Abstract：Objective To explore the management effect of mHealth in diabetic patients treated with Insulin.Methods A total of 182 patients with diabetes mellitus(DM)treated with Insulin from department of endocrinology in our hospital from April 2016 to July 2017 were selected as subjects.They were randomly divided into treatment group and control group according to the parity of treatment order,with 91 cases in each group.In the treatment group,Kangsai mobile disease management platform was used.To be specific,the APP was downloaded and installed in the mobile terminal of the patient or family.The personal file was established,the patient′s therapeutic regimen was recorded and blood glucose was monitored.Dynamic abnormality alert was implemented to prompt the patient to adjust the insulin dosage in time and guide the health education at any time.In the control group,traditional method of medical treatment was used,and follow-up visit was carried out in general out-patient clinics.After 3 months,the frequency of blood glucose monitoring,the frequency of insulin dosage adjustment,the incidence of hypoglycemia,and the proportion of return visits were compared between the two groups.The rate of blood glucose reaching the standard and changes of glycosylated hemoglobin levels before and after treatment were compared.Results In the treatment group,the proportions of blood glucose monitoring over 3 times/d,dosage of Insulin adjustment frequency over once a week and return visits were significantly higher than those in the control group,and the incidence of hypoglycemia was much lower than that in the control group,the differences were statistically significant(P＜0.05).Compared with the control group,the fasting blood glucose,2 h-postprandial blood glucose,and glycosylated hemoglobin were significantly lower in the treatment group than those in the control group after 3-month treatment,the differences were statistically significant(P＜0.05).Conclusion mHealth can effectively improve physician′s management ability to use Insulin to treat DM patients and remarkably ameliorate their blood glucose levels.
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