Today, telemedicine 'down the street, with the first Diabéo example, a tool for telemedicine to benefit patients with type 1 diabetes (IDDM absolute). An innovative device which meets all the requirements expected: it's tele-assistance, tele-surveillance, tele-consultation and tele-expertise.
Telemedicine is a concept developed to allow medical teams to provide them from city to city, region to region, to exchange information, discuss remote case of patients requiring a multidisciplinary approach to also allow physicians to require isolated Notice of a hospital specializing in one case, exchange and comment also images. It is obvious that the emergence of Internet has facilitated and accelerated this type of remote exchange.
It must be said that this example is striking because the initiatives are still few in the field of remote monitoring of a chronic condition. This initiative is a combination of work CERITD, Center for Studies and Research for Intensified Treatment of Diabetes, and Voluntis, creator of the software platform for e-health medpassport. They have developed an innovative device that meets the requirements expected: it's tele-assistance, tele-surveillance, tele-consultation and tele-expertise, the prefix "tele" takes its full meaning here, since it means (in Greek): Remote!
What was the problem? Answer: the constraints of chronic insulin therapy. Diabetes management is entrusted to the patient, ie multiple daily checks of blood glucose and multiple insulin injections. These constraints do not always facilitate the daily life and some people may feel isolated with their problems without support from their doctor.
Diabéo, created by clinicians and specialists in medical informatics, is a telemedicine solution for the monitoring of type 1 diabetes, presented by its designers as a real tool for therapeutic education (the concept evolving current) and d 'decision support, to empower the diabetes without that one has the impression that he must make do without the doctor. Diabéo is a software functional insulin downloaded on a phone-PDA and using the Internet channel through the operator Orange Healthcare. It is simple to use, which is essential if we want to extend and improve self-management of his illness by the patient. The transmission of data to the healthcare professional who follows the patient allows the constant monitoring of its biological control treatment, and can thus achieve a minimum ... teleconsultation for regular consultations assets are obviously necessary ... The study Télédiab 1 verified that Diabéo improves metabolic control in diabetic patients compared to a control group (not equipped). More importantly, this concept, its proponents say, can "reduce the distance between the practitioner and patient, to strengthen the management of patients, to optimize the working hours of nurses to meet increased demand for care without increase of resources. " This patient commits less spending by controlling blood glucose (lower frequency of complications), is supervised by a flexible, lightweight and above all do not feel the distance between him and his doctor, unless it is reluctant to computer ... and distance, which may exist in the psychology of these particular patients. The question obviously is, is it possible for type 2 diabetes? Certainly: Diabéo has opened prospects for a track that other diabetes, which requires, according to developers, complex treatment regimens by injection or pump, which is were the sole mode of treatment of type 1 but must be offered to Type 2 diabetes when oral (ADO) are no longer effective given the progression of type 2 to a similar stage of type 1. Law Hospital, health, patients and territories (HPST) includes an article on telemedicine. New information systems in the service of care and access to care, may contribute to the success of new issues of reforming the health system
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