Impact of long-term use of eHealth systems in adolescents with type 1 diabetes treated with sensor-augmented pump therapy

Journal of Telemedicine and Telecare - Tập 22 Số 5 - Trang 277-281 - 2016
Riccardo Schiaffini1, Irene Tagliente2, Chiara Carducci1, Nicola Ullmann3, Paolo Ciampalini1, Antonella Lorubbio4, Marco Cappa1
1Unit of Endocrinology and Diabetes, Bambino Gesù Children's Hospital, Italy
2Technology, HTA and Safety Research Unit, Bambino Gesù Children's Hospital, Italy
3Department of Pediatric Medicine, Bambino Gesù Children's Hospital, Rome, Italy
4Clinical Trial Center, Bambino Gesù Children's Hospital, Italy

Tóm tắt

Telemedicine in diabetes includes telemonitoring and transmission of important data (self monitoring of blood glucose data, insulin therapy, pump setting, etc.) from the patient s home to the diabetic unit, with a real-time health feedback. Moreover, an eHealth approach is thought to facilitate diabetes management and to improve compliance to CSII/SAP treatment in adolescents, but to date, limited literature related to this topic is available and long-term studies are still lacking. The main aim of this study was to compare the long-term effect on glycometabolic control of eHealth intervention and traditional care in T1DM SAP-treated adolescents. In our study we demonstrated a favorable impact of monthly teleassistance on treatment compliance. Adolescents receiving frequent feedback provided by the medicalmultidisciplinary team, due to the telemonitoring, resulted more compliant in self-management of diabetes. In particular, the medical team feedback resulted in interventions on behavioral errors and insulin therapy adjustments, leading to an improved glycometabolic control.

Từ khóa


Tài liệu tham khảo

10.1016/S0140-6736(11)60679-X

10.1056/NEJMct1113948

10.7326/0003-4819-157-5-201209040-00508

10.1089/dia.2012.0044

10.1007/s00592-013-0466-x

10.1186/1471-2431-13-212

Siminerio L, Ruppert K, Huber K, et al. Telemedicine for Reach, Education, Access, and Treatment (TREAT): Linking telemedicine with diabetes self-management education to improve care in rural communities. Diabetes Ed. E-pub before print 24 September 2014. doi: 10.1177/0145721714551993.

10.1016/j.pedn.2013.10.013

10.1177/1357633X13512069

10.1177/0193945914528387

10.1089/dia.2012.0288

10.1111/j.1399-5448.2011.00793.x

10.1177/1932296815576956

10.1258/jtt.2010.100812

10.2174/1573399810666141010113050

Thông tin
Thông tin xuất bản

Journal of Telemedicine and Telecare

Tập 22 Số 5

277-281

Thông tin tác giả