Page 151 - Petelin, Ana. 2020. Ed. Zdravje delovno aktivne populacije / Health of the Working-Age Population. Proceedings. Koper: University of Primorska Press.
P. 151
Methods type 1 diabetes management using information communication technology 149
We used the descriptive method with a systematic overview of scientific and
professional literature. We searched through CINAHL, Medline, ScienceDi-
rect databases. The key words we searched for were: diabetes type 1, informa-
tion technology in healthcare, diabetes management, diabetes control, diabetes
self-management, disease management, information communication technol-
ogy and sladkorna bolezen tipa 1. We typed them into a search engine in vari-
ous yet meaningful combinations in Slovene and English language. Hundreds
of sources of literature have been found. Based on the suitability of the titles a
selection was made. Furthermore, based on reading of abstracts, we decided to
include 19 sources in preparation of the article. Inclusion criteria were: sourc-
es published after 2014; resources that have full access online; available arti-
cles for free; professional and scientific literature only; Slovenian and English
sources only. We searched also on the official websites of WHO (World Health
Organization) and NIJZ (Nacionalni inštitut za javno zdravje RS). The litera-
ture search took place in the second half of February and the first half of March
2020.
Results
In the past, the only option of managing the disease was manual checking of
the blood glucose via finger picking and manual administration of the insu-
lin, but in the last years technology has become an indispensable accessory in
helping and easing self-management of the disease (Rodríguez-Rodríguez et
al., 2018). Elementary way of applying insulin are insulin pens. In 1990s insu-
lin pumps became widely available and brought a huge improvement in health
care of patients with diabetes. Modernization of insulin pumps has enabled
implementation of adjunctive technologies, such as bolus calculators and fur-
thermore combining monitoring blood glucose and applying insulin with in-
terconnected sensors of blood glucose, insulin pumps and diverse mobile ap-
plications that are rapidly gaining popularity in last years (Tauschmann and
Hovorka, 2018). Even though the therapy with insulin pumps and other devic-
es is on average more expensive than therapy with daily injections, the costs are
in long term reduced from fewer diabetic complications that follow improved
diabetes control (Beck et al., 2019).
Technology and glucose monitoring
- Blood glucose meters: smaller than in the past; testing blood glu-
cose via finger picking.
- Continuous glucose monitors: provide up to 1440 measurements
per day – one measurement per minute; are interconnected with
mobile apps and insulin pumps or can transfer data to programmes
on computer (Beck et. Al., 2019, Haslund-Thomsen et al., 2020; Ro-
dríguez-Rodríguez et al., 2018).
We used the descriptive method with a systematic overview of scientific and
professional literature. We searched through CINAHL, Medline, ScienceDi-
rect databases. The key words we searched for were: diabetes type 1, informa-
tion technology in healthcare, diabetes management, diabetes control, diabetes
self-management, disease management, information communication technol-
ogy and sladkorna bolezen tipa 1. We typed them into a search engine in vari-
ous yet meaningful combinations in Slovene and English language. Hundreds
of sources of literature have been found. Based on the suitability of the titles a
selection was made. Furthermore, based on reading of abstracts, we decided to
include 19 sources in preparation of the article. Inclusion criteria were: sourc-
es published after 2014; resources that have full access online; available arti-
cles for free; professional and scientific literature only; Slovenian and English
sources only. We searched also on the official websites of WHO (World Health
Organization) and NIJZ (Nacionalni inštitut za javno zdravje RS). The litera-
ture search took place in the second half of February and the first half of March
2020.
Results
In the past, the only option of managing the disease was manual checking of
the blood glucose via finger picking and manual administration of the insu-
lin, but in the last years technology has become an indispensable accessory in
helping and easing self-management of the disease (Rodríguez-Rodríguez et
al., 2018). Elementary way of applying insulin are insulin pens. In 1990s insu-
lin pumps became widely available and brought a huge improvement in health
care of patients with diabetes. Modernization of insulin pumps has enabled
implementation of adjunctive technologies, such as bolus calculators and fur-
thermore combining monitoring blood glucose and applying insulin with in-
terconnected sensors of blood glucose, insulin pumps and diverse mobile ap-
plications that are rapidly gaining popularity in last years (Tauschmann and
Hovorka, 2018). Even though the therapy with insulin pumps and other devic-
es is on average more expensive than therapy with daily injections, the costs are
in long term reduced from fewer diabetic complications that follow improved
diabetes control (Beck et al., 2019).
Technology and glucose monitoring
- Blood glucose meters: smaller than in the past; testing blood glu-
cose via finger picking.
- Continuous glucose monitors: provide up to 1440 measurements
per day – one measurement per minute; are interconnected with
mobile apps and insulin pumps or can transfer data to programmes
on computer (Beck et. Al., 2019, Haslund-Thomsen et al., 2020; Ro-
dríguez-Rodríguez et al., 2018).
