Telehealth: Managing Type 2 diabetes Digitally by Ashley Cephas

Welch, Balder & Zagarins (2015) acknowledge, Diabetes is at epidemic levels and now impacting 29.1 million individuals in the United States. Type 2 diabetes (T2D), characterized by insulin resistance and insulin insufficiency, is the predominant form of diabetes (90–95% of cases) and is linked to obesity, aging, and individual genetic vulnerability. (p. 395)
The days of old technology to monitor diabetes
Evaluating the need for telehealth to manage T2D

Al-Taee & Abood (2012) write, “the benefits of remote data acquisition and monitoring have been widely recognized and therefore many other applications are emerging to address the demands of mobile health.” (p.18)

User-friendly technology allow clients to actively manage healthcare conditions with the touch of a button.
T2D care (service) plan
The plan of care for the client with T2D includes integrating active monitoring of the ABC's

A for the A1C test

The A1C Test shows you what your blood glucose has been over the last three months. The A1C goal for many people is below 7. High blood glucose levels can harm your heart and blood vessels, kidneys, feet, and eyes. (Obtained from National institute of Diabetes and Digestive and Kidney Diseases)

B for Blood pressure.

The blood pressure goal for most people with diabetes is below 140/90. It may be different for you. Ask what your goal should be. High blood pressure makes your heart work too hard. It can cause heart attack, stroke, and kidney disease. (Obtained from National institute of Diabetes and Digestive and Kidney Diseases)

C for Cholesterol

LDL or “bad” cholesterol can build up and clog your blood vessels. It can cause a heart attack or a stroke. HDL or “good” cholesterol helps remove cholesterol from your blood vessels. (Obtained from National institute of Diabetes and Digestive and Kidney Diseases)

Business Plan and Risk Analysis 

Managing TD2 digitally business plan will include efforts to remote monitoring client’s health data conveniently from the comfort of the client’s home. Digital healthcare follow-ups with primary care physicians via videoconferencing. Interactive client education curricula that embraces knowledge about T2D and will evaluate clients understanding upon completion. This new healthcare experience will integrate common diabetes self-care techniques into a digital assemblage that will provide comprehensive views of submitted data for healthcare providers. Utilization of tele-health to manage clients will contribute to better health outcomes, and implanting this sound business plan will ensure better reports of T2D management.
An overview of an telehealth integrated home (health monitoring devices identified in green)
Implementing Telehealth: Ensuring benefits outweigh risk
Plan technology
Using the S.m.a.r.t (Specific, Measurable, Achievable, Realistic, and Timely) method to train personnel.
Telehealth overview from personnel point-of-view
Test care and Technology Plans

Evaluating outcomes

References

Al-Taee, M. A., & Abood, S. N. (2012). Mobile acquisition and monitoring system for improved diabetes management using emergent wireless and web technologies. International Journal of Information Technology and Web Engineering (IJITWE), 7(1), 17-30. doi:10.4018/jitwe.2012010102

Welch, G., Balder, A., & Zagarins, S. (2015). Telehealth program for type 2 diabetes: Usability, satisfaction, and clinical usefulness in an urban community health center. Telemedicine and e-Health, 21(5), 395-403. doi:10.1089/tmj.2014.0069

Step 2: Know Your Diabetes ABCs - A1C, Blood Pressure and Cholesterol. (n.d.). Retrieved April 1, 2017, from https://www.niddk.nih.gov/health-information/health-communication-programs/ndep/living-with-diabetes/know-your-abcs/Pages/knowyourabcs.aspx

Credits:

Created with images by Diabetes Care - "Word cloud - diabetes" • pamula133 - "diabetes diabetic blood" • FirmBee - "ipad mockup apple"

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