Six-month Outcomes of Mobile Phone Application-based Self-management in a Patient with Type 2 Diabetes

Mi Kyeong Hong; Young Yun Cho; Mi Yong Rha; Jae Hyeon Kim; Moon-Kyu Lee

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자료유형: 학술저널

저자정보: Mi Kyeong Hong (Samsung Medical Center) Young Yun Cho (Samsung Medical Center) Mi Yong Rha (Samsung Medical Center) Jae Hyeon Kim (Samsung Medical Center) Moon-Kyu Lee (Samsung Medical Center)

저널정보: 한국임상영양학회 Clinical Nutrition Research Clinical Nutrition Research Vol.4 No.3

발행연도: 2015.1

수록면: 201 - 207 (7page)

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We report the case in order to examine the effect of a mobile application program (“Diabetes & Nutrition”) developed in 2011- 2012 for self-management in patients with type 2 diabetes and to recommend important considerations when the mobile application program is developed. A 46-year-old man was newly diagnosed with type 2 diabetes in 2013 and had no complications. The height of the patient was 168 cm and the body weight was 75.6 kg. Nutrition education was conducted according to a medical prescription, and follow-up nutrition education was conducted after 3 and 6 months. After nutrition education, the patient was engaged in self-management using “Diabetes & Nutrition” program during 3 months. At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%. Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day. Since then, the patient did not continue to use the “Diabetes & Nutrition” because the level of blood glucose had stabilized, and the patient felt inconvenient and annoying to use the program. At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months. The present case demonstrates that the early use of “Diabetes & Nutrition” could be helpful for self-management of glycemic control in patients with type 2 diabetes. Developing self-management mobile application programs in the future will require strategies of how to promote continuous use of application program and self-management of type 2 diabetes.

참고문헌 (17)

참고문헌 신청

Korean Diabetes Association Board of Education / 2013 / Diabetes education guideline / Korean Diabetes Association

Norris SL / 2002 / Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control / Diabetes Care 25:1159~1171

Haas L / 2014 / 2012 Standards Revision Task Force. National standards for diabetes self-management education and support / Diabetes Care 37(Suppl 1):S144~S153

이승림 / 2004 / 당뇨교육이 당뇨환자의 식사요법에 대한 지식과 실천 및 혈당에 미치는 영향 / 대한영양사협회 학술지 10(3):300~308

Hieftje K / 2013 / Electronic media-based health interventions promoting behavior change in youth: a systematic review / JAMA Pediatr 167:574~580

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