Our world has been radically transformed by digital technology - smart phones, tablets, and web-enabled devices have transformed our daily lives and the way we communicate. This can be used a great means to control and transform HealthCare.
Diabetes of all diseases is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease and this figure is likely to go up to 80 million by 2025. Delhi alone has more than 30 lakh people suffering from this disease (Indo-US collaborative study). With diabetes growing at an alarming rate, care provided to these patients has to be modified to provide personalized care.
Numerous resources are available to help patients increase their role in the management of diabetes while simultaneously improving their metabolic parameters. Although the Internet is a burgeoning source of information and resources, the average patient often lacks the skills for finding and using the most optimal health care information.
It is important for doctors to educate patients about the available pragmatic technological resources for the management of their diabetes. Specifically, smartphones have become an integral component of daily life for many people in India. Half of those users who own mobile phones also had Internet access with their mobile devices. The implementation of smartphone applications and tools for the management of diabetes may be an effective option in reducing the progression of diabetes and improving quality of life.
Consistent self-monitoring blood glucose (SMBG) has been shown to be a useful tool in improving glycemic control in type 2 diabetes. The use of smartphone apps has already been shown to be a useful method for accurately logging and managing SMBG results. SMBG data that are logged on a smartphone app can be easily reviewed with doctors to make recommendations about exercise, diet, or medications and reduced hospitalizations.
Many patients with type 1 diabetes are not very well controlled. They have an A1c levels > 8%, and the main reason for that is the difficulty of coping with the constraints of this disease. At least twice a day, they have to adjust their prandial insulin dose according to carbohydrate intake and premeal glycaemia, and if appropriate, according to their physical activity. It is quite a difficult task for some patients, and that's why most often they have either hypoglycemia or hyperglycemia, primarily after meals.
There is a correlation between A1c concentration and the number of contacts between patients and diabetes healthcare professionals. However, it is difficult for young patients to comply with the numerous visits they must have with their diabetes healthcare professionals. Most of these visits are not very useful because the patient gives up. The paper or the notebook in which they are told to write down all of their results of blood glucose testing, insulin doses, and so on, is often incomplete. Without these data, it is very difficult for the healthcare professional to give good advice to patients.
There are apps that acts as bolus calculator that takes into account the carbohydrate intake, the premeal glycaemia, and physical activity level as reported by the patient. Based on the input automatic algorithms, which adjust the carbohydrate/insulin ratio and the insulin pump's basal rate if the postprandial glycaemia or the fasting glycaemia are off target. The third function is the transmission of the data to a secure Website where the healthcare professional can see the patient's data at any time, and they can communicate by telephone with their patient with data in front of them.
These Diabetes apps are personal assistants for patients with Type 1 and 2 diabetes. W ith this app one can create smart reminders for taking meal and dose on time, regulate blood sugar level, and inform dietitian, keep track of carbohydrate consumption, reads loads of information. These apps makes healthy lifestyle more fun by using gamification techniques by allowing users to collaborate with fellow users and unlock awesome badges and even win free meals for taking good care of their health. These apps also allows you to quickly check and compare foods while shopping and in restaurants. Providing a overall health control for diabetes patients.
We at DJ Computing believe that a greater and more seamless flow of information within a digital health care infrastructure, created by electronic health records (EHRs), and mHealth encompasses and leverages digital progress and can transform the way diabetes is treated in India.
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