A nurse short message service by cellular phone in type-2 diabetic patients for six months.

AIM To investigate the effectiveness of a nurse short message service (SMS) by cellular phone and wire Internet on plasma glucose levels in people with diabetes for six months. BACKGROUND Blood glucose management system using telemedicine approaches may maintain the appropriate blood glucose levels in type-2 diabetic patients. DESIGN A control group pre-test-post-test design was used to assess the effectiveness of nurse's education. METHODS Twenty-five patients were randomly assigned to an intervention group and 26 to a control group. The intervention was applied for six months. The goal of the intervention was to keep blood glucose concentrations close to the normal range. Participants were requested to input their blood glucose level, diet and exercise diary everyday in the website by cellular phone or wire Internet. The researcher sends optimal recommendations to each patient using SMS by cellular phone and wire Internet weekly. RESULTS Glycosylated hemoglobin (HbA(1)c) decreased 1.15% points at three months and 1.05% points at six months compared with baseline in the intervention group. Patients in the intervention group had a decrease of two hours post meal glucose (2HPMG) of 85.1 mg/dl at three months and 63.1 mg/dl at six months compared with baseline. CONCLUSION This web-based intervention using SMS of cellular phone improved HbA(1)c and 2HPMG for six months in type-2 diabetic patients. RELEVANCE TO CLINICAL PRACTICE An SMS of cellular phone intervention by a nurse can reduce HbA(1)c and 2HPMG for six months in type-2 diabetic patients.

[1]  E. Araki,et al.  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. , 1995, Diabetes research and clinical practice.

[2]  A M Albisser,et al.  An Electronic Case Manager for Diabetes Control , 1998, Diabetes Care.

[3]  R. Rizza,et al.  Impact of a Diabetes Electronic Management System on the Care of Patients Seen in a Subspecialty Diabetes Clinic , 1998, Diabetes Care.

[4]  B. Peterson,et al.  Nurse Case Management To Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization , 1998, Annals of Internal Medicine.

[5]  R Horswell,et al.  Improvements in diabetic care as measured by HbA1c after a physician education project. , 1999, Diabetes care.

[6]  R. Glasgow,et al.  Interactive computer technology, behavioral science, and family practice. , 1999, The Journal of family practice.

[7]  H. Pavliscsak,et al.  Telemedicine improved diabetic management. , 2000, Military medicine.

[8]  U. Josefsson,et al.  Patients creating self-help on the internet -lessons for future design of internet based healthcare resources , 2004, 37th Annual Hawaii International Conference on System Sciences, 2004. Proceedings of the.

[9]  J. Piette,et al.  Impact of automated calls with nurse follow-up on diabetes treatment outcomes in a Department of Veterans Affairs Health Care System: a randomized controlled trial. , 2001, Diabetes care.

[10]  D. Robbins,et al.  Impact of computer-generated personalized goals on HbA(1c). , 2002, Diabetes care.

[11]  M. Taskinen,et al.  What does postprandial hyperglycaemia mean? , 2004, Diabetic Medicine.

[12]  Hee-Seung Kim,et al.  Establishment of blood glucose monitoring system using the internet. , 2003, Diabetes care.

[13]  E. Barrett-Connor,et al.  Women and heart disease: the role of diabetes and hyperglycemia. , 2004, Archives of internal medicine.