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Reducing the Cost of Diabetes Care with Telemedicine, Smartphone, and Home Monitoring
Journal of the Indian Institute of Science ( IF 2.3 ) Pub Date : 2023-04-21 , DOI: 10.1007/s41745-023-00363-y
Jothydev Kesavadev 1 , Viswanathan Mohan 2
Affiliation  

The effect of an increasing diabetes population has resulted in escalated costs and overburdened physicians. The increase in cost is not due to the disease per se, but because of its largely preventable complications. Patient-friendly technologies are proven to significantly reduce complications and thereby cost, but seldom practised. Telemedicine is increasingly being utilized in diabetology to improve access to health care, quality of care, and clinical/psychosocial outcomes in patients with diabetes (PWD). In PWD, patient–physician interactions are essential for improving health outcomes and preventing long-term complications. Smartphones are one of the basic modalities for telemedicine application. Mobile phone messaging applications, including text messaging and multimedia message service, could offer a convenient and cost-effective way to support desirable health behaviors. There are diabetes-related mobile apps mainly focusing on self-management of diabetes, lifestyle modification, and medication adherence motivation. With the widespread availability of high-speed Internet, remote monitoring has also become popular. Home monitoring of blood glucose and blood pressure, wearable devices, and continuous glucose monitoring also play a vital role in bringing down the long‑term vascular complications of diabetes and thereby reduce the overall cost and improve the quality of life of patients. There are hundreds of tech platforms for diabetes management, of which only a few with proven efficacy and safety are recommended by physicians.



中文翻译:

通过远程医疗、智能手机和家庭监控降低糖尿病护理成本

糖尿病人口不断增加的影响导致成本上升和医生负担过重。费用的增加并不是由于疾病本身,而是因为其并发症在很大程度上是可以预防的。事实证明,患者友好型技术可以显着减少并发症,从而降低成本,但很少得到实践。远程医疗越来越多地应用于糖尿病学,以改善糖尿病 (PWD) 患者获得医疗保健的机会、护理质量以及临床/心理社会结果。对于残疾人,患者与医生的互动对于改善健康结果和预防长期并发症至关重要。智能手机是远程医疗应用的基本方式之一。移动电话消息应用程序,包括文本消息和彩信服务,可以提供一种方便且经济高效的方式来支持理想的健康行为。有一些与糖尿病相关的移动应用程序主要关注糖尿病的自我管理、生活方式的改变和药物依从性动机。随着高速互联网的普及,远程监控也变得流行。家庭血糖和血压监测、可穿戴设备和连续血糖监测在降低糖尿病长期血管并发症方面也发挥着至关重要的作用,从而降低总体成本并提高患者的生活质量。用于糖尿病管理的技术平台有数百个,其中只有少数几个经证实有效和安全的平台得到了医生的推荐。

更新日期:2023-04-22
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