Teletransmission system supporting intensive insulin treatment of out-clinic type 1 diabetic pregnant women. Technical assessment during 3 years' application.

Full Abstract

A telematic system supporting intensive insulin treatment of pregnant type 1 diabetic out-clinic patients was implemented and technical efficiency of the system was evaluated over long-term ambulatory application. The system consists of a patient teletransmission module (PTM) and a central clinical control unit (CCU). The PTM contains a one-box blood glucose meter and electronic logbook, a modem and a dial-up or cellular phone set. The CCU consists of a PC computer with a modem and DIAPRET - an original program designed to monitor the intensive insulin treatment. The system was installed in the Clinic of Gastroenterology and Metabolic Disease, MA Warsaw and was tested for 166 +/- 24 days on 15 pregnant type 1 diabetic women. Telemonitoring of the patient data was done automatically. No major technical problems with proper operation or handling of the system was noted. Total effectiveness was 69.3 +/- 13.0% and technical effectiveness 91.5 +/- 6.1%. The efficacy of the system was not significantly influenced by patient intelligence level, education level or place of residence (p < 0.05). Significant improvement of metabolic control was noted during application of the system. In conclusion, the telematic system we developed and implemented should have a positive influence on the quality of diabetes treatment during pregnancy.

Author information

Author/s: Ladyzynski, P (P); Wójcicki, J M (JM); Krzymien, J (J); Blachowicz, J (J); Józwicka, E (E); Czajkowski, K (K); Janczewska, E (E); Karnafel, W (W);

Affiliation: Institute of Biocybernetics and Biomedical Engineering PAS, Warsaw - Poland. Piotr.Ladyzynski(-atsign-)ibib.waw.pl

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: The International journal of artificial organs (Int J Artif Organs), published in Italy. (Language: eng)

Reference: 2001-Mar; vol 24 (issue 3) : pp 157-63

Dates: Created 2001/04/20; Completed 2001/10/11; Revised 2006/11/15;

PMID: 11314810, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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