糖尿病患者血糖和血压移动健康自我监测的技术与合规考量

Technical and compliance considerations for mobile health self-monitoring of glucose and blood pressure for patients with diabetes.

作者信息

Istepanian Robert S H, Sungoor Ala, Earle Kenneth A

机构信息

Mobile Information and Network Technology Research Centre, Kingston University London.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:5130-3. doi: 10.1109/IEMBS.2009.5334580.

DOI:10.1109/IEMBS.2009.5334580

PMID:19965037

Abstract

Self-monitoring of blood glucose is an integral part of diabetes care which may be extended to other biometrics. Cellular and short range communication technologies will be important for the routine usage of these systems. However, the issues of follow-up and patient compliance with these emerging systems have not been yet studied evaluated but could be critical to the adoption of these technologies. We evaluated the impact of mobile telemonitoring on the intensification of care on blood pressure control and exposure to hyperglycaemia in patients with diabetes. We randomised 137 patients with diabetes to either mobile telemonitoring (n = 72) or usual care patients (n = 65) for 9 months. In this paper we present some of the clinical results with focus on blood pressure control hypertension and highlight some of the technical and compliance issues that were encountered.

摘要

血糖自我监测是糖尿病护理的一个组成部分，这一做法可能会扩展到其他生物特征识别领域。蜂窝通信和短距离通信技术对于这些系统的日常使用至关重要。然而，对于这些新兴系统的后续跟进以及患者的依从性问题尚未进行研究评估，但这可能对这些技术的采用至关重要。我们评估了移动远程监测对糖尿病患者强化护理以控制血压和降低高血糖风险的影响。我们将137名糖尿病患者随机分为移动远程监测组（n = 72）和常规护理组（n = 65），为期9个月。在本文中，我们展示了一些临床结果，重点关注血压控制和高血压情况，并强调了遇到的一些技术和依从性问题。