TY - JOUR
T1 - A telemedicine support for diabetes management
T2 - The T-IDDM project
AU - Bellazzi, R.
AU - Larizza, C.
AU - Montani, S.
AU - Riva, A.
AU - Stefanelli, M.
AU - D'Annunzio, G.
AU - Lorini, R.
AU - Gomez, E. J.
AU - Hernando, E.
AU - Brugues, E.
AU - Cermeno, J.
AU - Corcoy, R.
AU - De Leiva, A.
AU - Cobelli, C.
AU - Nucci, G.
AU - Del Prato, S.
AU - Maran, A.
AU - Kilkki, E.
AU - Tuominen, J.
PY - 2002
Y1 - 2002
N2 - In the context of the EU funded Telematic Management of Insulin-Dependent Diabetes Mellitus (T-IDDM) project, we have designed, developed and evaluated a telemedicine system for insulin dependent diabetic patients management. The system relies on the integration of two modules, a Patient Unit (PU) and a Medical Unit (MU), able to communicate over the Internet and the Public Switched Telephone Network. Using the PU, patients are allowed to automatically download their monitoring data from the blood glucose monitoring device, and to send them to the hospital data-base; moreover, they are supported in their every day self monitoring activity. The MU provides physicians with a set of tools for data visualization, data analysis and decision support, and allows them to send messages and/or therapeutic advice to the patients. The T-IDDM service has been evaluated through the application of a formal methodology, and has been used by European patients and physicians for about 18 months. The results obtained during the project demonstration, even if obtained on a pilot study of 12 subjects, show the feasibility of the T-IDDM telemedicine service, and seem to substantiate the hypothesis that the use of the system could present an advantage in the management of insulin dependent diabetic patients, by improving communications and, potentially, clinical outcomes.
AB - In the context of the EU funded Telematic Management of Insulin-Dependent Diabetes Mellitus (T-IDDM) project, we have designed, developed and evaluated a telemedicine system for insulin dependent diabetic patients management. The system relies on the integration of two modules, a Patient Unit (PU) and a Medical Unit (MU), able to communicate over the Internet and the Public Switched Telephone Network. Using the PU, patients are allowed to automatically download their monitoring data from the blood glucose monitoring device, and to send them to the hospital data-base; moreover, they are supported in their every day self monitoring activity. The MU provides physicians with a set of tools for data visualization, data analysis and decision support, and allows them to send messages and/or therapeutic advice to the patients. The T-IDDM service has been evaluated through the application of a formal methodology, and has been used by European patients and physicians for about 18 months. The results obtained during the project demonstration, even if obtained on a pilot study of 12 subjects, show the feasibility of the T-IDDM telemedicine service, and seem to substantiate the hypothesis that the use of the system could present an advantage in the management of insulin dependent diabetic patients, by improving communications and, potentially, clinical outcomes.
KW - Clinical outcomes
KW - Demonstration study
KW - Diabetes management
KW - Telemedicine
UR - http://www.scopus.com/inward/record.url?scp=0036299862&partnerID=8YFLogxK
U2 - 10.1016/S0169-2607(02)00038-X
DO - 10.1016/S0169-2607(02)00038-X
M3 - Article
SN - 0169-2607
VL - 69
SP - 147
EP - 161
JO - Computer Methods and Programs in Biomedicine
JF - Computer Methods and Programs in Biomedicine
IS - 2
ER -
