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
Yoon, KH
中科院分区:
医学1区
文献类型:
--
作者:
Kwon, HS;Cho, JH;Yoon, KH

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目标 - 互联网作为一种通信工具在全世界范围内使用。为了提高糖尿病控制的质量,我们研究了基于互联网的血糖监测系统 (IBGMS) 在控制 HbA(1c) 水平变化方面的有效性。 研究设计和方法 - 我们进行了一项随机临床试验,纳入了 110 名在江南圣玛丽医院门诊就诊的患者,为期 3 个月。研究对象接受IBGMS治疗12周,对照组同期接受常规门诊治疗。 HbA(1c) 和其他实验室测试进行了两次,一次在研究开始时,一次在研究结束时。 结果 - 研究开始时的测试结果表明,两组之间在年龄、性别、糖尿病病程、BMI、血压、HbA(1c) 和其他实验室数据方面没有显着差异。 12 周后的随访检查中,干预组的 HbA(1c) 水平从 7.59% 显着下降至 6.94%(P < 0.001)。研究结束时,调整基线 HbA(1c) 后,干预组的 HbA(1c) 水平显着低于对照组(分别为 6.94% 和 7.62% P < 0.001)。在基线 HbA(1c) 的患者中
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)