Diabetes Care
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Published online August 6, 2007
Diabetes Care 30:2857-2858, 2007
DOI: 10.2337/dc06-2464
© 2007 by the American Diabetes Association
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Clinical Care/Education/Nutrition/Psychosocial Research
Original Research

Internet Diabetic Patient Management Using a Short Messaging Service Automatically Produced by a Knowledge Matrix System

Chulsik Kim, MD, PHD, Haijin Kim, MD, Jisun Nam, MD, Minho Cho, MD, Jongsuk Park, MD, Eunseok Kang, MD, PHD, Chulwoo Ahn, MD, PHD, Bongsoo Cha, MD, PHD, Eunjig Lee, MD, PHD, Sungkil Lim, MD, PHD, Kyungrae Kim, MD, PHD and Hyunchul Lee, MD, PHD

From the Department of Internal Medicine, Yongdong Severance Hospital, Seoul, Korea

Address correspondence and reprint requests to Dr. Chulwoo Ahn, Department of Internal Medicine, Yongdong Severance Hospital, 146-92, Dogok-dong, Kangnam-ku, P.O. Box 135-720, Seoul, Korea. E-mail: acw@yumc.yonsei.ac.kr

Abbreviations: SMS, short message service

The first 20% of the full text of this article appears below.


    INTRODUCTION
 
Lifelong strict self-care is essential in the management of diabetes, along with easy access to the health care system (1–3). However, there is an evident limitation in fulfilling these conditions in the current health care system, which is oriented toward outpatient care (4–7). Thus, various strategies have been designed to improve the quality and efficiency of treating diabetic patients.

Wireless technology is a worldwide communication system that allows a person to contact others anywhere at any time. Therefore, doctor-patient communication becomes possible anywhere with the use of this system (8). Currently, in civilized countries, nearly all adults and adolescences have their own cellular phones and use short message services (SMSs) in their daily lives. Moreover, numerous people are using ultra-fast Internet services at work or in the home. We designed an Internet-based diabetic patient management system using SMS that was automatically produced by a knowledge matrix. Subsequently, we compared biochemical profiles and clinical status between diabetic patients who used our system for 12 weeks and those who received the conventional outpatient management over the same time period.


    RESEARCH DESIGN AND METHODS—
 
We developed a knowledge matrix containing information on proper diet and exercise for diabetic patients based on the Korea Staged Diabetes Management Guideline (Table 1). Moreover, with the technical assistance from ISU UBCare, we created a Web site program (http://yds.healthkorea.net) that was used to formulate appropriate messages through an automated algorithm. We also designed a device that had the dual function of a . . . [Full Text of this Article]


    RESULTS—
 

    CONCLUSIONS—
 

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Copyright © 2007 by the American Diabetes Association.