移动医疗对使用胰岛素治疗糖尿病患者的管理效果

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： mHealth Insulin Diabetes mellitus Physician management

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	QIAN Cai-feng
	QIN Xiao-dong
	LIANG Zhuo-lin
	LI Min-ji

Cite this article:

QIAN Cai-feng,QIN Xiao-dong,LIANG Zhuo-lin, et al. Management effect of mHealth on diabetics treated with Insulin[J]. 中国当代医药, 2018, 25(14): 54-56.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I14/54

[1]	Yang W，Lu J，Weng J，et al.Prevalence of diatetes among men and women in china[J].N Eng J Med，2010，62（12）：1090-1101.
[2]	中华医学会糖尿病学分会.中国2型糖尿病防治指南（2013年版）[J].中国糖尿病杂志，2014，22（8）：4-6.
[3]	叶山东，从三大指南/声明的比较看2型糖尿病的胰岛素治疗[J].糖尿病天地，2016，10（3）：102-105.
[4]	张艺潇，董烨华，冯文.国外移动医疗应用于糖尿病患者管理的情况介绍[J].中国卫生信息管理杂志，2016，13（6）：611-615.
[5]	纪立农，陆菊明，郭晓惠，等.中国2型糖尿病药物治疗现状与血糖控制的调查研究[J].中华糖尿病杂志，2012，4（7）：397-401.
[6]	郭晓惠，纪立农，陆菊明，等.2009年中国成人2型糖尿病患者口服降糖药联合胰岛素治疗后血糖达标状况调查[J].中华糖尿病杂志，2012，4（8）：474-478.
[7]	Glasgow RE，Boles SM，McKay HG，et al.The D-Net diabetes self-management program：Long-term impiementation.outcomes，and generalization results[J].Prev Med，2003，36（4）：410-419.
[8]	Liebreich T，Plotnikoff RC，Courneya KS，et al.Diabetes Net Play：A physical activity website and linked email counseling randomized intervention for individuals with type 2 diabetes[J].Int J Behav Nutr Phy，2009，6（6）：68-72.
[9]	Lorig K，Ritter PL，Laurent DD，et al.Online diabetes selfmanagement program：A randomized study[J].Diabetes Care，2010，33（6）：1275-1281.
[15]	彭湘杭，蔡德鸿，杨锐，等.糖尿病高风险人群中糖化血红蛋白与微血管并发症的关系[J].中华内分泌代谢杂志，2011，27（5）：381-385.
[16]	中华医学会糖尿病学分会.中国血糖监测临床应用指南（2015 年版）[J].糖尿病天地，2016，10（5）：205-218.
[10]	Glasgow RE，Kurz D，King D，et al.Outcomes of minimal and moderate support versions bof an interbet-based diabetes self-management support program[J].J Gen Intern Med，2010，25（12）：1315-1322.
[11]	Richardson CR，Mehari KS，McIntyre LG，et al.A randomized trial comparing structured and lifestyle goals in an internet-mediated walking program for people with type 2 diabetes[J].Int J Behav Nutr Phy，2007，4（1）：1-11.
[12]	Kim CJ，Kang DH.Utility of a Webbased intervention for individuals with type 2 diabetes：The impact on physical activity levels and glycemic control[J].Diabetes Sci Technol，2006，24（6）：337-345.
[13]	Brown LL，Lustria ML，Rankins J.A review of web-assisted interventions for diabetes management：maximizing the potential for improving health outcomes[J].J Diabetes Sci Technol，2007，1（6）：892-902.
[14]	McKay HG，King D，Eakin EG，et al.The diabetes network internet-based physical activity intervention：A randomized pilot study[J].Diabetes Care，2001，24（8）：1328-1334.