Teletransmission system supporting intensive insulin treatment of out-clinic type 1 diabetic pregnant women. Technical assessment during 3 years' application

A telematic system supporting intensive insulin treatment of pregnant type I diabetic out-clinic patients was implemented and technical efficiency of the system was evaluated over longterm ambulatory application. The system c onsists of a patient teletransmission module (PTM) and a central clinical c ontrol unit (CCU). The PTM contains a one-box blood glucose meter and elect ronic logbook, a modem and a dial-up or cellular phone set The CCU consists of a PC computer with a modem and DIAPRET - an original program designed t o monitor the intensive insulin treatment The system was installed in the C linic of Gastroenterology and Metabolic Disease, MA Warsaw and was tested f or 166 +/- 24 days on 15 pregnant type 1 diabetic women. Telemonitoring of the patient data was done automatically. No major technical problems with p roper operation or handling of the system was noted. Total effectiveness wa s 69.3 +/- 13.0% and technical effectiveness 91.5 +/- 6.1%. The efficacy of the system was not significantly influenced by patient intelligence level, education level or place of residence (p < 0.05). Significant improvement of metabolic control was noted during application of the system. In conclus ion, the telematic system we developed and implemented should have a positi ve influence on the qualify of diabetes treatment during pregnancy.