-2 diabetes management systems deployed in these two countries. In particular, the outcomes of these trials supported the use of telemonitoring for effective blood pressure control, but telemonitoring was less effective at managing blood glucose control. Some of the clinical results and challenges are presented together with future work and suggestions that aim to validate a generic platform for mobile diabetes management.
在全球范围内,利用移动技术对糖尿病患者进行血糖和血压自我监测正变得越来越普遍。这是由手机及其他无线技术和计算平台在医疗保健领域的广泛应用推动的。此类技术在慢性病管理和患者自我护理中可发挥关键作用。近年来,英国和加拿大开展了多项关于移动糖尿病管理的临床试验。然而,迄今为止,尚无研究从英国和加拿大的角度探讨并关联使用移动慢性病管理系统治疗糖尿病的技术和临床结果。在本文中,我们基于在这两个国家部署的类似2型糖尿病移动管理系统的临床试验,探讨其中一些相关问题。特别是,这些试验的结果支持使用远程监测来有效控制血压,但远程监测在管理血糖控制方面效果较差。本文呈现了一些临床结果和挑战,以及旨在验证移动糖尿病管理通用平台的未来工作和建议。