Technology in the management of diabetes mellitus

Unnikrishnan, Ranjit; Sharma, Nitika; Mohan, Viswanathan; Ranjani, Harish

doi:10.4103/jod.jod_4_17

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…Different technological processes, involving in silico analyses such as the use of artificial intelligence, associated with diabetes, are available and expand rapidly (26). These new technologies, in diabetes, are focused on processes of prevention, monitoring and research, for what has been described as "digital diabetes" (27).…”

Section: Discussionmentioning

confidence: 99%

d-GDM: A mobile diagnostic decision support system for gestational diabetes

Volanski

Prado

Al-Lahham

et al. 2019

Archives of Endocrinology and Metabolism

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Objective: The aim of the study is to describe a portable and convenient software to facilitate the diagnostics of gestational (GDM) and pre-gestational diabetes (PGDM). Materials and methods: An open source software, d-GDM, was developed in Java. The integrated development environment Android Studio was used as the Android operational system. The software for GDM diagnosis uses the criteria endorsed by the International Association of Diabetes and Pregnancy Study Group, modified by the World Health Organization. Results: GDM diagnosis criteria is not simple to follow, therefore, errors or inconsistencies in diagnosis are expected and could delay the appropriate treatment. The d-GDM, was developed to assist GDM diagnosis with precision and consistency diagnostic reports. The open source software can be manipulated conveniently. The operator requires information regarding the gestational period and selects the appropriate glycaemic marker options from the menu. During operation, pressing the button "diagnosticar" on the screen will present the diagnosis and information for the follow up. d-GDM is available in Portuguese or English and can be downloaded from the Google PlayStore. A responsive web version of d-GDM is also available. The usefulness and accuracy of d-GDM was verify by field tests involving 22 subjects and 5 mobile phone brands. The approval regards userfriendliness and efficiency were 95% or higher. The GDM diagnosis were 100% correct, in this pilot test. d-GDM is a user-friendly, free software for diagnosis that was developed for mobile devices. It has the potential to contribute and facilitate the diagnosis of gestational diabetes for healthcare professionals.

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Section: Discussionmentioning

confidence: 99%

d-GDM: A mobile diagnostic decision support system for gestational diabetes

Volanski

Prado

Al-Lahham

et al. 2019

Archives of Endocrinology and Metabolism

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“…In clinical practice, virtual training sessions via telephone or video calls have been introduced, enabling remote training on specific diabetes-related aspects such as handling technical devices, dietary advice, or behavioral recommendations 27 .…”

Section: Use Of Smartphones In Diabetes Carementioning

confidence: 99%

Reducing the Cost of Diabetes Care with Telemedicine, Smartphone, and Home Monitoring

Kesavadev

Mohan

2023

J Indian Inst Sci

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The effect of an increasing diabetes population has resulted in escalated costs and overburdened physicians. The increase in cost is not due to the disease per se, but because of its largely preventable complications. Patient-friendly technologies are proven to significantly reduce complications and thereby cost, but seldom practised. Telemedicine is increasingly being utilized in diabetology to improve access to health care, quality of care, and clinical/psychosocial outcomes in patients with diabetes (PWD). In PWD, patient–physician interactions are essential for improving health outcomes and preventing long-term complications. Smartphones are one of the basic modalities for telemedicine application. Mobile phone messaging applications, including text messaging and multimedia message service, could offer a convenient and cost-effective way to support desirable health behaviors. There are diabetes-related mobile apps mainly focusing on self-management of diabetes, lifestyle modification, and medication adherence motivation. With the widespread availability of high-speed Internet, remote monitoring has also become popular. Home monitoring of blood glucose and blood pressure, wearable devices, and continuous glucose monitoring also play a vital role in bringing down the long‑term vascular complications of diabetes and thereby reduce the overall cost and improve the quality of life of patients. There are hundreds of tech platforms for diabetes management, of which only a few with proven efficacy and safety are recommended by physicians.

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“…The system has brought significant improvement in glycemic indices such as time-in-range, time-below-range, and QoL. 33…”

Section: Real-world Evidence On the Success Metrics Of Digital Technologiesmentioning

confidence: 99%

Digital health and diabetes: experience from India

Kesavadev

Krishnan

Mohan

2021

Therapeutic Advances in Endocrinology

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The digitization of healthcare and its usage in the delivery of healthcare have experienced exponential growth across the world in recent times. India’s fast-growing diabetes population has been exerting immense pressure on the country’s healthcare infrastructure. Various innovative and evolving technologies are converging to impact the trajectory of digital health in diabetes. The diabetes community has been adopting various technologies such as connected glucose meters, continuous glucose monitoring systems, continuous subcutaneous insulin infusion, closed-loop systems, digitalization of health data, and diabetes-related apps for the prevention and management of the condition. India has provided some excellent examples in exploiting the potential of digital transformation in revamping the diabetes ecosystem. Yet, there are still various hurdles in technology development, healthcare delivery, as well as concerns related to data privacy, digital divide, policies by the government, role of stakeholders, attitude, and absorption by healthcare professionals, and hospitals. This article provides an overview of the digital diabetes technologies currently practiced in India and recommends the need for strong technology adaptation and policy interventions for an ideal roadmap of digitalization of diabetes care in the Indian milieu.

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Technology in the management of diabetes mellitus

Abstract: Review Article

Cited by 4 publications

References 25 publications

d-GDM: A mobile diagnostic decision support system for gestational diabetes

d-GDM: A mobile diagnostic decision support system for gestational diabetes

Reducing the Cost of Diabetes Care with Telemedicine, Smartphone, and Home Monitoring

Digital health and diabetes: experience from India

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