Internet-based diabetes management tops traditional
By Camille Ramlukan
KITCHENER, Ont. – St. Mary’s General Hospital announced the results of
an Internet-based diabetes management study, conducted with Cambridge
Memorial Hospital, Grand River Hospital and Micohealth, a private-sector
The study concluded that the Internet group made significant improvement
in glycemic control, self-efficacy and self-management measures (i.e.,
managing the psychosocial aspects of diabetes, readiness to change, less
negative attitude, and ability to care for their diabetes) compared to a
In contrast with the control group, the Internet group also showed less
of a need for support from friends or family after using the program.
The Internet group was more satisfied with their diabetes care as they
progressed in using the Internet.
The project evaluated the delivery and outcomes of an Internet Diabetes
Program for adults. The health outcomes of the Internet Program were
compared to a traditional diabetes education program in a randomized
control trial. Dr. Erin Tjam, director of research at St. Mary’s, led
the study, which included co-investigators from the University of
Waterloo and St. Mary’s General Hospital.
The number of people who are receiving diabetic care is not keeping pace
with the prevalence of the disease. As a result, new methods of care are
needed to meet that gap. “Using the Internet to assist in disease
management is a likely solution,” says Dr. Tjam. “Internet disease
management has the potential to support self-care and reduce the
existing diabetes care-burden.”
The study’s objectives were to improve patient’s disease management
behaviors and health status. The Internet group used the program,
designed by Micohealth, as their follow up service to monitor and manage
the disease, whereas the control group continued with the traditional
face-to-face clinical follow up.
The Internet Program enabled patients to submit records on blood
glucose, medications, and activity levels and offered a library,
emailing, and chatting capabilities with a diabetes nurse educator who
provided interactive monitoring.
“Given the efficacy of the Internet Program, its feasibility to follow
diabetes patients in a real healthcare setting should be explored as a
means to reduce the burden and improve diabetes outcomes,” says Dr. Tjam.
Diabetes is a major cause of coronary disease, the leading cause of
blindness and kidney disease and accounts for one of every seven
healthcare dollars spent.
For more information please contact Dr. Erin Tjam at
firstname.lastname@example.org, or visit Micohealth