Establishment of blood glucose monitoring system using the Internet
Establishment of blood glucose monitoring system using the Internet
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DOI:
10.2337/diacare.27.2.478
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发表时间:
2004-02-01
期刊:
影响因子:
16.2
通讯作者:
Yoon, KH
中科院分区:
文献类型:
--
作者:
Kwon, HS;Cho, JH;Yoon, KH
OBJECTIVE - The Internet is used worldwide as a communication tool. To improve the quality of diabetes control, we investigated the effectiveness of an Internet-based blood glucose monitoring system (IBGMS) on controlling the changes in HbA(1c) levels.RESEARCH DESIGN AND METHODS - We conducted a randomized clinical trial involving 110 patients who visited the outpatient clinic at the Kangnam St. Mary's Hospital for 3 months. The study subjects were treated with IBGMS for 12 weeks, and the control group received the usual outpatient management over the same period. HbA(1c) and other laboratory tests were performed twice, once at the beginning of the study and again at the end of the study.RESULTS - The test results from the beginning of the study established that there were no significant differences between the two groups with respect to age, sex, diabetes duration, BMI, blood pressure, HbA(1c), and other laboratory data. On follow-up examination 12 weeks later, HbA(1c) levels were significantly decreased from 7.59 to 6.94% within the intervention group (P < 0.001). At the end of the study, HbA(1c) levels in the intervention group were significantly lower than in the control group after adjusting the baseline HbA(1c) (6.94 vs. 7.62% P < 0.001, respectively). Among patients with baseline HbA(1c)