MyDiabby : Telemedicine Follow-up of Gestational Diabet for Deprived Women T as a Contribution to the Prevention of Epidemic Type 2 Diabetes [Preliminary Report]
Gestational Diabetes Mellitus (GDM) is a condition in which pregnant women without known diabetes exhibit high blood glucose. When untreated, babies are at risk of being large for gestational age (above 4,000g) which may lead to delivery complications. The efficacy of treatment is assessed by self-monitoring of blood glucose. GDM is growing in prevalence, and limited medical resources exacerbate the situation. GDM affects 10% of pregnancies, but up to 20% in deprived populations, the homeless, migrants, and underdeveloped countries. In Paris, a University hospital used a telehealth intervention to successfully control 95% of patients in a suburb area, where the deprived population nears 100%. Many women succeeded in exchanging a computerised logbook with the medical team via the Internet. "MyDiabby" is an improved tool, which includes colour coding to help understand glucose concentrations, and an algorithm to help their interpretation. Tailored for novices, the application is appropriate for many populations. Telehealth is valuable for the management of GDM. It is reliable for: clinical, biological, and therapeutic situations; time and money saving; appreciated by patients and clinicians; and improves quality of care. It also improves equity of access, regardless of geographical and socio-economic situations, and contributes to prevention of the worldwide Type 2 diabetes epidemic. This program is the first step of an educational process to help prevent diabetes which is expected to increase seven fold in this population. within the next 10 years.
Janin C, Ducloux R, Fontanié M, Altman J-J. Consultation diabétologique du postpartum après diabète gestationnel : un exemple d’amélioration des pratiques MmM 2014;8:169-175.
Altman JJ, Altman PC. MyDiabby, la solution de télésuivi du Diabète Gestationnel. Quand le parcours de soins devient mobile. La mobilité au service de la continuité des soins dans le suivi du diabète gestationnel. SFT Antel, 2014.
Altman PC, Calvet H, Sarda B, Altman J-J My-Diabby : De la prise en charge télémédicale du Diabète Gestationnel à la prévention du diabète de type 2. Savoir évaluer un besoin de télé-médecine chez les femmes atteintes d’un diabète gestationnel SFT Antel, 2014 et site de l'Antel, www.congres-antel.com et European Research in Telemedecine, 2014;3: 190-191.
Be4Life. Available at: http://mydiabby.fr/ ac-cessed 23 March 2015.
Copyright (c) 2015 Line Kleinebreil, Jean-Jacques A Altman, Anastasia Pichereau, Pierre-Camille Altman
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