Skip Navigation
Skip to contents

Diabetes Metab J : Diabetes & Metabolism Journal

Search
OPEN ACCESS

Search

Page Path
HOME > Search
3 "Delivery of health care"
Filter
Filter
Article category
Keywords
Publication year
Authors
Funded articles
Review
Clinical Care/Education
A Clinical Practice Guideline to Guide a System Approach to Diabetes Care in Hong Kong
Ip Tim Lau
Diabetes Metab J. 2017;41(2):81-88.   Published online April 14, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.2.81
  • 4,696 View
  • 67 Download
  • 36 Web of Science
  • 36 Crossref
AbstractAbstract PDFPubReader   

The Hospital Authority of Hong Kong is a statutory body that manages all the public medical care institutions in Hong Kong. There are currently around 400,000 diabetic patients under its care at 17 hospitals (providing secondary care for 40%) and 73 General Outpatient Clinics (providing primary care for 60%). The patient population has been growing at 6% to 8% per year over the past 5 years, estimated to include over 95% of all diagnosed patients in Hong Kong. In order to provide equitable and a minimal level of care within resources and local system factors constraints, a Clinical Practice Guideline on the management of type 2 diabetes mellitus was drawn in 2013 to guide a system approach to providing diabetes care. There is an algorithm for the use of various hypoglycemic agents. An organizational drug formulary governs that less expansive options have to be used first. A number of clinical care and patient empowerment programs have been set up to support structured and systematic diabetes care. With such a system approach, there have been overall improvements in diabetes care with the percentage of patients with glycosylated hemoglobin <7% rising from 40% in 2010 to 52% in 2015.

Citations

Citations to this article as recorded by  
  • Comparisons of the risks of new-onset prostate cancer in type 2 diabetes mellitus between SGLT2I and DPP4I users: A population-based cohort study
    Oscar Hou In Chou, Lei Lu, Cheuk To Chung, Jeffrey Shi Kai Chan, Raymond Ngai Chiu Chan, Athena Yan Hiu Lee, Edward Christopher Dee, Kenrick Ng, Hugo Hok Him Pui, Sharen Lee, Bernard Man Yung Cheung, Gary Tse, Jiandong Zhou
    Diabetes & Metabolism.2025; 51(1): 101571.     CrossRef
  • Risk of Dementia Among Patients With Diabetes in a Multidisciplinary, Primary Care Management Program
    Kailu Wang, Shi Zhao, Eric Kam-Pui Lee, Susan Zi-May Yau, Yushan Wu, Chi-Tim Hung, Eng-Kiong Yeoh
    JAMA Network Open.2024; 7(2): e2355733.     CrossRef
  • Evaluating different low‐density lipoprotein cholesterol thresholds to initiate statin for prevention of cardiovascular diseases in patients with type 2 diabetes mellitus: A target trial emulation study
    Eric Yuk Fai Wan, Wanchun Xu, Anna Hoi Ying Mok, Weng Yee Chin, Esther Yee Tak Yu, Celine Sze Ling Chui, Esther Wai Yin Chan, Ian Chi Kei Wong, Cindy Lo Kuen Lam, Goodarz Danaei
    Diabetes, Obesity and Metabolism.2024; 26(5): 1877.     CrossRef
  • Prevalence and factors associated with diabetes-related distress in type 2 diabetes patients: a study in Hong Kong primary care setting
    Man Ho Wong, Sin Man Kwan, Man Chi Dao, Sau Nga Fu, Wan Luk
    Scientific Reports.2024;[Epub]     CrossRef
  • Optimizing physician‐encounter frequency for type 2 diabetes patients in primary care based on cardiovascular risk assessment: A target trial emulation study
    Wanchun Xu, Yuan Wang, Peter Tanuseputro, Cindy Lo Kuen Lam, Eric Yuk Fai Wan
    Diabetes, Obesity and Metabolism.2024; 26(11): 5358.     CrossRef
  • SGLT2i reduces risk of developing HCC in patients with co-existing type 2 diabetes and hepatitis B infection: A territory-wide cohort study in Hong Kong
    Chi-Ho Lee, Lung-Yi Mak, Eric Ho-Man Tang, David Tak-Wai Lui, Jimmy Ho-Cheung Mak, Lanlan Li, Tingting Wu, Wing Lok Chan, Man-Fung Yuen, Karen Siu-Ling Lam, Carlos King Ho Wong
    Hepatology.2023;[Epub]     CrossRef
  • Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review
    Calvin Ke, Emaad Mohammad, Juliana C. N. Chan, Alice P. S. Kong, Fok-Han Leung, Baiju R. Shah, Douglas Lee, Andrea O. Luk, Ronald C. W. Ma, Elaine Chow, Xiaolin Wei
    Current Diabetes Reports.2023; 23(7): 135.     CrossRef
  • Association of eGFR slope with all-cause mortality, macrovascular and microvascular outcomes in people with type 2 diabetes and early-stage chronic kidney disease
    Qiao Jin, Cindy Lo Kuen Lam, Eric Yuk Fai Wan
    Diabetes Research and Clinical Practice.2023; 205: 110924.     CrossRef
  • Association Between SGLT2 Inhibitors vs DPP-4 Inhibitors and Risk of Pneumonia Among Patients With Type 2 Diabetes
    Philip C M Au, Kathryn C B Tan, Bernard M Y Cheung, Ian C K Wong, Ying Wong, Ching-Lung Cheung
    The Journal of Clinical Endocrinology & Metabolism.2022; 107(4): e1719.     CrossRef
  • Effectiveness of Integrative Chinese–Western Medicine for Chronic Kidney Disease and Diabetes: A Retrospective Cohort Study
    Kam Wa Chan, Tak Yee Chow, Kam Yan Yu, Yibin Feng, Lixing Lao, Zhaoxiang Bian, Vivian Taam Wong, Sydney Chi-Wai Tang
    The American Journal of Chinese Medicine.2022; 50(02): 371.     CrossRef
  • Association Between SGLT2 Inhibitors vs DPP4 Inhibitors and Renal Outcomes Among Patients With Type 2 Diabetes
    Philip C M Au, Kathryn C B Tan, Bernard M Y Cheung, Ian C K Wong, Hang-Long Li, Ching-Lung Cheung
    The Journal of Clinical Endocrinology & Metabolism.2022; 107(7): e2962.     CrossRef
  • Association Between Team-Based Continuity of Care and Risk of Cardiovascular Diseases Among Patients With Diabetes: A Retrospective Cohort Study
    Kam Suen Chan, Eric Yuk Fai Wan, Weng Yee Chin, Esther Yee Tak Yu, Ivy Lynn Mak, Will Ho Gi Cheng, Margaret Kay Ho, Cindy Lo Kuen Lam
    Diabetes Care.2022; 45(5): 1162.     CrossRef
  • mRNA (BNT162b2) and Inactivated (CoronaVac) COVID-19 Vaccination and Risk of Adverse Events and Acute Diabetic Complications in Patients with Type 2 Diabetes Mellitus: A Population-Based Study
    Eric Yuk Fai Wan, Celine Sze Ling Chui, Anna Hoi Ying Mok, Wanchun Xu, Vincent Ka Chun Yan, Francisco Tsz Tsun Lai, Xue Li, Carlos King Ho Wong, Esther Wai Yin Chan, David Tak Wai Lui, Kathryn Choon Beng Tan, Ivan Fan Ngai Hung, Cindy Lo Kuen Lam, Gabriel
    Drug Safety.2022; 45(12): 1477.     CrossRef
  • Evaluation of Fracture Risk Among Patients With Type 2 Diabetes and Nonvalvular Atrial Fibrillation Receiving Different Oral Anticoagulants
    David Tak Wai Lui, Eric Ho Man Tang, Ivan Chi Ho Au, Tingting Wu, Chi Ho Lee, Chun Ka Wong, Chloe Yu Yan Cheung, Carol Ho Yi Fong, Wing Sun Chow, Yu Cho Woo, Kathryn Choon Beng Tan, Karen Siu Ling Lam, Carlos King Ho Wong
    Diabetes Care.2022; 45(11): 2620.     CrossRef
  • Ten-Year Effectiveness of the Multidisciplinary Risk Assessment and Management Programme–Diabetes Mellitus (RAMP-DM) on Macrovascular and Microvascular Complications and All-Cause Mortality: A Population-Based Cohort Study
    Eric Ho Man Tang, Ivy Lynn Mak, Emily Tsui Yee Tse, Eric Yuk Fai Wan, Esther Yee Tak Yu, Julie Yun Chen, Weng Yee Chin, David Vai Kiong Chao, Wendy Wing Sze Tsui, Tony King Hang Ha, Carlos King Ho Wong, Cindy Lo Kuen Lam
    Diabetes Care.2022; 45(12): 2871.     CrossRef
  • An Intervention to Change Illness Representations and Self-Care of Individuals With Type 2 Diabetes: A Randomized Controlled Trial
    Virginia W.Y. Chan, Alice P.S. Kong, Joseph T.F. Lau, Winnie W.S. Mak, Linda D. Cameron, Phoenix K.H. Mo
    Psychosomatic Medicine.2021; 83(1): 71.     CrossRef
  • Risk of mortality and complications in patients with schizophrenia and diabetes mellitus: population-based cohort study
    Joe Kwun Nam Chan, Corine Sau Man Wong, Philip Chi Fai Or, Eric Yu Hai Chen, Wing Chung Chang
    The British Journal of Psychiatry.2021; 219(1): 375.     CrossRef
  • Screening for diabetic retinopathy with different levels of financial incentive in a randomized controlled trial
    Jin Xiao Lian, Sarah Morag McGhee, Ching So, Alfred Siu Kei Kwong, Rita Sum, Wendy Wing Sze Tsui, David Vai Kiong Chao, Jonathan Cheuk Hung Chan
    Journal of Diabetes Investigation.2021; 12(9): 1632.     CrossRef
  • Greater variability in lipid measurements associated with kidney diseases in patients with type 2 diabetes mellitus in a 10-year diabetes cohort study
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Christie Sze Ting Lau, Anna Hoi Ying Mok, Yuan Wang, Ian Chi Kei Wong, Esther Wai Yin Chan, Cindy Lo Kuen Lam
    Scientific Reports.2021;[Epub]     CrossRef
  • Development and validation of the CHIME simulation model to assess lifetime health outcomes of prediabetes and type 2 diabetes in Chinese populations: A modeling study
    Jianchao Quan, Carmen S. Ng, Harley H. Y. Kwok, Ada Zhang, Yuet H. Yuen, Cheung-Hei Choi, Shing-Chung Siu, Simon Y. Tang, Nelson M. Wat, Jean Woo, Karen Eggleston, Gabriel M. Leung, Weiping Jia
    PLOS Medicine.2021; 18(6): e1003692.     CrossRef
  • Age‐Specific Associations of Usual Blood Pressure Variability With Cardiovascular Disease and Mortality: 10‐Year Diabetes Mellitus Cohort Study
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Jessica K. Barrett, Ian Chi Kei Wong, Esther Wai Yin Chan, Celine Sze Ling Chui, Shiqi Chen, Cindy Lo Kuen Lam
    Journal of the American Heart Association.2021;[Epub]     CrossRef
  • Diabetes complication burden and patterns and risk of mortality in people with schizophrenia and diabetes: A population-based cohort study with 16-year follow-up
    Joe Kwun Nam Chan, Corine Sau Man Wong, Philip Chi Fai Or, Eric Yu Hai Chen, Wing Chung Chang
    European Neuropsychopharmacology.2021; 53: 79.     CrossRef
  • Age‐specific associations of glycated haemoglobin variability with cardiovascular disease and mortality in patients with type 2 diabetes mellitus: A 10‐ year cohort study
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Florence Ting Yan Ng, Shu Ming Cheryl Chia, Ian Chi Kei Wong, Esther Wai Yin Chan, Cindy Lo Kuen Lam
    Diabetes, Obesity and Metabolism.2020; 22(8): 1316.     CrossRef
  • The Impact of Cardiovascular Disease and Chronic Kidney Disease on Life Expectancy and Direct Medical Cost in a 10-Year Diabetes Cohort Study
    Eric Yuk Fai Wan, Weng Yee Chin, Esther Yee Tak Yu, Ian Chi Kei Wong, Esther Wai Yin Chan, Shirley Xue Li, Nico Kwan Lok Cheung, Yuan Wang, Cindy Lo Kuen Lam
    Diabetes Care.2020; 43(8): 1750.     CrossRef
  • Greater variability in lipid measurements associated with cardiovascular disease and mortality: A 10‐year diabetes cohort study
    Eric Y. F. Wan, Esther Y. T. Yu, Weng Y. Chin, Jessica K. Barrett, Anna H. Y. Mok, Christie S. T. Lau, Yuan Wang, Ian C. K. Wong, Esther W. Y. Chan, Cindy L. K. Lam
    Diabetes, Obesity and Metabolism.2020; 22(10): 1777.     CrossRef
  • Age at diagnosis, glycemic trajectories, and responses to oral glucose-lowering drugs in type 2 diabetes in Hong Kong: A population-based observational study
    Calvin Ke, Thérèse A. Stukel, Baiju R. Shah, Eric Lau, Ronald C. Ma, Wing-Yee So, Alice P. Kong, Elaine Chow, Juliana C. N. Chan, Andrea Luk, Sanjay Basu
    PLOS Medicine.2020; 17(9): e1003316.     CrossRef
  • Age‐Specific Associations Between Systolic Blood Pressure and Cardiovascular Disease: A 10‐Year Diabetes Mellitus Cohort Study
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Ian Chi Kei Wong, Esther Wai Yin Chan, Shiqi Chen, Cindy Lo Kuen Lam
    Journal of the American Heart Association.2020;[Epub]     CrossRef
  • Associations between usual glycated haemoglobin and cardiovascular disease in patients with type 2 diabetes mellitus: A 10‐year diabetes cohort study
    Eric YF Wan, Esther YT Yu, Julie Y Chen, Ian CK Wong, Esther WY Chan, Cindy LK Lam
    Diabetes, Obesity and Metabolism.2020; 22(12): 2325.     CrossRef
  • Cultural adaptation and psychometric properties of the Chinese Burden of Treatment Questionnaire (C-TBQ) in primary care patients with multi-morbidity
    Weng Yee Chin, Carlos King Ho Wong, Cherry Cheuk Wai Ng, Edmond Pui Hang Choi, Cindy Lo Kuen Lam
    Family Practice.2019; 36(5): 657.     CrossRef
  • Association of Blood Pressure and Risk of Cardiovascular and Chronic Kidney Disease in Hong Kong Hypertensive Patients
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Daniel Yee Tak Fong, Edmond Pui Hang Choi, Cindy Lo Kuen Lam
    Hypertension.2019; 74(2): 331.     CrossRef
  • Burden of CKD and Cardiovascular Disease on Life Expectancy and Health Service Utilization: a Cohort Study of Hong Kong Chinese Hypertensive Patients
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Daniel Yee Tak Fong, Edmond Pui Hang Choi, Eric Ho Man Tang, Cindy Lo Kuen Lam
    Journal of the American Society of Nephrology.2019; 30(10): 1991.     CrossRef
  • Effect of Achieved Systolic Blood Pressure on Cardiovascular Outcomes in Patients With Type 2 Diabetes: A Population-Based Retrospective Cohort Study
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Weng Yee Chin, Colman Siu Cheung Fung, Daniel Yee Tak Fong, Edmond Pui Hang Choi, Anca Ka Chun Chan, Cindy Lo Kuen Lam
    Diabetes Care.2018; 41(6): 1134.     CrossRef
  • Evolution of Diabetes Care in Hong Kong: From the Hong Kong Diabetes Register to JADE-PEARL Program to RAMP and PEP Program
    Ivy H.Y. Ng, Kitty K.T. Cheung, Tiffany T.L. Yau, Elaine Chow, Risa Ozaki, Juliana C.N. Chan
    Endocrinology and Metabolism.2018; 33(1): 17.     CrossRef
  • Relation between HbA1c and incident cardiovascular disease over a period of 6 years in the Hong Kong population
    E.Y.F. Wan, E.Y.T. Yu, C.S.C. Fung, W.Y. Chin, D.Y.T. Fong, A.K.C. Chan, C.L.K. Lam
    Diabetes & Metabolism.2018; 44(5): 415.     CrossRef
  • Five-Year Effectiveness of the Multidisciplinary Risk Assessment and Management Programme–Diabetes Mellitus (RAMP-DM) on Diabetes-Related Complications and Health Service Uses—A Population-Based and Propensity-Matched Cohort Study
    Eric Yuk Fai Wan, Colman Siu Cheung Fung, Fang Fang Jiao, Esther Yee Tak Yu, Weng Yee Chin, Daniel Yee Tak Fong, Carlos King Ho Wong, Anca Ka Chun Chan, Karina Hiu Yen Chan, Ruby Lai Ping Kwok, Cindy Lo Kuen Lam
    Diabetes Care.2018; 41(1): 49.     CrossRef
  • Do We Need a Patient-Centered Target for Systolic Blood Pressure in Hypertensive Patients With Type 2 Diabetes Mellitus?
    Eric Yuk Fai Wan, Esther Yee Tak Yu, Colman Siu Cheung Fung, Weng Yee Chin, Daniel Yee Tak Fong, Anca Ka Chun Chan, Cindy Lo Kuen Lam
    Hypertension.2017; 70(6): 1273.     CrossRef
Original Articles
Clinical Care/Education
Feasibility of a Patient-Centered, Smartphone-Based, Diabetes Care System: A Pilot Study
Eun Ky Kim, Soo Heon Kwak, Seungsu Baek, Seung Lyeol Lee, Hak Chul Jang, Kyong Soo Park, Young Min Cho
Diabetes Metab J. 2016;40(3):192-201.   Published online April 8, 2016
DOI: https://doi.org/10.4093/dmj.2016.40.3.192
  • 6,355 View
  • 61 Download
  • 22 Web of Science
  • 29 Crossref
AbstractAbstract PDFPubReader   
Background

We developed a patient-centered, smartphone-based, diabetes care system (PSDCS). This study aims to test the feasibility of glycosylated hemoglobin (HbA1c) reduction with the PSDCS.

Methods

This study was a single-arm pilot study. The participants with type 2 diabetes mellitus were instructed to use the PSDCS, which integrates a Bluetooth-connected glucometer, digital food diary, and wearable physical activity monitoring device. The primary end point was the change in HbA1c from baseline after a 12-week intervention.

Results

Twenty-nine patients aged 53.9±9.1 years completed the study. HbA1c and fasting plasma glucose levels decreased significantly from baseline (7.7%±0.7% to 7.1%±0.6%, P<0.0001; 140.9±39.1 to 120.1±31.0 mg/dL, P=0.0088, respectively). The frequency of glucose monitoring correlated with the magnitude of HbA1c reduction (r=–0.57, P=0.0013). The components of the diabetes self-care activities, including diet, exercise, and glucose monitoring, were significantly improved, particularly in the upper tertile of HbA1c reduction. There were no severe adverse events during the intervention.

Conclusion

A 12-week application of the PSDCS to patients with inadequately controlled type 2 diabetes resulted in a significant HbA1c reduction with tolerable safety profiles; these findings require confirmation in a future randomized controlled trial.

Citations

Citations to this article as recorded by  
  • Telehealth Technologies in Diabetes Self-management and Education
    Vidya Sharma, Marie Feldman, Ramaswamy Sharma
    Journal of Diabetes Science and Technology.2024; 18(1): 148.     CrossRef
  • Analysis and mapping the research landscape on patient‐centred care in the context of chronic disease management
    Waleed M. Sweileh
    Journal of Evaluation in Clinical Practice.2024; 30(4): 638.     CrossRef
  • Effects of a diabetes education program integrated with text-message support for lifestyle change among older individuals with type 2 diabetes in communities: a randomised controlled trial
    M. Hou, W.N. Qiu, H.L. Qi, H.X. Shao, J.M. Yu, H.Y. Bian
    Public Health.2024; 235: 152.     CrossRef
  • The Role of Smartwatch Technology in the Provision of Care for Type 1 or 2 Diabetes Mellitus or Gestational Diabetes: Systematic Review
    Sergio Diez Alvarez, Antoni Fellas, Katie Wynne, Derek Santos, Dean Sculley, Shamasunder Acharya, Pooshan Navathe, Xavier Gironès, Andrea Coda
    JMIR mHealth and uHealth.2024; 12: e54826.     CrossRef
  • Wearable Devices for Supporting Chronic Disease Self-Management: Scoping Review
    Marie-Pierre Gagnon, Steven Ouellet, Eugène Attisso, Wilfried Supper, Samira Amil, Caroline Rhéaume, Jean-Sébastien Paquette, Christian Chabot, Marie-Claude Laferrière, Maxime Sasseville
    Interactive Journal of Medical Research.2024; 13: e55925.     CrossRef
  • App Design Features Important for Diabetes Self-management as Determined by the Self-Determination Theory on Motivation: Content Analysis of Survey Responses From Adults Requiring Insulin Therapy
    Helen N C Fu, Jean F Wyman, Cynthia J Peden-McAlpine, Claire Burke Draucker, Titus Schleyer, Terrence J Adam
    JMIR Diabetes.2023; 8: e38592.     CrossRef
  • The Clinical Impact of Flash Glucose Monitoring—a Digital Health App and Smartwatch Technology in Patients With Type 2 Diabetes: Scoping Review
    Sergio Diez Alvarez, Antoni Fellas, Derek Santos, Dean Sculley, Katie Wynne, Shamasunder Acharya, Pooshan Navathe, Xavier Girones, Andrea Coda
    JMIR Diabetes.2023; 8: e42389.     CrossRef
  • User Retention and Engagement in the Digital-Based Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (myDESMOND) Program: Descriptive Longitudinal Study
    Mary M Barker, Radhika Chauhan, Melanie J Davies, Christopher Brough, Alison Northern, Bernie Stribling, Sally Schreder, Kamlesh Khunti, Michelle Hadjiconstantinou
    JMIR Diabetes.2023; 8: e44943.     CrossRef
  • New Digital Health Technologies for Insulin Initiation and Optimization for People With Type 2 Diabetes
    David Kerr, Steven Edelman, Giacomo Vespasiani, Kamlesh Khunti
    Endocrine Practice.2022; 28(8): 811.     CrossRef
  • Effects of Patient-Driven Lifestyle Modification Using Intermittently Scanned Continuous Glucose Monitoring in Patients With Type 2 Diabetes: Results From the Randomized Open-label PDF Study
    Hun Jee Choe, Eun-Jung Rhee, Jong Chul Won, Kyong Soo Park, Won-Young Lee, Young Min Cho
    Diabetes Care.2022; 45(10): 2224.     CrossRef
  • Assessing the Acceptability and Effectiveness of Mobile-Based Physical Activity Interventions for Midlife Women During Menopause: Systematic Review of the Literature
    Ghada AlSwayied, Haoyue Guo, Tasmin Rookes, Rachael Frost, Fiona L Hamilton
    JMIR mHealth and uHealth.2022; 10(12): e40271.     CrossRef
  • Application of the National Institute for Health and Care Excellence Evidence Standards Framework for Digital Health Technologies in Assessing Mobile-Delivered Technologies for the Self-Management of Type 2 Diabetes Mellitus: Scoping Review
    Jessica R Forsyth, Hannah Chase, Nia W Roberts, Laura C Armitage, Andrew J Farmer
    JMIR Diabetes.2021; 6(1): e23687.     CrossRef
  • Mobile Healthcare System Provided by Primary Care Physicians Improves Quality of Diabetes Care
    Tae Jung Oh, Jie-Eun Lee, Seok Kim, Sooyoung Yoo, Hak Chul Jang
    CardioMetabolic Syndrome Journal.2021; 1(1): 88.     CrossRef
  • Self-Care IoT Platform for Diabetic Mellitus
    Jai-Chang Park, Seongbeom Kim, Je-Hoon Lee
    Applied Sciences.2021; 11(5): 2006.     CrossRef
  • Diabetes clinic reinvented: will technology change the future of diabetes care?
    Marwa Al-Badri, Osama Hamdy
    Therapeutic Advances in Endocrinology and Metabolism.2021;[Epub]     CrossRef
  • Analysis of Effectiveness and Psychological Techniques Implemented in mHealth Solutions for Middle-Aged and Elderly Adults with Type 2 Diabetes: A Narrative Review of the Literature
    Julia Vázquez-de Sebastián, Andreea Ciudin, Carmina Castellano-Tejedor
    Journal of Clinical Medicine.2021; 10(12): 2701.     CrossRef
  • Therapeutic Exercise Platform for Type-2 Diabetic Mellitus
    Je-Hoon Lee, Jai-Chang Park, Seong-Beom Kim
    Electronics.2021; 10(15): 1820.     CrossRef
  • Accuracy comparison study of new smartphone-based semen analyzer versus laboratory sperm quality analyzer
    Min Jung Park, Mi Young Lim, Hyun Jun Park, Nam Cheol Park
    Investigative and Clinical Urology.2021; 62(6): 672.     CrossRef
  • User Retention and Engagement With a Mobile App Intervention to Support Self-Management in Australians With Type 1 or Type 2 Diabetes (My Care Hub): Mixed Methods Study
    Mary D Adu, Usman H Malabu, Aduli EO Malau-Aduli, Aaron Drovandi, Bunmi S Malau-Aduli
    JMIR mHealth and uHealth.2020; 8(6): e17802.     CrossRef
  • The role of telehealth counselling with mobile self-monitoring on blood pressure reduction among overseas Koreans with high blood pressure in Vietnam
    Hyang Yuol Lee, Ju Young Kim, Ki Young Na, Hwa Yeon Park, Jinah Han, Yuliya Pak, Bola Nam, Chae Hyun Pae, Jisun Lee, Tae Ho Lim, Donghun Lee
    Journal of Telemedicine and Telecare.2019; 25(4): 241.     CrossRef
  • The Effect of a Smartphone-Based, Patient-Centered Diabetes Care System in Patients With Type 2 Diabetes: A Randomized, Controlled Trial for 24 Weeks
    Eun Ky Kim, Soo Heon Kwak, Hye Seung Jung, Bo Kyung Koo, Min Kyong Moon, Soo Lim, Hak Chul Jang, Kyong Soo Park, Young Min Cho
    Diabetes Care.2019; 42(1): 3.     CrossRef
  • Patient-Driven Diabetes Care of the Future in the Technology Era
    Sahar Ashrafzadeh, Osama Hamdy
    Cell Metabolism.2019; 29(3): 564.     CrossRef
  • Peripartum Management of Gestational Diabetes Using a Digital Health Care Service: A Pilot, Randomized Controlled Study
    Ji-Hee Sung, Da Young Lee, Kyoung Pil Min, Cheol-Young Park
    Clinical Therapeutics.2019; 41(11): 2426.     CrossRef
  • The Effects of Dietary Mobile Apps on Nutritional Outcomes in Adults with Chronic Diseases: A Systematic Review and Meta-Analysis
    Cosette Fakih El Khoury, Mirey Karavetian, Ruud J.G. Halfens, Rik Crutzen, Lama Khoja, Jos M.G.A. Schols
    Journal of the Academy of Nutrition and Dietetics.2019; 119(4): 626.     CrossRef
  • Diabetes Mellitus m-Health Applications: A Systematic Review of Features and Fundamentals
    Ericles Andrei Bellei, Daiana Biduski, Nathália Pinto Cechetti, Ana Carolina Bertoletti De Marchi
    Telemedicine and e-Health.2018; 24(11): 839.     CrossRef
  • Multifunctional Wearable System that Integrates Sweat‐Based Sensing and Vital‐Sign Monitoring to Estimate Pre‐/Post‐Exercise Glucose Levels
    Yongseok Joseph Hong, Hyunjae Lee, Jaemin Kim, Minha Lee, Hyung Jin Choi, Taeghwan Hyeon, Dae‐Hyeong Kim
    Advanced Functional Materials.2018;[Epub]     CrossRef
  • Smart Devices for Older Adults Managing Chronic Disease: A Scoping Review
    Ben YB Kim, Joon Lee
    JMIR mHealth and uHealth.2017; 5(5): e69.     CrossRef
  • Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: A systematic review
    Helen Fu, Siobhan K. McMahon, Cynthia R. Gross, Terrence J. Adam, Jean F. Wyman
    Diabetes Research and Clinical Practice.2017; 131: 70.     CrossRef
  • Novel device for male infertility screening with single-ball lens microscope and smartphone
    Yoshitomo Kobori, Peter Pfanner, Gail S. Prins, Craig Niederberger
    Fertility and Sterility.2016; 106(3): 574.     CrossRef
Efficacy of the Smartphone-Based Glucose Management Application Stratified by User Satisfaction
Hun-Sung Kim, Wona Choi, Eun Kyoung Baek, Yun A Kim, So Jung Yang, In Young Choi, Kun-Ho Yoon, Jae-Hyoung Cho
Diabetes Metab J. 2014;38(3):204-210.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.204
  • 6,190 View
  • 61 Download
  • 44 Web of Science
  • 48 Crossref
AbstractAbstract PDFPubReader   
Background

We aimed to assess the efficacy of the smartphone-based health application for glucose control and patient satisfaction with the mobile network system used for glucose self-monitoring.

Methods

Thirty-five patients were provided with a smartphone device, and self-measured blood glucose data were automatically transferred to the medical staff through the smartphone application over the course of 12 weeks. The smartphone user group was divided into two subgroups (more satisfied group vs. less satisfied group) based on the results of questionnaire surveys regarding satisfaction, comfort, convenience, and functionality, as well as their willingness to use the smartphone application in the future. The control group was set up via a review of electronic medical records by group matching in terms of age, sex, doctor in charge, and glycated hemoglobin (HbA1c).

Results

Both the smartphone group and the control group showed a tendency towards a decrease in the HbA1c level after 3 months (7.7%±0.7% to 7.5%±0.7%, P=0.077). In the more satisfied group (n=27), the HbA1c level decreased from 7.7%±0.8% to 7.3%±0.6% (P=0.001), whereas in the less satisfied group (n=8), the HbA1c result increased from 7.7%±0.4% to 8.1%±0.5% (P=0.062), showing values much worse than that of the no-smartphone control group (from 7.7%±0.5% to 7.7%±0.7%, P=0.093).

Conclusion

In addition to medical feedback, device and network-related patient satisfaction play a crucial role in blood glucose management. Therefore, for the smartphone app-based blood glucose monitoring to be effective, it is essential to provide the patient with a well-functioning high quality tool capable of increasing patient satisfaction and willingness to use.

Citations

Citations to this article as recorded by  
  • Acculturation and Disparities in Telemedicine Readiness: A National Study
    Jorge M. Rodríguez-Fernández, Nicolas Hoertel, Hugo Saner, Mukaila Raji
    The International Journal of Aging and Human Development.2024; 99(1): 96.     CrossRef
  • Diverse perspectives on remote collaborative care for chronic disease management
    Seo Yeon Baik, Hakyoung Park, Jiwon Shinn, Hun-Sung Kim
    Cardiovascular Prevention and Pharmacotherapy.2024; 6(1): 26.     CrossRef
  • Time Efficiency, Reliability, and User Satisfaction of the Tooth Memo App for Recording Oral Health Information: Cross-Sectional Questionnaire Study
    Palinee Detsomboonrat, Pagaporn Pantuwadee Pisarnturakit
    JMIR Formative Research.2024; 8: e56143.     CrossRef
  • The effectiveness of telemedicine in the management of type 2 diabetes: A systematic review
    Truong Van Dat, Van Binh, Thai Minh Hoang, Vo Linh Tu, Pham Dinh Luyen, Le Thi Kim Anh
    SAGE Open Medicine.2024;[Epub]     CrossRef
  • The effect of m-health applications on self-care improvement in older adults: A systematic review
    Sharareh Rostam Niakan Kalhori, Meysam Rahmani Katigari, Tahere Talebi Azadboni, Shahrbanoo Pahlevanynejad, Rahil Hosseini Eshpala
    Informatics for Health and Social Care.2023; 48(3): 292.     CrossRef
  • The effect of education and mobile health management on improvement of blood glucose with type 2 diabetes mellitus
    Sanbao Chai, Danyang Wang, Baoting Yao, Lin Xu, Linong Ji, Xiaomei Zhang
    Journal of Public Health.2022; 30(1): 205.     CrossRef
  • Effect of an Integrative Mobile Health Intervention in Patients With Hypertension and Diabetes: Crossover Study
    Sang Woo Oh, Kyoung-Kon Kim, Sung Soo Kim, Su Kyung Park, Sangshin Park
    JMIR mHealth and uHealth.2022; 10(1): e27192.     CrossRef
  • Evaluation of a Smart After-Care Program for Patients with Lung Cancer: A Prospective, Single-Arm Pilot Study
    Hee Chul Yang, Seung Hyun Chung, Ji Sung Yoo, Boram Park, Moon Soo Kim, Jong Mog Lee
    Journal of Chest Surgery.2022; 55(2): 108.     CrossRef
  • Effectiveness of Disease-Specific mHealth Apps in Patients With Diabetes Mellitus: Scoping Review
    Claudia Eberle, Maxine Löhnert, Stefanie Stichling
    JMIR mHealth and uHealth.2021; 9(2): e23477.     CrossRef
  • Mobile Healthcare System Provided by Primary Care Physicians Improves Quality of Diabetes Care
    Tae Jung Oh, Jie-Eun Lee, Seok Kim, Sooyoung Yoo, Hak Chul Jang
    CardioMetabolic Syndrome Journal.2021; 1(1): 88.     CrossRef
  • Online monitoring system for emergency diabetes mellitus patients
    R Kurniawati, S Suryono, S Ismail
    IOP Conference Series: Materials Science and Engineering.2021; 1108(1): 012018.     CrossRef
  • Towards Telemedicine Adoption in Korea: 10 Practical Recommendations for Physicians
    Hun-Sung Kim
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Analysis of Effectiveness and Psychological Techniques Implemented in mHealth Solutions for Middle-Aged and Elderly Adults with Type 2 Diabetes: A Narrative Review of the Literature
    Julia Vázquez-de Sebastián, Andreea Ciudin, Carmina Castellano-Tejedor
    Journal of Clinical Medicine.2021; 10(12): 2701.     CrossRef
  • Lack of Acceptance of Digital Healthcare in the Medical Market: Addressing Old Problems Raised by Various Clinical Professionals and Developing Possible Solutions
    Jong Il Park, Hwa Young Lee, Hyunah Kim, Jisan Lee, Jiwon Shinn, Hun-Sung Kim
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Efficacy of Interventions That Incorporate Mobile Apps in Facilitating Weight Loss and Health Behavior Change in the Asian Population: Systematic Review and Meta-analysis
    Siew Min Ang, Juliana Chen, Jia Huan Liew, Jolyn Johal, Yock Young Dan, Margaret Allman-Farinelli, Su Lin Lim
    Journal of Medical Internet Research.2021; 23(11): e28185.     CrossRef
  • Apprehensions about Excessive Belief in Digital Therapeutics: Points of Concern Excluding Merits
    Hun-Sung Kim
    Journal of Korean Medical Science.2020;[Epub]     CrossRef
  • Effect of a Mobile Phone–Based Glucose-Monitoring and Feedback System for Type 2 Diabetes Management in Multiple Primary Care Clinic Settings: Cluster Randomized Controlled Trial
    Yeoree Yang, Eun Young Lee, Hun-Sung Kim, Seung-Hwan Lee, Kun-Ho Yoon, Jae-Hyoung Cho
    JMIR mHealth and uHealth.2020; 8(2): e16266.     CrossRef
  • The development of My Care Hub Mobile-Phone App to Support Self-Management in Australians with Type 1 or Type 2 Diabetes
    Mary D. Adu, Usman H. Malabu, Aduli E. O. Malau-Aduli, Bunmi S. Malau-Aduli
    Scientific Reports.2020;[Epub]     CrossRef
  • Using the RE-AIM framework to evaluate internal and external validity of mobile phone–based interventions in diabetes self-management education and support
    Yilin Yoshida, Sonal J Patil, Ross C Brownson, Suzanne A Boren, Min Kim, Rosie Dobson, Kayo Waki, Deborah A Greenwood, Astrid Torbjørnsen, Ambady Ramachandran, Christopher Masi, Vivian A Fonseca, Eduardo J Simoes
    Journal of the American Medical Informatics Association.2020; 27(6): 946.     CrossRef
  • Development and Operation of a Video Teleconsultation System Using Integrated Medical Equipment Gateway: a National Project for Workers in Underserved Areas
    Hyun Sang Park, Kwang il Kim, Jae Young Soh, Young Ho Hyun, Bang Eun Lee, Jong Hwa Lee, Jung Gwon Jo, Han Chae Lee, Hwa Sun Kim
    Journal of Medical Systems.2020;[Epub]     CrossRef
  • Lessons from Use of Continuous Glucose Monitoring Systems in Digital Healthcare
    Hun-Sung Kim, Kun-Ho Yoon
    Endocrinology and Metabolism.2020; 35(3): 541.     CrossRef
  • Recent Technology-Driven Advancements in Cardiovascular Disease Prevention in Korea
    Jisan Lee, Hun-Sung Kim, Dai-Jin Kim
    Cardiovascular Prevention and Pharmacotherapy.2019; 1(2): 43.     CrossRef
  • Development and Evaluation: The Satisfaction of Using an Oral Health Survey Mobile Application
    Palinee Detsomboonrat, Pagaporn Pantuwadee Pisarnturakit
    Telemedicine and e-Health.2019; 25(1): 55.     CrossRef
  • A Mobile Lifestyle Management Program (GlycoLeap) for People With Type 2 Diabetes: Single-Arm Feasibility Study
    David Koot, Paul Soo Chye Goh, Robyn Su May Lim, Yubing Tian, Teng Yan Yau, Ngiap Chuan Tan, Eric Andrew Finkelstein
    JMIR mHealth and uHealth.2019; 7(5): e12965.     CrossRef
  • Self-management of Chronic Conditions Using mHealth Interventions in Korea: A Systematic Review
    Jae Yoon Yi, Yujin Kim, Yoon-Min Cho, Hongsoo Kim
    Healthcare Informatics Research.2018; 24(3): 187.     CrossRef
  • Seamless recording of glucometer measurements among older experienced diabetic patients – A study of perception and usability
    Peter Rasche, Alexander Mertens, Talya Miron-Shatz, Corinne Berzon, Christopher M. Schlick, Michael Jahn, Stefan Becker, Clemens Fürnsinn
    PLOS ONE.2018; 13(5): e0197455.     CrossRef
  • The efficacy of mobile application use on recall of surgical risks in nasal bone fracture reduction surgery
    Choong Hyeon Kim, Ji Seon Cheon, Woo Young Choi, Kyung Min Son
    Archives of Craniofacial Surgery.2018; 19(1): 41.     CrossRef
  • Enablers and barriers to using two-way information technology in the management of adults with diabetes: A descriptive systematic review
    Emma M Macdonald, Byron M Perrin, Michael IC Kingsley
    Journal of Telemedicine and Telecare.2018; 24(5): 319.     CrossRef
  • Considerations for the Development of Mobile Phone Apps to Support Diabetes Self-Management: Systematic Review
    Mary D Adu, Usman H Malabu, Emily J Callander, Aduli EO Malau-Aduli, Bunmi S Malau-Aduli
    JMIR mHealth and uHealth.2018; 6(6): e10115.     CrossRef
  • The Relationship Between Acceptance Intention Toward a Smartphone Healthcare Application and Health-Promoting Behaviors Among Nursing Students
    Eun-Jin Choi, Se-Won Kang
    CIN: Computers, Informatics, Nursing.2018; 36(10): 494.     CrossRef
  • Dietary Intake and Micronutrient Supplementation in Youth with Celiac Disease with and without Type 1 Diabetes
    Amanda Liu, Margaret Marcon, Esther Assor, Farid H. Mahmud, Justine Turner, Diana Mager
    Canadian Journal of Dietetic Practice and Research.2018; 79(3): 118.     CrossRef
  • Determinants of mobile technology use and smartphone application interest in cancer patients
    Nirupa Jaya Raghunathan, Deborah Korenstein, Qing S. Li, Emily S. Tonorezos, Jun J. Mao
    Cancer Medicine.2018; 7(11): 5812.     CrossRef
  • Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: A systematic review
    Helen Fu, Siobhan K. McMahon, Cynthia R. Gross, Terrence J. Adam, Jean F. Wyman
    Diabetes Research and Clinical Practice.2017; 131: 70.     CrossRef
  • Expectancy, usage and acceptance by general practitioners and patients: exploratory results from a study in the German outpatient sector
    Urs-Vito Albrecht, Kambiz Afshar, Kristin Illiger, Stefan Becker, Tobias Hartz, Bernhard Breil, Daniel Wichelhaus, Ute von Jan
    DIGITAL HEALTH.2017;[Epub]     CrossRef
  • 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 & Metabolism Journal.2017; 41(3): 213.     CrossRef
  • Tailored Communication Within Mobile Apps for Diabetes Self-Management: A Systematic Review
    Heidi Holmen, Astrid Klopstad Wahl, Milada Cvancarova Småstuen, Lis Ribu
    Journal of Medical Internet Research.2017; 19(6): e227.     CrossRef
  • Smart Devices for Older Adults Managing Chronic Disease: A Scoping Review
    Ben YB Kim, Joon Lee
    JMIR mHealth and uHealth.2017; 5(5): e69.     CrossRef
  • What do we know about mobile applications for diabetes self-management? A review of reviews
    Megan Hood, Rebecca Wilson, Joyce Corsica, Lauren Bradley, Diana Chirinos, Amanda Vivo
    Journal of Behavioral Medicine.2016; 39(6): 981.     CrossRef
  • Randomized, Open-Label, Parallel Group Study to Evaluate the Effect of Internet-Based Glucose Management System on Subjects with Diabetes in China
    Hun-Sung Kim, Chenglin Sun, So Jung Yang, Lin Sun, Fei Li, In Young Choi, Jae-Hyoung Cho, Guixia Wang, Kun-Ho Yoon
    Telemedicine and e-Health.2016; 22(8): 666.     CrossRef
  • Characterization of Apps and Other e-Tools for Medication Use: Insights Into Possible Benefits and Risks
    Linda Wilhelmina Maria van Kerkhof, Catharina Walthera Egbertha van der Laar, Charlie de Jong, Marjolein Weda, Ingrid Hegger
    JMIR mHealth and uHealth.2016; 4(2): e34.     CrossRef
  • Social Networking Services-Based Communicative Care for Patients with Diabetes Mellitus in Korea
    Hun-Sung Kim, Yoo Jeong, Sun Baik, So Yang, Tong Kim, Hyunah Kim, Hyunyong Lee, Seung-Hwan Lee, Jae Cho, In-Young Choi, Kun-Ho Yoon
    Applied Clinical Informatics.2016; 07(03): 899.     CrossRef
  • Use of Mobile Health Technology in the Prevention and Management of Diabetes Mellitus
    Jacob Hartz, Leah Yingling, Tiffany M. Powell-Wiley
    Current Cardiology Reports.2016;[Epub]     CrossRef
  • Nurses’ experiences of using a smart mobile device application to assist home care for patients with chronic disease: a qualitative study
    Kuei‐Feng Chiang, Hsiu‐Hung Wang
    Journal of Clinical Nursing.2016; 25(13-14): 2008.     CrossRef
  • Does nutritional counseling in telemedicine improve treatment outcomes for diabetes? A systematic review and meta-analysis of results from 92 studies
    Dejun Su, Chelsea McBride, Junmin Zhou, Megan S Kelley
    Journal of Telemedicine and Telecare.2016; 22(6): 333.     CrossRef
  • A Smartphone Application Significantly Improved Diabetes Self-Care Activities with High User Satisfaction
    Yu Jin Kim, Sang Youl Rhee, Jong Kyu Byun, So Young Park, Soo Min Hong, Sang Ouk Chin, Suk Chon, Seungjoon Oh, Jeong-taek Woo, Sung Woon Kim, Young Seol Kim
    Diabetes & Metabolism Journal.2015; 39(3): 207.     CrossRef
  • New Directions in Chronic Disease Management
    Hun-Sung Kim, Jae-Hyoung Cho, Kun-Ho Yoon
    Endocrinology and Metabolism.2015; 30(2): 159.     CrossRef
  • Current Clinical Status of Telehealth in Korea: Categories, Scientific Basis, and Obstacles
    Hun-Sung Kim, Hyunah Kim, Suehyun Lee, Kye Hwa Lee, Ju Han Kim
    Healthcare Informatics Research.2015; 21(4): 244.     CrossRef
  • Using mobile phones in healthcare management for the elderly
    Hun-Sung Kim, Kye-Hwa Lee, Hyunah Kim, Ju Han Kim
    Maturitas.2014; 79(4): 381.     CrossRef

Diabetes Metab J : Diabetes & Metabolism Journal
Close layer
TOP