Use of an Internet-Based Telemedicine System to Manage Underserved Women with Gestational Diabetes Mellitus

Homko, Carol J.; Santamore, William P.; Whiteman, Valerie E.; Bower, M E; Berger, Phillip; Geifman-Holtzman, Osnat; Bové, Alfred A.

doi:10.1089/dia.2006.0034

Cited by 111 publications

(174 citation statements)

References 17 publications

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“…66 Some studies examined remote monitoring of glucose meter data by a provider who then adjusted treatment in pregnant women with GDM or T1D. [69][70][71][72] We presented data at the American Diabetes Association (ADA) Scientific Sessions of interim analyses of a study using CGM alone or with ShareÔ remote monitoring technology in pregnant women with T1D. Share allows followers (family and friends) to view sensor glucose trends and receive alerts.…”

Section: Remote Monitoring In Pregnancymentioning

confidence: 99%

CGM, Pregnancy, and Remote Monitoring

Polsky

Garcetti

2017

Diabetes Technology & Therapeutics

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The glycemic goals of pregnancy are very narrow to reduce excess risks for numerous maternal and fetal complications. Continuous glucose monitors (CGMs) may help women achieve glucose goals and reduce hypoglycemia. CGM use has been found to be safe and effective in pregnancies associated with diabetes. CGM use can accurately identify glycemic patterns among women with and without diabetes in pregnancy. The data on the effects of CGM use on maternal and fetal outcomes are conflicting. Using CGMs in conjunction with continuous subcutaneous insulin infusion therapy in pregnancies complicated by diabetes may improve outcomes. There are limitations of CGM use that affect patients in and outside of pregnancy, as well as specific barriers that only affect pregnant women. Of importance, CGM use does not replace standard clinical care, but may be used an adjunctive tool in pregnancy. CGM remote monitoring in pregnancy is an understudied field. In this study, we review the studies on CGM use in pregnancy.

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Section: Remote Monitoring In Pregnancymentioning

confidence: 99%

CGM, Pregnancy, and Remote Monitoring

Polsky

Garcetti

2017

Diabetes Technology & Therapeutics

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“…Homko et al (18,19) performed two randomized studies comparing Internet and weekly office visits for SMBG review. Women (n = 63) were asked to go to a Web site and type in information regarding their blood glucose level and insulin doses.…”

Section: Discussionmentioning

confidence: 99%

“…Women (n = 63) were asked to go to a Web site and type in information regarding their blood glucose level and insulin doses. Computers were provided to the participants; however, compliance in the 2007 study (18) was limited by modem Internet service, and women transmitted only one-third of the data expected. Compared to review of handwritten log books at weekly prenatal visits, patient and provider satisfaction were higher with the Internet method, but glycemic control was equivalent.…”

Section: Discussionmentioning

confidence: 99%

268: Managing diabetes in pregnancy using cell phone/internet technology

Bartholomew¹,

Church²,

Soules³

et al. 2011

American Journal of Obstetrics and Gynecology

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“…Web-based interventions via electronic discharge notes were considered as all interactive Web applications (Homko et al, 2007). Furthermore, we excluded studies in which the intervention did not mention any aspects of health education and also studies were conducted before 2005.…”

Section: Types Of Interventionmentioning

confidence: 99%

The Effects of Patient Empowerment Scale in Chronic Diseases

Galanakis¹,

Tsoli²,

Darviri³

2016

PSYCH

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Chronic diseases in patients have always been a significant sector of study by various scientists. Patient's empowerment in situations like these has an enormous importance in order to succeed a better knowledge of how to face these difficulties. The value of empowerment is enormous and has to be the goal of modern research. When it is found in the patient's behavior, we can definitely agree to the fact that he is able to make decisions on his own and to have the total control of his life, along with its problems for example when his health is in danger, or when he faces a sentimental problem. The consequences of stress in our life can be immense and they have a negative effect on the self-confidence of the individuals, as well. The Patient Empowerment Scale (PES) was measured to the patients with chronic diseases through a systematic review. The Patient Empowerment Scale (PES) has been evaluated with the use of Pubmed/Medline. Of the 118 studies included in this review, 44 articles presented inclusion criteria. 27 scales were obtained through open access and they were evaluated through the participation definition. Of the 27 studies included there were 14 studies that measured patient empowerment in chronic diseases, 4 studies showed data for calculation of an SMD for self-efficacy disease-specific outcomes, 2 studies included a measurement of self-esteem, measured with the Rosenberg Selfesteem (RSE) Scale, 4 studies that measured the decision making and there were 3 studies that included the quality of life measurement. The evolution of the patient's health, through self-management, can be improved on increasing his empowerment. It is very important for a clinical to provide his patient with all the necessary material and to give him the possibility of a productive conversation, in order to succeed an increased empowerment on his patient. Future studies will have to broaden their criteria to include different languages, longer time period and larger sample.

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Use of an Internet-Based Telemedicine System to Manage Underserved Women with Gestational Diabetes Mellitus

Cited by 111 publications

References 17 publications

CGM, Pregnancy, and Remote Monitoring

CGM, Pregnancy, and Remote Monitoring

268: Managing diabetes in pregnancy using cell phone/internet technology

The Effects of Patient Empowerment Scale in Chronic Diseases

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