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- Title
An Internet-based health gateway device for interactive communication and automatic data uploading: Clinical efficacy for type 2 diabetes in a multi-centre trial.
- Authors
Jae Hyoung Cho; Hun-Sung Kim; Seung Hyun Yoo; Chang Hee Jung; Woo Je Lee; Cheol Young Park; Hae Kyung Yang; Joong Yeol Park; Sung Woo Park; Kun Ho Yoon; Cho, Jae Hyoung; Kim, Hun-Sung; Yoo, Seung Hyun; Jung, Chang Hee; Lee, Woo Je; Park, Cheol Young; Yang, Hae Kyung; Park, Joong Yeol; Park, Sung Woo; Yoon, Kun Ho
- Abstract
Introduction The aim of this study was to improve the quality of diabetes control and evaluate the efficacy of an Internet-based integrated healthcare system for diabetes management and safety. Methods We conducted a large-scale, multi-centre, randomized clinical trial involving 484 patients. Patients in the intervention group ( n = 244) were treated with the Internet-based system for six months, while the control group ( n = 240) received the usual outpatient management over the same period. HbA1c, blood chemistries, anthropometric parameters, and adverse events were assessed at the beginning of the study, after three months, and the end of the study. Results There were no initial significant differences between the groups with respect to demographics and clinical parameters. Upon six-month follow-up, HbA1c levels were significantly decreased from 7.86 ± 0.69% to 7.55 ± 0.86% within the intervention group ( p < 0.001) compared to 7.81 ± 0.66% to 7.70 ± 0.88% within the control group. Postprandial glucose reduction was predominant. A subgroup with baseline HbA1c higher than 8% and good compliance achieved a reduction of HbA1c by 0.8 ± 1.05%. Glucose control and waist circumference reduction were more effective in females and subjects older than 40 years of age. There were no adverse events associated with the intervention. Discussion This e-healthcare system was effective for glucose control and body composition improvement without associated adverse events in a multi-centre trial. This system may be effective in improving diabetes control in the general population.
- Subjects
MEDICAL care; HEALTH care industry; CLINICAL trials; INTERNET in medicine; BLOOD sugar measurement; TREATMENT of diabetes
- Publication
Journal of Telemedicine & Telecare, 2017, Vol 23, Issue 6, p595
- ISSN
1357-633X
- Publication type
journal article
- DOI
10.1177/1357633X16657500