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Telemedicine in outpatient diabetes practice


Authors: Jozef Lacka 1;  Barbora Lacková 1,2;  Linda Ilavská 3,4;  Adriana Ilavská 3
Authors‘ workplace: JAL, s. r. o., Trnava 1;  2. LF UK, Praha 2;  Medispektrum, s. r. o., Bratislava 3;  LF UK v Bratislave 4
Published in: Forum Diab 2024; 13(1): 6-15

Overview

Diabetes mellitus (DM) is a chronic, progressive, lifelong disease associated with regular visits at doctor. Monitoring measurements is one of the key factors in disease management and it is also an indicator of diabetic adherence and compliance of the patient. Patient is mostly willing to cooperate in the treatment at the beginning of the disease and in the first few months, after that it gradually weakens over the long term. In the study, we evaluated the data of 211 newly diagnosed patients with type 2 diabetes for a period of 11 months. In addition to the routine practice of personal visits of the doctor, we actively used the possibilities of telemedicine. During the first visit, patients received a telemedicine kit that includes glucometer, scale, blood pressure monitor, ECG and oximeter. The metabolic compensation was verified by evaluating glycated hemoglobin. By establishing telemedicine it enabled monitoring of compliance and adherence in the treatment of DM. The growing number of diabetics and the frequency of examinations puts pressure on the health system. In the management of patients with DM, tools for objectification are needed to continuously motivate patients. Telemedicine contributes to better compliance, adherence, metabolic compensation and reduces the need for frequent personal patient visits.

Keywords:

compliance – Telemedicine – diabetes mellitus – adherence – self-monitoring


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