![]() ![]() In addition, participants were required to have access to the Internet and to an analog land-based phone line. Inclusion criteria required that patients be diagnosed with type 2 diabetes and that they self-monitored their blood glucose as directed by the treating provider. In this paper we report clinical and technical results of our initial pilot study of this novel application.Ī pool of 20 patients was identified by the BMG care team as potential candidates for the pilot study. We hypothesized that the ongoing shared access to blood glucose readings provided by this program would improve communication between patients and providers and enhance diabetes care. We designed separate Web site interfaces for patients and providers. ![]() Linking technology allows patients to upload glucometer readings from commercially available glucometers (One-Touch ® Ultra ® 2) to a secure Web site using a modem connected through a home telephone line. 3– 5 We designed a remote blood glucose monitoring application based on an easy-to-use Web site for both patients and their care providers. Several information and communication solutions have emerged as feasible strategies to enhance the flow of information and collaboration between patients and providers. 1, 2 Requirements for more transparent reporting of outcomes and new payment systems that reimburse based on outcomes rather than visits are driving healthcare systems to explore new methods of care delivery. Provider-directed changes in diet and medication are made during clinical visits (typically 3–6 visits/year) or sometimes by phone or even e-mail exchanges based in part on the information found in this glucose log.Ĭonsiderable evidence exists that “current standard of care” frequently fails to deliver on evidence-based recommendations for practice. #WHERE DOES DIABETES PILOT STORE DATA PORTABLE#These blood sugar readings and the associated information they carry are recorded in a portable notebook or in the glucometers themselves. Traditionally patients with diabetes receive their care in face-to-face clinical encounters and monitor their blood glucose between visits using portable glucometers. Self-monitoring of blood glucose may improve self-care among patients with diabetes when coupled with relevant lifestyle information that can be used by providers to enhance patient education and motivation. ![]()
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