Implementation of telehealth support for patients with type 2
diabetes using insulin treatment: an exploratory study

Turner, Jane; Larsen, Mark E.; Tarassenko, Lionel; Neil, Andrew; Farmer, Andrew

doi:10.14236/jhi.v17i1.714

Cited by 46 publications

(82 citation statements)

References 11 publications

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“…19,20 These studies suggest that self-titration of treatment is acceptable to patients with type 2 diabetes. The approach may, therefore, potentially be applied to oral glucose-lowering medication.…”

Section: Introductionmentioning

confidence: 98%

Stepwise Self-Titration of Oral Glucose-Lowering Medication Using a Mobile Telephone-Based Telehealth Platform in Type 2 Diabetes: A Feasibility Trial in Primary Care

Nagrebetsky

Larsen

Craven

et al. 2013

J Diabetes Sci Technol

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Section: Introductionmentioning

confidence: 98%

Stepwise Self-Titration of Oral Glucose-Lowering Medication Using a Mobile Telephone-Based Telehealth Platform in Type 2 Diabetes: A Feasibility Trial in Primary Care

Nagrebetsky

Larsen

Craven

et al. 2013

J Diabetes Sci Technol

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“…Turner y colaboradores 15 consideraron que el mayor logro en el automanejo fue que los pacientes recibieron mensajes educativos y de respuesta en tiempo real a los valores de glucosa en sangre reportados. Quinn y colaboradores 17 destacaron por su parte que los pacientes se beneficiaron de la información sobre la diabetes, los medicamentos y los hábitos de vida comunicados a través de mensajes enviados a su teléfono móvil.…”

Section: Tabla 1 Artículos Seleccionados Para Analizarse En La Revisiónunclassified

“…Contrario a lo descrito por Turner y colaboradores que destacaron la preocupación del personal médico que teme que las personas se vuelvan dependientes de la consulta y guía fuera de las instalaciones de cuidados de salud 15 .…”

Section: Enfermería Globalunclassified

“…La evidencia disponible señala que las tecnologías de la información y comunicación (TIC's) han posibilitado el monitoreo a distancia de los resultados de diversas variables fisiológicas favoreciendo un mejor manejo a los pacientes con DT2, obteniendo beneficios como la disminución de las visitas a centros hospitalarios y recibiendo apoyo en tiempo real para su condición de salud. El uso de esta tecnología permite el envío de recordatorios para el automanejo en el que se incluye el monitoreo de glicemia capilar, los niveles de hemoglobina glucosilada (HbA1c) y mensajes educativos y motivacionales para el autocuidado 14,15 . A pesar de señalarse en algunos estudios resultados modestos de la utilización de tecnologías de la…”

Section: Introductionunclassified

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Mensajes de texto para el control glucémico en adultos con diabetes tipo 2: revisión sistemática

Ortiz

Félix²,

Sosa³

2015

eglobal

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Nº 37 Enero 2015Página 435 REVISIONESMensajes de texto para el control glucémico en adultos con diabetes tipo 2: revisión sistemática RESUMENObjetivo: Evaluar la evidencia disponible sobre la efectividad de las intervenciones que han utilizado mensajes de texto para la disminución de los niveles de hemoglobina glucosilada en el control glucémico en personas con DT2Métodos: Se realizó una revisión sistemática en las bases de datos MEDLINE, Elsevier, Springer, DARE, CINAHL, Scopus, y Open Access, se identificaron ocho artículos que cumplieron con los criterios de elegibilidad para evaluar el uso de los mensajes de texto y los niveles de HbA1c.Resultados: El envío de mensajes de texto a través de teléfono móvil mostró una disminución de los niveles de hemoglobina glucosilada en pacientes adultos con DT2Conclusiones: La utilización de mensajes de texto en la atención de los pacientes con DT2, se presenta como una tecnología factible y bien aceptada sin embargo los estudios señalaron que la evidencia aún no es concluyente en la mejoría del control glucémico. ABSTRACTObjective: The aim of this systematic review was to evaluate the effectiveness interventions that have used text messaging in the reduction of glycosylated hemoglobin levels in type 2 diabetes patients.Methods: a systematic review of articles published in the MEDLINE database, Elsevier, Springer, DARE, CINAHL, Scopus, and Open Access, eight interventions studies that met the inclusion criteria, were identified.

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“…8 Our team has previous experience using these approaches with management of type 1 and type 2 diabetes. [9][10][11] Published studies of digital health solutions used to support the management of GDM are few and utilize a range of technologies, including toll-free telephone lines, short messaging service (SMS) data transfer and web-based applications, making direct comparison difficult.…”

mentioning

confidence: 99%

Development of a Real-Time Smartphone Solution for the Management of Women With or at High Risk of Gestational Diabetes

Mackillop

Loerup

Bartlett

et al. 2014

J Diabetes Sci Technol

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Organization as "carbohydrate intolerance resulting in hyperglycaemia of variable severity with onset or first recognition during pregnancy."1 Maternal hyperglycemia results in excess transfer of glucose to the fetus resulting in fetal hyperinsulinemia. The effects of fetal hyperinsulinemia include an overgrowth of insulin-sensitive tissues, causing accelerated growth and large babies, which increases the risk of delivery complications such as shoulder dystocia, birth trauma, and the need for caesarean section. Fetal hypoxemia is also more common, which may increase the risk of intrauterine fetal death, fetal polycythemia, and hyperbilirubinemia. Recognizing and treating GDM to achieve tight glycemic control, has been shown in randomized controlled trials to reduce these obstetric and fetal complications. 3,4 However, in the rapidly changing physiology of pregnancy, the development of GDM and its progression to requiring treatment are difficult to accurately predict. Once on treatment, further and rapid titration of medication is often required to maintain optimal glycemic control. Moreover, GDM is most often diagnosed in the last trimester of pregnancy AbstractGestational diabetes mellitus (GDM) is defined as new onset or recognition of glucose intolerance in pregnancy. Evidence supports tight blood glucose regulation to prevent adverse maternal and fetal outcomes. Finger-prick blood glucose (BG) testing with frequent clinic review remains the most common method of managing diabetes in pregnancy. The prevalence of GDM is rising globally, pressuring resource-limited services. We have developed an intuitive, interactive, reliable, and accurate management system to record BG measurements and deliver management of GDM remotely. Following an initial scoping phase, a prototype software application was developed using an Android smartphone with BG meter linkage via Bluetooth. A custom website was built for clinician review of the data transmitted by the smartphone. After system refinement, further evaluation was undertaken for usability and reliability in a 48-patient service development project. Women used the system for an average of 13.1 weeks. In all, 19 686 BG measures were transmitted, 98.6% of which had a meal tag. A total of 466 text messages were transmitted. A mean of 30 BG readings per woman per week were transmitted, and 85% of women submitted the minimum requirement of 18 readings per week. We have developed a novel, real-time, smartphone-based BG monitoring management system that allows clinician review of real-time patient-annotated BG results. Results indicate high usage and excellent compliance by women. Robust clinical, economic, and satisfaction evaluations are required. To address these requirements, we are currently conducting a randomized controlled pilot trial.

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Implementation of telehealth support for patients with type 2 diabetes using insulin treatment: an exploratory study

Cited by 46 publications

References 11 publications

Stepwise Self-Titration of Oral Glucose-Lowering Medication Using a Mobile Telephone-Based Telehealth Platform in Type 2 Diabetes: A Feasibility Trial in Primary Care

Stepwise Self-Titration of Oral Glucose-Lowering Medication Using a Mobile Telephone-Based Telehealth Platform in Type 2 Diabetes: A Feasibility Trial in Primary Care

Mensajes de texto para el control glucémico en adultos con diabetes tipo 2: revisión sistemática

Development of a Real-Time Smartphone Solution for the Management of Women With or at High Risk of Gestational Diabetes

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