Shah Viral N, Garg Satish K
Barbara Davis Center for Diabetes, University of Colorado Denver, 1775 Aurora Court, A140, Aurora, CO 80045 USA.
School of Medicine, University of Colorado Denver, Aurora, CO USA.
Clin Diabetes Endocrinol. 2015 Dec 1;1:16. doi: 10.1186/s40842-015-0016-2. eCollection 2015.
The prevalence of diabetes is rising globally. Poor glucose control results in higher rates of diabetes-related complications and an increase in health care expenditure. Diabetes self-management education (DSME) training has shown to improve glucose control, and thus may reduce long-term complications. Implementation of diabetes self-management education programs may not be feasible for all the institutions or in developing countries due to lack of resources and higher costs associated with DSME training. With the increasing use of smartphones and Internet, there is an opportunity to use digital tools for training people with diabetes to self-manage their disease. A number of mobile applications, Internet portal, and websites are available to help patients to improve their diabetes care. However, the studies are limited to show its effectiveness and cost-benefits in diabetes self-management. In addition, there are many challenges ahead for the digital health industry. In this review, we assess the use of newer technologies and digital health in diabetes self-management with a focus on future directions and potential challenges.
全球糖尿病患病率正在上升。血糖控制不佳会导致糖尿病相关并发症的发生率更高，并增加医疗保健支出。糖尿病自我管理教育（DSME）培训已被证明可改善血糖控制，从而可能减少长期并发症。由于缺乏资源以及与DSME培训相关的更高成本，糖尿病自我管理教育项目的实施对所有机构或发展中国家来说可能并不可行。随着智能手机和互联网的使用日益增加，有机会利用数字工具来培训糖尿病患者自我管理其疾病。有许多移动应用程序、互联网门户网站和网站可帮助患者改善糖尿病护理。然而，研究在证明其在糖尿病自我管理中的有效性和成本效益方面有限。此外，数字健康行业面临诸多挑战。在本综述中，我们评估了新技术和数字健康在糖尿病自我管理中的应用，重点关注未来方向和潜在挑战。
