Diabetes Health Supervision and Treatment Strategy Based on Data Management and Analysis on eKTANG Platform


Дәйексөз келтіру

Толық мәтін

Аннотация

Background:The management of diabetes-related risk factors could effectively reduce the occurrence of its complications, improve the quality of life of patients, and reduce the mortality of patients. Data analysis based on the eKTANG platform could greatly improve the efficiency of communication between patients and doctors, and strengthen the treatment and management of diabetes.

Aim:We created eKTANG to monitor patient health effectively. The eKTANG health management system aims to extensively intervene in blood glucose monitoring, nutrition, exercise, medicine, and health education to enable diabetes patients to achieve optimal treatment results.

Methods:Diabetes patients diagnosed by Henan University Medical School included through the eKTANG platform were randomly divided into three groups: member service package group, discharge/ outpatient follow-up group, and out-of-hospital care group. We conducted intensive out-ofhospital interventions for three groups of patients for three months to help patients formulate precise blood glucose control plans and conduct training. The traditional group was compared with the eKTANG platform group, and the physiological indicators and patient compliance of the four groups were observed 6 months later.

Results:In the eKTANG platform management group, the average blood glucose compliance rate increased significantly, and the percentage of average blood glucose in the range of 3.9-10.0 showed an upward trend. Fasting blood glucose and postprandial blood glucose showed a downward trend. At the same time, the number of patients per capita blood glucose monitoring showed a significant increase compared with the control group.

Conclusion:The establishment of the eKTANG platform can improve the efficiency of patient’s medical treatment, improve their lifestyles, reduce the incidence of patient complications, and build a virtuous circle gradually. This research has strengthened the health management and autonomy of diabetic patients and improved the efficiency of treatment. It is worthy of promotion.

Авторлар туралы

Yin Jiang

, Zhejiang Idoctor Health Technology Company Limited

Email: info@benthamscience.net

Ying Wang

, Medical College of Henan University

Хат алмасуға жауапты Автор.
Email: info@benthamscience.net

Әдебиет тізімі

  1. Rawshani, A.; Rawshani, A.; Franzén, S.; Eliasson, B.; Svensson, A.M.; Miftaraj, M.; McGuire, D.K.; Sattar, N.; Rosengren, A.; Gudbjörnsdottir, S. Mortality and Cardiovascular Disease in Type 1 and Type 2 Diabetes. N. Engl. J. Med., 2017, 376(15), 1407-1418. doi: 10.1056/NEJMoa1608664 PMID: 28402770
  2. Harding, J.L.; Pavkov, M.E.; Magliano, D.J.; Shaw, J.E.; Gregg, E.W. Global trends in diabetes complications: A review of current evidence. Diabetologia, 2019, 62(1), 3-16. doi: 10.1007/s00125-018-4711-2 PMID: 30171279
  3. Conte, C.; Secchi, A. Post-transplantation diabetes in kidney transplant recipients: An update on management and prevention. Acta Diabetol., 2018, 55(8), 763-779. doi: 10.1007/s00592-018-1137-8 PMID: 29619563
  4. Harding, J.L.; Shaw, J.E.; Peeters, A.; Cartensen, B.; Magliano, D.J. Cancer risk among people with type 1 and type 2 diabetes: Disentangling true associations, detection bias, and reverse causation. Diabetes Care, 2015, 38(2), 264-270. doi: 10.2337/dc14-1996 PMID: 25488912
  5. Loffler, K.A.; Heeley, E.; Freed, R.; Meng, R.; Bittencourt, L.R.; Gonzaga Carvalho, C.C.; Chen, R.; Hlavac, M.; Liu, Z.; Lorenzi-Filho, G.; Luo, Y.; McArdle, N.; Mukherjee, S.; Yap, H.S.; Zhang, X.; Palmer, L.J.; Anderson, C.S.; McEvoy, R.D.; Drager, L.F.; Barnes, M.; Yu, F.; Meng, X.; Liu, W.; Chen, X.; Tang, X.; Xiao, G.; He, M.; Liu, J.; Naughton, M.; Hooy, M.; Yorkston, S.; Hlavac, M.; Epton, M.J.; Storer, M.K.; Cook, J.M.; Corbett, A.; Portley, R.; Brockway, B.; Cowan, J.; Taylor, D.R.; Cox, E.; Palmay, R.; Young, A.; Sasso, S.D.; Shinkarksy, I.; Shinkarksy, I.; Thien, F.; O’Driscoll, D.; Anniss, A.; Wang, W.; Shen, H.; Chew, D.; Kissajukian, F.; Luscombe, K.; Wollaston, F.; Liu, Z.; Ou, Q.; Du, B.; Wang, Y.; Guo, Y.; Dong, W.; Wu, L.; Yu, K.; Wang, S.; Shi, J.; Drager, L.; Souza, G.A.; Queiróz, D.B.C.; Ferrier, K.; Dewar, J.; Kleintjes, R.; Kovacs, J.; Campbell, A.; Neill, A.; Li, Y.; Li, X.; Pan, R.; Xue, H.; Amodeo, C.; Silva, J.; Depizzol, R.; de Andrade, D.; Bertolami, A.; Gonzaga, C.; Lorenzi-Filho, G.; Souza, G.A.; Queiróz, D.B.C.; Bittencourt, L.; Ferreira, C.; Bignotto, M.; Pan, Z.; Dou, Y.; Zhu, M.; Lu, G.; Arstall, M.; Jeffries, W.; Lamberts, N.; Hamilton, G.; McKenzie, J.; Zhang, X.; Xiao, Y.; Huang, R.; McEvoy, D.; Antic, N.; Paul, D.; McKenna, A.; Anderson, C.; Delcourt, C.; Carcel, C.; Ray, E.; Paraskevaidis, T.; Small, S.; Zhu, H.; Liang, Y.; Li, M.; Liu, X.; Wang, M.; Lin, J.; Li, Y.M.; Graham, N.; Molloy, M.E.; Wu, L.; Guo, X.; Wu, J.; Li, Z.; Xu, X.; Luo, Y.; Qiu, Z.; Zhang, X.; Li, C.; Peng, W.; Zhen, G.; Liu, J.H.; Douglas, J.; Dunn, N.; Walters, D.; Lan, L.; Mikli, J.; Wong, A.; Curtin, D.; Robinson, J.; Tai, L.; Wang, H.; Chen, R.; Sun, Y.; He, Y.; Wang, B.; Liu, Z.; Zhao, H.; Gao, X.; Fan, Y.; Wang, H.; Chang, C.; Tuffery, C.; Hopping, S.; McArdle, N.; Mukherjee, S.; Boeing, B.; Hillman, D.; Rea, S.C.; Guo, X.; Ren, L.; Sun, J.; Sun, Y.; Qin, G.; Li, S.; Li, W.; Wu, X.; Zhou, J.; Jiang, H.; Bandick, L.; O’Keefe, M.; Mercer, J.; Jurisevic, M.; Mead, S.; Heeley, E.; Freed, R.; Cheung, T.; Espinosa, N.; Leighton, S.; Sasse, T.; Leroux, M.; Ying, S.; Zheng, Y.; Wei, W.; Zhang, H.; Zhou, J.; Jia, H.; Zhang, M.; Cui, B.; Deng, H.; Song, A.; McEvoy, D.; Anderson, C.; Grunstein, R.; Hedner, J.; Huang, S.; Lorenzi-Filho, G.; Neal, B.; Palmer, L.; Redline, S.; Wang, J.; Zhong, N. Continuous positive airway pressure treatment, glycemia, and diabetes risk in obstructive sleep apnea and comorbid cardiovascular disease. Diabetes Care, 2020, 43(8), 1859-1867. doi: 10.2337/dc19-2006 PMID: 32291275
  6. Li, J.; Gordon, S.C.; Rupp, L.B.; Zhang, T.; Trudeau, S.; Holmberg, S.D.; Moorman, A.C.; Spradling, P.R.; Teshale, E.H.; Boscarino, J.A.; Schmidt, M.A.; Daida, Y.G.; Lu, M.; Xing, J.; Zhong, Y.; Nerenz, D.R.; Lamerato, L.; Akkerman, N.; Zhou, Y.; Daar, Z.S.; Smith, R.E.; Trinacty, C.M.; Wong, C.P. Sustained virological response does not improve long‐term glycaemic control in patients with type 2 diabetes and chronic hepatitis C. Liver Int., 2019, 39(6), 1027-1032. doi: 10.1111/liv.14031 PMID: 30570808
  7. Bode, B.; Stenlöf, K.; Harris, S.; Sullivan, D.; Fung, A.; Usiskin, K.; Meininger, G. Long-term efficacy and safety of canagliflozin over 104 weeks in patients aged 55-80 years with type 2 diabetes. Diabetes Obes. Metab., 2015, 17(3), 294-303. doi: 10.1111/dom.12428 PMID: 25495720
  8. Jang, J.W.; Kim, C.H.; Kim, M.Y. Analysis of glycosylated hemoglobin (HbA1c) level on maxillofacial fascial space infection in diabetic patients. J. Korean Assoc. Oral Maxillofac. Surg., 2015, 41(5), 251-258. doi: 10.5125/jkaoms.2015.41.5.251 PMID: 26568927
  9. Wang, D.D.; Hu, F.B. Precision nutrition for prevention and management of type 2 diabetes. Lancet Diabetes Endocrinol., 2018, 6(5), 416-426. doi: 10.1016/S2213-8587(18)30037-8 PMID: 29433995
  10. Magkos, F.; Hjorth, M.F.; Astrup, A. Diet and exercise in the prevention and treatment of type 2 diabetes mellitus. Nat. Rev. Endocrinol., 2020, 16(10), 545-555. doi: 10.1038/s41574-020-0381-5 PMID: 32690918
  11. Haider, R.; Sudini, L.; Chow, C.K.; Cheung, N.W. Mobile phone text messaging in improving glycaemic control for patients with type 2 diabetes mellitus: A systematic review and meta-analysis. Diabetes Res. Clin. Pract., 2019, 150, 27-37. doi: 10.1016/j.diabres.2019.02.022 PMID: 30822496
  12. Moonian, O.; Jodheea-Jutton, A.; Khedo, K.K.; Baichoo, S.; Nagowah, S.D.; Nagowah, L.; Mungloo-Dilmohamud, Z.; Cheerkoot-Jalim, S. Recent advances in computational tools and resources for the self-management of type 2 diabetes. Inform. Health Soc. Care, 2020, 45(1), 77-95. doi: 10.1080/17538157.2018.1559168 PMID: 30653364
  13. Liang, G.; Jiang, H.; Huang, C.; Que, X.; Tang, J.; Lu, J.; Gao, J. Diabetes health management strategy based on internet plus graded diagnosis and treatment strategy. Ann. Palliat. Med., 2020, 9(6), 3915-3922. doi: 10.21037/apm-20-1996 PMID: 33302654
  14. Taylor, R.; Valabhji, J.; Aveyard, P.; Paul, D. Prevention and reversal of Type 2 diabetes: Highlights from a symposium at the 2019 Diabetes UK Annual Professional Conference. Diabet. Med., 2019, 36(3), 359-365. doi: 10.1111/dme.13892 PMID: 30597609
  15. Sharma, S.; Rehman Ansari, M.H.; Sharma, K.; Singh, R.K.; Ali, S.; Alam, M.M.; Zaman, M.S.; Alam, P.; Akhter, M. Pyrazoline scaffold: hit identification to lead synthesis and biological evaluation as antidiabetic agents. Future Med. Chem., 2023, 15(1), 9-24. doi: 10.4155/fmc-2022-0141 PMID: 36655571
  16. Taylor, R.; Al-Mrabeh, A.; Sattar, N. Understanding the mechanisms of reversal of type 2 diabetes. Lancet Diabetes Endocrinol., 2019, 7(9), 726-736. doi: 10.1016/S2213-8587(19)30076-2 PMID: 31097391
  17. Agarwal, P.; Mukerji, G.; Desveaux, L.; Ivers, N.M.; Bhattacharyya, O.; Hensel, J.M.; Shaw, J.; Bouck, Z.; Jamieson, T.; Onabajo, N.; Cooper, M.; Marani, H.; Jeffs, L.; Bhatia, R.S. Mobile app for improved self-management of type 2 diabetes: Multicenter pragmatic randomized controlled trial. JMIR Mhealth Uhealth, 2019, 7(1), e10321. doi: 10.2196/10321 PMID: 30632972
  18. Carter, S.; Clifton, P.M.; Keogh, J.B. Effect of intermittent compared with continuous energy restricted diet on glycemic control in patients with type 2 diabetes. JAMA Netw. Open, 2018, 1(3), e180756. doi: 10.1001/jamanetworkopen.2018.0756 PMID: 30646030
  19. Sharma, M.; Singh, R.K. The impact of mobile-learning on pharmacy education during COVID-19 pandemic. Indian J. Pharma. Pract., 2022, 15(2), 105-112. doi: 10.5530/ijopp.15.2.19
  20. Riddle, M.C.; Herman, W.H. The cost of diabetes care—An elephant in the room. Diabetes Care, 2018, 41(5), 929-932. doi: 10.2337/dci18-0012 PMID: 29678864
  21. Sami, W.; Ansari, T.; Butt, N.S.; Hamid, M.R.A. Effect of diet on type 2 diabetes mellitus: A review. Int. J. Health Sci. (Qassim), 2017, 11(2), 65-71. PMID: 28539866
  22. Lu, X.; Guo, D.; Feng, L.; Zhou, Y.; Zhang, C.; Li, J.; Jiang, Y. Effectiveness and practicality of eKTANG as a digital treatment for diabetes and relevant influence factors. Iran. J. Public Health, 2022, 51(1), 67-78. PMID: 35223627

Қосымша файлдар

Қосымша файлдар
Әрекет
1. JATS XML

© Bentham Science Publishers, 2024