Source:http://linkedlifedata.com/resource/pubmed/id/12817805
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
2003-6-23
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| pubmed:abstractText |
DCCT (Diabetes Control and Complications Trial) study showed that tight metabolic control of diabetes mellitus can delay the onset and/or reduce the frequency of vascular complications. Telemedicine, i.e. telecommunications and information technologies in health care, is a useful tool to achieve the DCCT goals. Our European Community (EC) sponsored Telematic management of Insulin-Dependent Diabetes Mellitus (T-IDDM) project implements a telemedicine service through on a careful analysis of current medical practice. The system is based on two components: Patient Unit (PU) and Medical Unit (MU) connected by a Telecommunication system (TS). PU allows data collection and transmission from the patient's house to the hospital, assists self-monitoring activity and suggests insulin variations. PU communicates patient's current metabolic state the MU. MU assists the physician in periodic evaluation and suggests the prescriptions to communicate back defining a treatment protocol. TS system is based on telephone lines, relying on the Intranet technology. To test the system functionality and potential impact in type 1 diabetes clinical practice, we enrolled 6 patients (4 males and 2 females), aged 9.9-15.8 yrs, with disease duration 2.1-6.4 yrs, intensively treated. One girl run out after a 1-year follow-up HbA1c levels decreased, but not significantly. Insulin requirement reduced, significantly in 2 patients (p = 0.02 and p = 0.07). A positive correlation was between number of links and protocol changes (p = 0.01), between number of protocols changes and HbA1c decrease (p = 0.02). In pediatric patients periodical visits are necessary, but T-IDDM enables continuity of care improving access and activities. An index is represented by the high number of messages between the 2 Units, seeming weekly exchange.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:issn |
0392-4203
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
74 Suppl 1
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
49-55
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| pubmed:dateRevised |
2011-11-17
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| pubmed:meshHeading |
pubmed-meshheading:12817805-Adolescent,
pubmed-meshheading:12817805-Blood Glucose,
pubmed-meshheading:12817805-Blood Glucose Self-Monitoring,
pubmed-meshheading:12817805-Child,
pubmed-meshheading:12817805-Diabetes Mellitus, Type 1,
pubmed-meshheading:12817805-Diabetic Angiopathies,
pubmed-meshheading:12817805-Female,
pubmed-meshheading:12817805-Hemoglobin A, Glycosylated,
pubmed-meshheading:12817805-Hospital Departments,
pubmed-meshheading:12817805-Humans,
pubmed-meshheading:12817805-Insulin,
pubmed-meshheading:12817805-Italy,
pubmed-meshheading:12817805-Male,
pubmed-meshheading:12817805-Patient Education as Topic,
pubmed-meshheading:12817805-Pilot Projects,
pubmed-meshheading:12817805-Program Evaluation,
pubmed-meshheading:12817805-Telemedicine,
pubmed-meshheading:12817805-Time Factors
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| pubmed:year |
2003
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| pubmed:articleTitle |
Telemedicine in the management of young patients with type 1 diabetes mellitus: a follow-up study.
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| pubmed:affiliation |
Department of Pediatrics, IRCCS Policlinico San Matteo, Pavia, Italy. gdannunzio@smatteo.pv.it
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| pubmed:publicationType |
Journal Article,
Evaluation Studies
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