Diabetes Mellitus With Hypoglycemia Clinical Trial
Official title:
Ubiquitous Healthcare Service With Multifactorial Intervention in Diabetes Care: a Randomized Controlled Trial
Recently, we generated a new multidisciplinary ubiquitous healthcare system by upgrading our clinical decision supporting system (CDSS) rule engine, and integrating a physical activity-monitoring device and dietary feedback into a comprehensive package. We hypothesize that individualized multidisciplinary u-healthcare service combined with exercise monitoring and dietary feedback will result in better glucose control with less hypoglycemia in an elderly population.
The use of telemedicine (also known as connected health, e-health, or telehealth) has been
proven to be beneficial in chronic disease management. Now, the classic concept of
telemedicine has been evolving to ubiquitous (u)-healthcare system with advanced information
technologies which provides real-time individualized feedback using a monitoring device
attached to the internet or a mobile phone system.
A few studies showed that adopting a u-healthcare system helped patients improve their blood
glucose control and reduced hypoglycemia or weight gain. In a previous study, supervised
telemonitoring was effective for blood pressure control in hypertensive patients in primary
care settings. A recent study showed that telemonitoring with pharmacist's help achieved
better blood pressure control compared with usual care during 12 months of intervention.
A clinical decision support system (CDSS) is the key to this system, building up an
individualized CDSS rule engine is the crux of the u-healthcare system because current
glucose control status, antidiabetic medications, lifestyle, and severity of hypoglycemia
vary between individual patients.
Recently, our u-healthcare team generated a new multidisciplinary u-healthcare system by
upgrading the CDSS rule engine, and integrating a physical activity-monitoring device and
dietary feedback into a comprehensive package. With this integrated system, we investigate
the effect of individualized multidisciplinary u-healthcare service combined with exercise
monitoring and dietary feedback on glucose control with less hypoglycemia in Korean elderly
population.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03460899 -
Impact of Hypoglycaemia in Patients With Diabetes Mellitus Type 2 on Platelet Activation
|
N/A |