Ubiquitous Healthcare for Elderly Patients With Type 2 Diabetes Mellitus
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Purpose
Ubiquitous healthcare service for elderly patients with type 2 diabetes provides real-time glycemic monitoring and glucose control implemented by clinical decision support system (CDSS) using wire and wireless communication and information technology.
To evaluate the clinical efficacy of this system, researchers plan to compare the improvement of glycemic control, self-management, and quality of life among three study groups: control, self glucose monitoring, and U-healthcare group.
| Condition | Intervention |
|---|---|
|
Diabetes |
Device: U-healthcare service Device: SMBG group |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Clinical Efficacy of Ubiquitous Healthcare System for Elderly Patients With Type 2 Diabetes Mellitus |
- Target goal of HbA1c (< 7.0%) without hypoglycemia [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]Percent of patients who reach target goal of HbA1c (< 7.0%) without hypoglycemia
- quality of life [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- amount of exercise [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Body mass index (BMI) changes [ Time Frame: Body mass index ] [ Designated as safety issue: No ]Comparison of body mass index changes among control, self monitoring of blood glucose (SMBG) and ubiquitous healthcare groups
| Enrollment: | 150 |
| Study Start Date: | June 2009 |
| Study Completion Date: | September 2010 |
| Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: U-healthcare
glucose meter and U-healthcare
|
Device: U-healthcare service
Public switched telephone network (PSTN)-connected glucometer with U-healthcare system.
Other Name: U-healthcare group
|
|
Active Comparator: SMBG group
Diabetic patients who do self monitoring of blood glucose only were categorized into self monitoring of blood glucose (SMBG) group.
|
Device: SMBG group
Glucose control with self monitoring of blood glucose.
Other Name: SMBG group
|
|
No Intervention: control
conventional treatment
|
Detailed Description:
Recently, the application of internet-based glucose control system showed better long term glucose control compared to the conventional treatment. This study has become the foundation of web-based methodology in the glucose control. In addition, the combined application of mobile device and web-based monitoring system for chronic diseases showed improvement in various metabolic parameters in obese patients with diabetes and hypertension.
Thus, the application of U-healthcare based on advanced information technology would be helpful in the diabetes management. We plan to provide an individualized U-healthcare service using advanced information technology that enables more effective glucose control.
Eligibility| Ages Eligible for Study: | 60 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Type 2 diabetes
- age: 60 ~ 85 yrs
- HbA1c: 6.5%-11.0%
- duration of diabetes: less than 30 years
- BMI: 20-35
Exclusion Criteria:
- systemic corticosteroid administered within previous 6 months
- history of myocardial ischemia
- Heart failure, NYHA Class II-IV
- Thyroid disease with abnormal TFT
- Anti-obesity drugs or slimming products within previous 3 months
Contacts and Locations| Korea, Republic of | |
| Seoul National University Bundang Hospital | |
| Seongnam, Korea, Republic of | |
| Principal Investigator: | Soo Lim, MD, MPH, PhD | Seoul National University Bundang Hospital |
More Information
No publications provided by Seoul National University Bundang Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Soo Lim, MD, MPH, PhD, Seoul National University Bundang Hospital |
| ClinicalTrials.gov Identifier: | NCT01137058 History of Changes |
| Other Study ID Numbers: | SNUBH_UH1 |
| Study First Received: | June 2, 2010 |
| Last Updated: | May 23, 2011 |
| Health Authority: | South Korea: Korea Food and Drug Administration (KFDA) |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
ClinicalTrials.gov processed this record on June 17, 2013