Diabetes health management strategy based on internet plus graded diagnosis and treatment strategy

Abstract

Background: Type 2 diabetes (T2D) is a widespread chronic disease with high rates of morbidity and mortality worldwide. Managing risk factors can effectively prevent acute and chronic complications, improve quality of life, and reduce mortality. Therefore, implementation of a diabetes health management strategy is urgently needed. Emerging medical technologies have strengthened communication between patients and clinicians. The establishment and improvement of the graded diagnosis and treatment system has promoted the prevention, treatment, and management of diabetes.

Effectiveness of dietary interventions delivered by digital health to adults with chronic conditions: Systematic review and meta‐analysis

“…Dietary intake assessment methods and modalities were heterogenous across the included studies. Sixty four percent of studies (n = 25 studies) [25][26][27][28][29][31][32][33]36,37,39,40,42,48,[51][52][53][55][56][57][58][59][60]62,63 used questionnaires (non-digital), and 15% (n = 6 studies) 28,36,38,41,44,47 used interviews, 8% (n = 3 studies) 51,52,62 used urinary testing and 5% used (n = 2) 36,46 diet records (non-digital) (see Supporting information, Table S3). Outcome assessment of dietary intake was undertaken via the internet in 15% of the studies (n = 6 studies), 30,34,50,[61][62][63] electronic software in 13% (n = 5 studies), 28,35,[45][46]…”

“…The characteristics and main findings of the studies are provided in Table 1. Studies were conducted within hospitals (n = 20 studies), [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] community health care (n = 16 studies) [45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60] or a combination of these settings (n = 3). [61][62][63] The majority of studies were randomised control trials (n = 37 studies) with either two (n = 31 studies), [25][26][27][28][29][30][31][33][34]…”

“…[27][28][29][30][31][32]34,35,37,39,40,42,[44][45][46][47][48][49][50][51]54,56,58,[61][62][63] Dietary education predominately included tailored or general advice on healthy eating, dietary patterns (i.e., Mediterranean diet and dietary approaches to stop hypertension) or specific nutrients (i.e., sodium restriction). A range of digital health tools was used in these interventions, internet (n = 17 studies), [29][30][31][32][34][35][36][37]40,47,48,50,51,[57][58][59]63 including apps and/or messaging systems (n = 16 studies), [25][26][27][28][41][42]…”

“…33,38,39,55,61 The control groups were provided usual care that did include nutrition or lifestyle counselling, printed educational resources, online articles or e-mailed newsletter (but with no tailored dietary information). Most of the studies (n = 33 studies) [25][26][27][29][30][31][32][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][51][52][53][55][56][57][58][59][60][61]63 involved other lifestyle components in addition to diet (Table 1).…”

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

“…In a modern setting there is increased access to the internet and information technology, and telemedicine is obtaining favorable attention in the innovation of health care to revolutionize the care for patients [10,11]. In recent years, advanced internet technologies have been widely used in chronic disease management [12][13][14] and improved patient's self-management and adherence to provide a positive impact on outcomes [15][16][17]. However, there is still a lack of application planning regarding combining hemodialysis management with internet and information technology.…”