Application of the Home Telecare System in the Treatment of Diabetic Foot Syndrome

摘要

Diabetes is a group of metabolic diseases affecting more than 200 mln people worldwide, which is characterized by elevated blood glucose level. Diabetes causes a number of late complications among which diabetic foot syndrome (DFS) is one of the most dramatic as a major cause of the lower limb amputations. In IBBE PAS the TeleDiaFoS system aimed at monitoring of DFS treatment was developed. In the system, the Central Clinical Server is accessed by the Patient's Module using a wireless internet connection to send the wound pictures, the blood glucose (BG) readings and the blood pressure (BP) values. Clinical verification of the TeleDiaFoS sys-tem has been organized as a randomized 90-days trial with the study and the control groups consisting of 10 type 2 diabetic patients, each. Currently, the evaluation of the first patient treated with multi-injection insulin delivery and antibiotic -dalacin therapies has been terminated. Home telecare therapy led to 12-fold reduction of the wound surface (from 356 mm~2 to 29 mm~2). During the whole 90-days period BP was controlled efficicntly, however, acceptable BG level has not been maintained. In conclusion, application of the system leads to more effectivc realization of the DFS therapy and has a positive impact on the patient's comfort.