J Korean Diabetes.  2011 Sep;12(3):133-137. 10.4093/jkd.2011.12.3.133.

Diabetes Management System Based on Ubiquitous Healthcare

• Kim J
• Ahn CW

• KMID: 2059836
• DOI: http://doi.org/10.4093/jkd.2011.12.3.133

Abstract

The rapidly increasing prevalence of chronic disease is an important challenge to healthcare systems worldwide. Ubiquitous healthcare (U-health) systems arising from the fusion of IT and medicine may provide new solutions for addressing chronic disease in the future. Because U-health is based on the constant availability of information, communication networks are being considered as alternatives to mainstream face-to-face healthcare services and also in supportive functions. To improve the quality and efficiency of care for patients with diabetes mellitus, we consider an individualized internet or mobile phone based U-health system of health management. In this paper, we explore the present state of U-health systems in Korea and in other countries, and examine glucose control models in diabetic patients based on u-health systems. Although many problems remain unresolved and the U-health model needs further development and more rigorous study, U-health systems maybe the foundations of medicine's future.

Keyword

Ubiquitous; Diabetes mellitus; Medical informatics

MeSH Terms

Cellular Phone
Chronic Disease
Delivery of Health Care
Diabetes Mellitus
Foundations
Glucose
Humans
Internet
Korea
Medical Informatics
Prevalence
Glucose

Reference

1. Saydah SH, Fradkin J, Cowie CC. Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA. 2004; 291:335–42.

2. Koro CE, Bowlin SJ, Bourgeois N, Fedder DO. Glycemic control from 1988 to 2000 among U.S. adults diagnosed with type 2 diabetes: a preliminary report. Diabetes Care. 2004; 27:17–20.

3. Berger B, Stenström G, Sundkvist G. Incidence, prevalence, and mortality of diabetes in a large population. A report from the Skaraborg Diabetes Registry. Diabetes Care. 1999; 22:773–8.

4. Boyle JP, Honeycutt AA, Narayan KM, Hoerger TJ, Geiss LS, Chen H, Thompson TJ. Projection of diabetes burden through 2050: impact of changing demography and disease prevalence in the U.S. Diabetes Care. 2001; 24:1936–40.

5. Effect of intensive diabetes management on macrovascular events and risk factors in the Diabetes Control and Complications Trial. Am J Cardiol. 1995; 75:894–903.

6. Writing Team for the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group. Effect of intensive therapy on the microvascular complications of type 1 diabetes mellitus. JAMA. 2002; 287:2563–9.

7. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. BMJ. 1998; 317:703–13.

8. Ohkubo Y, Kishikawa H, Araki E, Miyata T, Isami S, Motoyoshi S, Kojima Y, Furuyoshi N, Shichiri M. Intensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with non-insulin-dependent diabetes mellitus: a randomized prospective 6-year study. Diabetes Res Clin Pract. 1995; 28:103–17.

9. Starren J, Hripcsak G, Sengupta S, Abbruscato CR, Knudson PE, Weinstock RS, Shea S. Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) project: technical implementation. J Am Med Inform Assoc. 2002; 9:25–36.

10. Shea S, Starren J, Weinstock RS, Knudson PE, Teresi J, Holmes D, Palmas W, Field L, Goland R, Tuck C, Hripcsak G, Capps L, Liss D. Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: rationale and design. J Am Med Inform Assoc. 2002; 9:49–62.

11. McMahon GT, Gomes HE, Hickson Hohne S, Hu TM, Levine BA, Conlin PR. Web-based care management in patients with poorly controlled diabetes. Diabetes Care. 2005; 28:1624–9.

12. Farmer AJ, Gibson OJ, Dudley C, Bryden K, Hayton PM, Tarassenko L, Neil A. A randomized controlled trial of the effect of realtime telemedicine support on glycemic control in young adults with type 1 diabetes (ISRCTN 46889446). Diabetes Care. 2005; 28:2697–702.

13. Lee JY. Current state and issues of the pilot project of u-health in Korea. Korea Inf Soc Dev. 2008; 20:25–44.

14. Ryu S, Lee JG, Kim KH. Current state of u-health and its developmental strategies in Korea. J Korean Med Assoc. 2009; 52:1141–7.

15. Kwon HS, Cho JH, Kim HS, Song BR, Ko SH, Lee JM, Kim SR, Chang SA, Kim HS, Cha BY, Lee KW, Son HY, Lee JH, Lee WC, Yoon KH. Establishment of blood glucose monitoring system using the internet. Diabetes Care. 2004; 27:478–83.

16. Cho JH, Chang SA, Kwon HS, Choi YH, Ko SH, Moon SD, Yoo SJ, Song KH, Son HS, Kim HS, Lee WC, Cha BY, Son HY, Yoon KH. Longterm effect of the Internet-based glucose monitoring system on HbA1c reduction and glucose stability: a 30-month follow-up study for diabetes management with a ubiquitous medical care system. Diabetes Care. 2006; 29:2625–31.

17. Yoon KH, Kwon HS, Lee JH, Park YM, Lee WC, Cha BY, Son HY. Effect of the internet-based glucose monitoring system (IBGMS) connected with personal digital assistance (PDA) in rural health subcenter. In: 69th Annual Diabetes Technology Meeting;. 2006. Nov; Atlanta, GA.

18. Kim C, Kim H, Nam J, Cho M, Park J, Kang E, Ahn C, Cha B, Lee E, Lim S, Kim K, Lee H. Internet diabetic patient management using a short messaging service automatically produced by a knowledge matrix system. Diabetes Care. 2007; 30:2857–8.

19. Kim HS, Cho JH, Choi YH, Oh JA, Lee JH, Yoon KH. Ubiquitous health care system for chronic disease management. Inf Commun Mag. 2010; 27:3–8.

20. Cho JH, Kwon HS, Yoon KH. Perspectives of "ubiquitous health care system" for diabetes management. J Korean Diabetes Assoc. 2006; 30:87–95.