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Volume 41(3); June 2017
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Sulwon Lecture 2016
Clinical Care/Education
Comprehensive Approach for Managing the Older Person with Diabetes Mellitus
Hyung Joon Yoo
Diabetes Metab J. 2017;41(3):155-159.   Published online May 18, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.155
  • 3,537 View
  • 41 Download
  • 2 Web of Science
  • 4 Crossref
AbstractAbstract PDFPubReader   

Care of the elderly population with diabetes may not be restricted to the management of hyperglycemia, associated risk factors, and specific diabetic complications. An integrated approach should also include the assessment and management of gerontological problems. Both diabetes mellitus and aging interact toward the direction of the increased incidence of geriatric syndromes. Education is a common element of both diabetes control and geriatric syndrome care. However, it has been perceived that conventional education programs for diabetics are not as effective for the elderly. We have designed geriatric reinforced education (GRE) for application in older diabetics with geriatric syndromes. We observed that the application of GRE improved the glucose control and the status of geriatric syndromes in older adults with diabetes. In summary, in terms of integrating the care of coexisting diabetes and geriatric problems, GRE may be a beneficial tool for the management of older adults with diabetes.

Citations

Citations to this article as recorded by  
  • The Relationship Between Diabetes Knowledge Level, Physical Activity, and Quality of Life in Older Adults
    Burçin AKÇAY, Tuğba KURU ÇOLAK, Sultan İĞREK, Bahar ÖZGÜL, Adnan APTI
    Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2023; 5(2): 162.     CrossRef
  • Evaluation of diabetes self-management education in geriatrics with type 2 diabetes in Turkey
    Emre S. SAYGILI, Ersen KARAKILIÇ, Serap YASA, Emine ŞEN
    Minerva Endocrinology.2022;[Epub]     CrossRef
  • Treatment Goals for Glycemia in Older Patients with Diabetes Mellitus
    Jung Ah Lim
    The Journal of Korean Diabetes.2019; 20(4): 220.     CrossRef
  • Circular RNA and its mechanisms in disease: From the bench to the clinic
    Bing Han, Jie Chao, Honghong Yao
    Pharmacology & Therapeutics.2018; 187: 31.     CrossRef
Review
Obesity and Metabolic Syndrome
Diabetes Prevention in Australia: 10 Years Results and Experience
James A. Dunbar
Diabetes Metab J. 2017;41(3):160-167.   Published online February 2, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.160
  • 4,833 View
  • 66 Download
  • 12 Web of Science
  • 11 Crossref
AbstractAbstract PDFPubReader   

Clinical trials have demonstrated the efficacy of lifestyle modification for the prevention of type 2 diabetes mellitus but it was achieved at higher cost than can be sustained in routine health services. The first clinical trial to report was the Finnish Diabetes Prevention Study. This paper describes how Australia worked with Finnish colleagues to adapt the findings of that study to achieve a statewide diabetes prevention program. Small evaluative, effectiveness trials have been conducted in a number of countries to see if the results of the clinical trials can be replicated in routine health services. The Australian evaluative trial, Greater Green Triangle Diabetes Prevention Program is described in detail to demonstrate the ingredients for success in moving a program from one country to another. Few countries have managed to scale up from evaluative trials to statewide or national programs. The Australian experience is described in detail including lessons learned about what reduced the effectiveness, particularly the need for policy makers in government, people from the implementing organisation and researchers to work together from the start of the evaluative trial and throughout the first 5 years of a national program.

Citations

Citations to this article as recorded by  
  • Miscarriage, stillbirth and the risk of diabetes in women: A systematic review and meta-analysis
    Qiqi You, Qingqing Jiang, Irakoze Shani, Yiling Lou, Shen Huang, Shiqi Wang, Shiyi Cao
    Diabetes Research and Clinical Practice.2023; 195: 110224.     CrossRef
  • A multiple case study of pre-diabetes care undertaken by general practice in Aotearoa/New Zealand: de-incentivised and de-prioritised work
    Christine Barthow, Jeremy Krebs, Eileen McKinlay
    BMC Primary Care.2023;[Epub]     CrossRef
  • Implementation of a diabetes prevention programme in a multi-ethnic community in primary care in England: An evaluation using constructs from the RE-AIM Framework
    Helen Dallosso, Kamlesh Khunti, Laura J. Gray, Kerry Hulley, Mel Ghaly, Naina Patel, Joe Kai, Navneet Aujla, Melanie J. Davies, Tom Yates
    Primary Care Diabetes.2023; 17(4): 309.     CrossRef
  • A critical realist exploration of factors influencing engagement in diabetes prevention programs in rural settings
    Britney McMullen, Kerith Duncanson, David Schmidt, Clare Collins, Lesley MacDonald-Wicks
    Australian Journal of Primary Health.2023; 29(5): 510.     CrossRef
  • Characteristics of participants in the first fully online National Diabetes Prevention Programme: A quantitative survey
    Clair Haseldine, Gráinne O'Donoghue, Patricia M Kearney, Fiona Riordan, Margaret Humphreys, Liz Kirby, Sheena McHugh
    HRB Open Research.2023; 6: 61.     CrossRef
  • Delivering the Diabetes Remission Clinical Trial (DiRECT) in primary care: Experiences of healthcare professionals
    Lucia Rehackova, Roy Taylor, Mike Lean, Alison Barnes, Louise McCombie, George Thom, Naomi Brosnahan, Wilma S. Leslie, Falko F. Sniehotta
    Diabetic Medicine.2022;[Epub]     CrossRef
  • It is time for a more targeted approach to prediabetes in primary care in Aotearoa New Zealand
    Christine Barthow, Sue Pullon, Eileen McKinlay, Jeremy Krebs, Stokes Tim
    Journal of Primary Health Care.2022; 14(4): 372.     CrossRef
  • Implementing a national diabetes prevention programme in England: lessons learned
    Jonathan Stokes, Judith Gellatly, Peter Bower, Rachel Meacock, Sarah Cotterill, Matt Sutton, Paul Wilson
    BMC Health Services Research.2019;[Epub]     CrossRef
  • How do we identify people at high risk of Type 2 diabetes and help prevent the condition from developing?
    J. Fagg, J. Valabhji
    Diabetic Medicine.2019; 36(3): 316.     CrossRef
  • Associations between physical activity and cataract treated surgically in patients with diabetes: findings from the 45 and Up Study
    Changfan Wu, Xiaotong Han, Xixi Yan, Xianwen Shang, Lei Zhang, Mingguang He
    British Journal of Ophthalmology.2019; 103(8): 1099.     CrossRef
  • Usefulness of a Novel Mobile Diabetes Prevention Program Delivery Platform With Human Coaching: 65-Week Observational Follow-Up
    Andreas Michaelides, Jennifer Major, Edmund Pienkosz Jr, Meghan Wood, Youngin Kim, Tatiana Toro-Ramos
    JMIR mHealth and uHealth.2018; 6(5): e93.     CrossRef
Editorial
Complications
Serum Prolactin and Cardiac Remodeling in Subjects with Prediabetes
Jin Hwa Kim
Diabetes Metab J. 2017;41(3):168-169.   Published online June 21, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.168
  • 2,928 View
  • 32 Download
PDFPubReader   
Original Articles
Clinical Care/Education
Comparison of Antidiabetic Regimens in Patients with Type 2 Diabetes Uncontrolled by Combination Therapy of Sulfonylurea and Metformin: Results of the MOHAS Disease Registry in Korea
Sung Hee Choi, Tae Jung Oh, Hak Chul Jang
Diabetes Metab J. 2017;41(3):170-178.   Published online May 11, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.170
  • 3,558 View
  • 35 Download
  • 5 Web of Science
  • 6 Crossref
AbstractAbstract PDFPubReader   
Background

The aim of this study was to investigate the glucose-lowering efficacy of antidiabetic treatments in patients with type 2 diabetes mellitus (T2DM) uncontrolled by sulfonylurea plus metformin.

Methods

This open-label, multicenter, prospective, observational study was conducted in 144 centers in Korea, from June 2008 to July 2010, and included patients with T2DM who had received sulfonylurea and metformin for at least 3 months and had levels of glycosylated hemoglobin (HbA1c) >7.0% in the last month. Data of clinical and biochemical characteristics were collected at baseline and 6 months after treatment. The treatment option was decided at the physician's discretion. Subjects were classified into the following three groups: intensifying oral hypoglycemic agents (group A), adding basal insulin (group B), or starting intensified insulin therapy (group C).

Results

Of 2,995 patients enrolled, 2,901 patients were evaluated, and 504 (17.4%), 2,316 (79.8%), and 81 patients (2.8%) were classified into groups A, B, and C, respectively. Subjects in group C showed relatively higher baseline levels of HbA1c and longer duration of diabetes. The mean decrease in HbA1c level was higher in the insulin treated groups (−0.9%±1.3%, −1.6%±1.3%, and −2.4%±2.3% in groups A, B, and C, respectively, P=0.042). The proportion of patients who achieved target HbA1c <7.0% was comparable among the groups; however, intensified insulin therapy seemed to be the most effective in achieving the target HbA1c of 6.5%.

Conclusion

These findings suggest that insulin-based therapy will be an important option in the improved management of Korean patients with T2DM whose glycemic control is not sufficient with sulfonylurea and metformin.

Citations

Citations to this article as recorded by  
  • Metformin-Insulin versus Metformin-Sulfonylurea Combination Therapies in Type 2 Diabetes: A Comparative Study of Glycemic Control and Risk of Cardiovascular Diseases in Addis Ababa, Ethiopia
    Desye Gebrie, Tsegahun Manyazewal, Dawit A Ejigu, Eyasu Makonnen
    Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2021; Volume 14: 3345.     CrossRef
  • Insulin Therapy for Adult Patients with Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association, 2017
    Byung-Wan Lee, Jin Hwa Kim, Seung-Hyun Ko, Kyu-Yeon Hur, Nan-Hee Kim, Sang Youl Rhee, Hyun Jin Kim, Min Kyong Moon, Seok-O Park, Kyung Mook Choi
    Diabetes & Metabolism Journal.2017; 41(5): 367.     CrossRef
  • Antihyperglycemic agent therapy for adult patients with type 2 diabetes mellitus 2017: a position statement of the Korean Diabetes Association
    Seung-Hyun Ko, Kyu-Yeon Hur, Sang Youl Rhee, Nan-Hee Kim, Min Kyong Moon, Seok-O Park, Byung-Wan Lee, Hyun Jin Kim, Kyung Mook Choi, Jin Hwa Kim
    The Korean Journal of Internal Medicine.2017; 32(6): 947.     CrossRef
  • Insulin therapy for adult patients with type 2 diabetes mellitus: a position statement of the Korean Diabetes Association, 2017
    Byung-Wan Lee, Jin Hwa Kim, Seung-Hyun Ko, Kyu Yeon Hur, Nan-Hee Kim, Sang Youl Rhee, Hyun Jin Kim, Min Kyong Moon, Seok-O Park, Kyung Mook Choi
    The Korean Journal of Internal Medicine.2017; 32(6): 967.     CrossRef
  • Antihyperglycemic Agent Therapy for Adult Patients with Type 2 Diabetes Mellitus 2017: A Position Statement of the Korean Diabetes Association
    Seung-Hyun Ko, Kyu-Yeon Hur, Sang Youl Rhee, Nan-Hee Kim, Min Kyong Moon, Seok-O Park, Byung-Wan Lee, Hyun Jin Kim, Kyung Mook Choi, Jin Hwa Kim
    Diabetes & Metabolism Journal.2017; 41(5): 337.     CrossRef
  • Insulin

    Reactions Weekly.2017; 1665(1): 159.     CrossRef
Clinical Care/Education
Knowledge, Attitude, and Practice of Iranian Internists Regarding Diabetes: A Cross Sectional Study
Mahtab Niroomand, Seyedeh Najmeh Ghasemi, Hamidreza Karimi-Sari, Mohammad Hossein Khosravi
Diabetes Metab J. 2017;41(3):179-186.   Published online June 2, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.179
  • 3,558 View
  • 46 Download
  • 3 Web of Science
  • 2 Crossref
AbstractAbstract PDFPubReader   
Background

A number of studies investigated the general practitioners' and family physicians' knowledge, attitude, and practice (KAP) on diabetes. However, studies on internists' KAP on diabetes management are limited. This study aimed to investigate the Iranian internists' KAP on diabetes mellitus and its management.

Methods

A cross-sectional study was conducted on a random sample of internists who participated in the 26th annual congress of internists in Tehran, Iran. The level of KAP and affecting factor was evaluated by a validated instrument.

Results

One-hundred internists with the mean age of 41.98±9.26 years were evaluated. Totally, the physicians possessed 66.29%±19.5%, 50.44%±19.39%, and 64.5%±15.3% of the scores in KAP, respectively. The time since graduation in general medicine had significant negative correlation with their knowledge and practice, that was along with the subjects' age (P<0.05). The KAP level had not significant difference between subjects participated in a continuing medical education (CME) program during the last year compared to subjects did not participated (P>0.05). Attitude, and practice scores were significantly higher in physicians who were working at diabetes clinic (P<0.05), and attitude was more in physicians working at teaching hospitals compared to those who were not working (57.82 vs. 47.72, P=0.020).

Conclusion

According to our results, subjects' age and time since graduation in general medicine and specialty were inversely correlated by knowledge and practice. So internists with older age seems to be in priority for educational programs. And holding CME programs in current forms seems to be not suitable to increase the KAP regarding diabetes.

Citations

Citations to this article as recorded by  
  • Primary care providers' knowledge, attitudes, and practices related to prediabetes in China: A cross-sectional study
    Linhua Pi, Jianru Yan, Dongxue Fei, Ying Zheng, Xiajie Shi, Zhen Wang, Zhiguang Zhou
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Knowledge of physicians regarding the management of Type two Diabetes in a primary care setting: the impact of online continuous medical education
    Zahra Emami, Azam Kouhkan, Alireza Khajavi, Mohammad E. Khamseh
    BMC Medical Education.2020;[Epub]     CrossRef
Clinical Care/Education
Physician-Directed Diabetes Education without a Medication Change and Associated Patient Outcomes
Hun-Sung Kim, Hyunah Kim, Hae-Kyung Yang, Eun Young Lee, Yoo Jin Jeong, Tong Min Kim, So Jung Yang, Seo Yeon Baik, Seung-Hwan Lee, Jae Hyoung Cho, In Young Choi, Hyeon Woo Yim, Bong-Yun Cha
Diabetes Metab J. 2017;41(3):187-194.   Published online May 12, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.187
  • 4,316 View
  • 38 Download
  • 1 Web of Science
  • 3 Crossref
AbstractAbstract PDFPubReader   
Background

When patients with diabetes mellitus (DM) are first referred to a hospital from primary health care clinics, physicians have to decide whether to administer an oral hypoglycemic agent (OHA) immediately or postpone a medication change in favor of diabetes education regarding diet or exercise. The aim of this study was to determine the effect of diabetes education alone (without alterations in diabetes medication) on blood glucose levels.

Methods

The study was conducted between January 2009 and December 2013 and included patients with DM. The glycosylated hemoglobin (HbA1c) levels were evaluated at the first visit and after 3 months. During the first medical examination, a designated doctor also conducted a diabetes education session that mainly covered dietary management.

Results

Patients were divided into those who received no diabetic medications (n=66) and those who received an OHA (n=124). Education resulted in a marked decrease in HbA1c levels in the OHA group among patients who had DM for <1 year (from 7.0%±1.3% to 6.6%±0.9%, P=0.0092) and for 1 to 5 years (from 7.5%±1.8% to 6.9%±1.1%, P=0.0091). Those with DM >10 years showed a slightly lower HbA1c target achievement rate of <6.5% (odds ratio, 0.089; P=0.0024).

Conclusion

For patients who had DM for more than 5 years, higher doses or changes in medication were more effective than intensive active education. Therefore, individualized and customized education are needed for these patients. For patients with a shorter duration of DM, it may be more effective to provide initial intensive education for diabetes before prescribing medicines, such as OHAs.

Citations

Citations to this article as recorded by  
  • Management Status of Patients with Type 2 Diabetes Mellitus at General Hospitals in Korea: A 5-Year Follow-Up Study
    Jin Hee Jung, Jung Hwa Lee, Hyang Mi Jang, Young Na, Hee Sun Choi, Yeon Hee Lee, Yang Gyo Kang, Na Rae Kim, Jeong Rim Lee, Bok Rye Song, Kang Hee Sim
    The Journal of Korean Diabetes.2022; 23(1): 64.     CrossRef
  • Effect of Voluntary Participation on Mobile Health Care in Diabetes Management: Randomized Controlled Open-Label Trial
    Da Young Lee, Seung-Hyun Yoo, Kyong Pil Min, Cheol-Young Park
    JMIR mHealth and uHealth.2020; 8(9): e19153.     CrossRef
  • Developing a multi-center clinical data mart of ACEI and ARB for real-world evidence (RWE)
    Hun-Sung Kim, Sue Hyun Lee, Tong Min Kim, Ju Han Kim
    Clinical Hypertension.2018;[Epub]     CrossRef
Complications
Impact of Gender on the Association between Low Serum Prolactin and Left Ventricular Mass in Subjects with Prediabetes
Mervat M. El-Eshmawy, Enas M. Elkhamisy, Eman Elsayed, Shaheer Kamal
Diabetes Metab J. 2017;41(3):195-204.   Published online June 21, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.195
  • 3,254 View
  • 34 Download
  • 4 Web of Science
  • 3 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   
Background

Low circulating prolactin hormone was associated with increased risk for type 2 diabetes mellitus. An inverse association of serum prolactin with cardiac remodeling was also previously suggested. Thus, the first question arises whether low serum prolactin is associated with adverse cardiac remodeling in subjects with prediabetes and if so what the impact of gender is? Second, could serum prolactin be considered a predictor of cardiac morbidity in those subjects? This study was conducted to assess prolactin level variations in relation to echocardiographic indices of cardiac remodeling among adult men and women with prediabetes.

Methods

This cross sectional study enrolled 80 subjects with prediabetic; 40 men and 40 women. Anthropometric measurements, plasma glucose, lipid profile, homeostasis model assessment of insulin resistance, white blood cells count, prolactin and echocardiography were assessed.

Results

Prolactin was significantly lower in men than in women with prediabetes. Left ventricular mass (LVM) was significantly higher in men than in women with prediabetes. The proportion of left ventricular hypertrophy (LVH) in men with prediabetes was 45% compared with 22.5% in women (P=0.03). We also found inverse independent associations of serum prolactin with LVM and LVH in men, but not in women.

Conclusion

In prediabetes, physiologically low serum prolactin is an independent predictor of increased LVM and LVH in adult men, but not in women. Prolactin may be a potential diagnostic biomarker for cardiac remodeling in adult men with prediabetes.

Citations

Citations to this article as recorded by  
  • The influence of diabetes and prediabetes on left heart remodeling: A population-based study
    Tan Li, Guangxiao Li, Xiaofan Guo, Zhao Li, Jun Yang, Yingxian Sun
    Journal of Diabetes and its Complications.2021; 35(2): 107771.     CrossRef
  • The regulatory effect of bromocriptine on cardiac hypertrophy by prolactin and D2 receptor modulation
    Karla Aidee Aguayo-Cerón, Claudia Camelia Calzada-Mendoza, Enrique Méndez-Bolaina, Rodrigo Romero-Nava, María Esther Ocharan-Hernández
    Clinical and Experimental Hypertension.2020; 42(7): 675.     CrossRef
  • Serum Prolactin and Cardiac Remodeling in Subjects with Prediabetes
    Jin Hwa Kim
    Diabetes & Metabolism Journal.2017; 41(3): 168.     CrossRef
Others
The Effect of 12 Weeks Aerobic, Resistance, and Combined Exercises on Omentin-1 Levels and Insulin Resistance among Type 2 Diabetic Middle-Aged Women
Zeinab AminiLari, Mohammad Fararouei, Sasan Amanat, Ehsan Sinaei, Safa Dianatinasab, Mahmood AminiLari, Nima Daneshi, Mostafa Dianatinasab
Diabetes Metab J. 2017;41(3):205-212.   Published online May 18, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.205
  • 5,193 View
  • 99 Download
  • 51 Web of Science
  • 49 Crossref
AbstractAbstract PDFPubReader   
Background

Recent studies have shown that omentin-1 derived from adipokines can affect physiological regulations and some metabolic dis-eases such as type 2 diabetes mellitus (T2DM).

Methods

The purpose of this study was to examine the impact of 12 weeks of aerobic (cycle ergometer), resistance, and combined exercises on omentin-1 level, glucose and insulin resistance indices in overweight middle age women with T2DM. In this study, 60 overweight middle age diabetic women were selected using simple random sampling and they were assigned to three groups of aerobic exercise (n=12), resistant exercise (n=12) and combined exercise (n=13), and one control group (n=15). Exercises were done in a three times per week sessions for a total of 12 weeks. Blood samples were collected before each exercise session and 24 hours after of the last session.

Results

Present study showed that fasting blood sugar decreased significantly in all intervention groups, while homeostasis model assessment of insulin resistance (HOMA-IR) decreased only in the aerobic and combined exercises groups. Furthermore, there was a significant increase in the omentin-1 level only in the combined exercise group.

Conclusion

Compared to aerobic and resistance exercises, 12 weeks of combined exercise was more efficient in improving HOMA-IR and increasing serum omentin-1 among women with T2DM.

Citations

Citations to this article as recorded by  
  • Effect of Exercise Training on Some Anti-Inflammatory Adipokines, High Sensitivity C-Reactive Protein, and Clinical Outcomes in Sedentary Adults With Metabolic Syndrome
    Kelian Gao, Zhanguo Su, Junyan Meng, Yuzhong Yao, LiGuang Li, Yiping Su, Gholam Rasul Mohammad Rahimi
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    Sirvan Atashak, Stephen R. Stannard, Ali Daraei, Mohammad Soltani, Ayoub Saeidi, Fatah Moradi, Ismail Laher, Anthony C. Hackney, Hassane Zouhal
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  • Effect of resistance training on HbA1c in adults with type 2 diabetes mellitus and the moderating effect of changes in muscular strength: a systematic review and meta-analysis
    Anna K Jansson, Li X Chan, David R Lubans, Mitch J Duncan, Ronald C Plotnikoff
    BMJ Open Diabetes Research & Care.2022; 10(2): e002595.     CrossRef
  • Exercise and Type II Diabetes Mellitus: A Brief Guide for Exercise Professionals
    Alexios Batrakoulis, Athanasios Z. Jamurtas, Ioannis G. Fatouros
    Strength & Conditioning Journal.2022; 44(6): 64.     CrossRef
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    Nejmeddine Ouerghi, Mohamed Kacem Ben Fradj, Martine Duclos, Anissa Bouassida, Moncef Feki, Katja Weiss, Beat Knechtle
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    Ayoub Saeidi, Marjan Mosalman Haghighi, Sarkawt Kolahdouzi, Ali Daraei, Abderraouf Ben Abderrahmane, M. Faadiel Essop, Ismail Laher, Anthony C. Hackney, Hassane Zouhal
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Others
Satisfaction Survey on Information Technology-Based Glucose Monitoring System Targeting Diabetes Mellitus in Private Local Clinics in Korea
Hun-Sung Kim, So Jung Yang, Yoo Jin Jeong, Young-Eun Kim, Seok-Won Hong, Jae Hyoung Cho
Diabetes Metab J. 2017;41(3):213-222.   Published online June 21, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.213
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AbstractAbstract PDFPubReader   
Background

Private local clinics in Korea have little experience with information technology (IT)-based glucose monitoring (ITGM). Our aim is to examine user satisfaction and the possibility of using ITGM service practically.

Methods

Patients sent their blood glucose levels to physicians in local clinics. The physicians reviewed the blood glucose values online and provided personal consultations through text messaging or phone calls. Thereafter, a satisfaction survey on the ITGM service, the modified Morisky scale, and patient assessment of chronic illness care were administered.

Results

One hundred and seventy patients from seven private local clinics used the ITGM. Overall satisfaction, including that about the ITGM service, the device, and its usefulness, was rated higher than “mostly satisfied” (score 4.2±0.8 out of 5.0) and even higher among the elderly. Satisfaction was positively associated with age, especially in those older than 60 years. The main reason for intent for future use of the service was the time/place flexibility. Highly motivated patients tended to answer positively regarding information satisfaction (P=0.0377).

Conclusion

Our study is the first to investigate ITGM satisfaction in private local clinics. The feasibility of users utilizing ITGM should be clarified, and future clinical research on the service's clinical effects and cost-benefit analysis is needed.

Citations

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Letter
Response
Response: Regulating Hypothalamus Gene Expression in Food Intake: Dietary Composition or Calorie Density? (Diabetes Metab J 2017;41:121-7)
Mi Jang, So-Young Park, Yong-Woon Kim, Seung-Pil Jung, Jong-Yeon Kim
Diabetes Metab J. 2017;41(3):225-227.   Published online June 21, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.225
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Diabetes Metab J : Diabetes & Metabolism Journal