Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Using telemedicine to virtually manage gestational diabetes

06.09.2004


Researchers hope to reduce the incidence of large birth weights



In the first study of its kind, researchers at Temple University School of Medicine will analyze whether the frequent monitoring and adjustment critical to the management of diabetes during pregnancy can be better accomplished virtually. The ultimate goal is to reduce large birth weights, which can pave the way to later problems such as obesity and diabetes. Gestational diabetes, which typically occurs toward the end of pregnancy, affects 3 to 5 percent of all women in the United States, and is more common in African-American, Latino, American Indian and Asian Indian populations. To keep blood sugars under control, critical for a healthy pregnancy, frequent monitoring is required so that adjustments to diet and medication can be made promptly.

Can telemedicine, primarily via the Internet, make this process easier and more effective? And, more importantly, can the use of telemedicine in managing gestational diabetes help prevent excessive growth of the fetus? These questions form the crux of a new project led by Carol Homko, R.N., Ph.D., C.D.E., assistant research professor at Temple University School of Medicine, and supported by a project grant from the National Institutes of Health.


Through a randomized trial, one group of women will be monitored the conventional way, a significant part of which involves keeping a log book of blood sugar levels and diet, and one group will be monitored through the phone and the Internet. "When gestational diabetes gets out of control, the health of both mom and baby are threatened. My focus in this project is the major consequence of gestational diabetes-excessive growth of the fetus. Many problems can stem from being a big baby, especially a higher risk of diabetes," said Homko, who hopes to reduce the incidence of big birth weights by 10 percent through telemedicine.

"In previous studies with heart patients, another group requiring constant monitoring, we found that frequent contact via the phone and Internet was not only effective in controlling the disease but also embraced by the patient," explained Homko. "Patients loved being in touch with their physician online. And the physicians were able to react more quickly to signs of trouble-for example, a rise in blood pressure or weight."

For any patient, old or young, sick or healthy, frequent hospital or doctor’s office visits to monitor a medical condition or disease are difficult and time-consuming. "I spend a large part of my day on the phone because of the amount of monitoring and interaction needed with patients. It wouldn’t be practical for my patients to come to the hospital all of the time," said Homko. "My job is to figure out how to adjust medication, insulin and diet, according to their blood sugar levels and other symptoms."

On the website for this project, patients regularly enter their blood sugar levels and insulin doses. Homko monitors the information and e-mails responses. The website will soon have automated messages, such as reminders to patients to send in their numbers, in addition to a section for education. Physicians can go to the site and screen patients’ most recent lab results, ultrasounds, medications, pregnancy history and medical history.

It’s believed that telemedicine will lead to better control of blood sugars and therefore a better pregnancy and birth. Valerie Whiteman, M.D., assistant professor of obstetrics and gynecology, is the project co-investigator.

Eryn Jelesiewicz | EurekAlert!
Further information:
http://www.temple.edu

More articles from Health and Medicine:

nachricht Unique brain 'fingerprint' can predict drug effectiveness
11.07.2018 | McGill University

nachricht Direct conversion of non-neuronal cells into nerve cells
03.07.2018 | Universitätsmedizin der Johannes Gutenberg-Universität Mainz

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

Im Focus: Chemical reactions in the light of ultrashort X-ray pulses from free-electron lasers

Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.

Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

Subaru Telescope helps pinpoint origin of ultra-high energy neutrino

16.07.2018 | Physics and Astronomy

Barium ruthenate: A high-yield, easy-to-handle perovskite catalyst for the oxidation of sulfides

16.07.2018 | Life Sciences

New research calculates capacity of North American forests to sequester carbon

16.07.2018 | Earth Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>