Diabetes as a case study of chronic disease management with a personalized approach: the role of a structured feedback loop - PubMed (original) (raw)
Review
doi: 10.1016/j.diabres.2012.07.005. Epub 2012 Aug 20.
László Barkai, Jens Sandahl Christiansen, Leszek Czupryniak, Ramon Gomis, Kari Harno, Bernhard Kulzer, Johnny Ludvigsson, Zuzana Némethyová, David Owens, Oliver Schnell, Tsvetalina Tankova, Marja-Riitta Taskinen, Bruno Vergès, Raimund Weitgasser, Johan Wens
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- PMID: 22917639
- DOI: 10.1016/j.diabres.2012.07.005
Review
Diabetes as a case study of chronic disease management with a personalized approach: the role of a structured feedback loop
Antonio Ceriello et al. Diabetes Res Clin Pract. 2012 Oct.
Abstract
As non-communicable or chronic diseases are a growing threat to human health and economic growth, political stakeholders are aiming to identify options for improved response to the challenges of prevention and management of non-communicable diseases. This paper is intended to contribute ideas on personalized chronic disease management which are based on experience with one major chronic disease, namely diabetes mellitus. Diabetes provides a pertinent case of chronic disease management with a particular focus on patient self-management. Despite advances in diabetes therapy, many people with diabetes still fail to achieve treatment targets thus remaining at risk of complications. Personalizing the management of diabetes according to the patient's individual profile can help in improving therapy adherence and treatment outcomes. This paper suggests using a six-step cycle for personalized diabetes (self-)management and collaborative use of structured blood glucose data. E-health solutions can be used to improve process efficiencies and allow remote access. Decision support tools and algorithms can help doctors in making therapeutic decisions based on individual patient profiles. Available evidence about the effectiveness of the cycle's constituting elements justifies expectations that the diabetes management cycle as a whole can generate medical and economic benefit.
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
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