Development Of Diabetic Patient Management System And Application In The Management Of The Newly Diagnosed Diabetes

The prevalence of diabetes mellitus in China has reached 9.7%,and the prevalence rate of the young and middle-aged is increasing obviously.The emergence of a large number of newly diagnosed diabetic patients,has become one of public problem that severely threaten the health of the people worldwide.In recent years,with the development of clinical pharmacy,clinical pharmacists have been increasingly involved in clinical work.Especially,clinical pharmacists play an important and positive role in health education and diabetes treatment.But there is no diabetes information management system suitable for clinical pharmacists,so developing a chronic disease management system for the clinical pharmacists is an urgent need to the management of the newly diagnosed type 2 diabetes.This study developed a chronic disease management system which is suitable for clinical pharmacists through inspecting our department of Endocrinology clinical pharmacist in diabetes management work characteristic,and manage newly diagnosed type 2 diabetes in our hospital,to realize the dynamic monitoring of individual patient's condition.This syudy mainly includes three parts as follows:(1)Development diabetic patient management system and designing the follow-up management of newly diagnosed diabetic patients by clinical pharmacists(2)The influence of pharmaceutical care which combined with this system on blood glucose control in newly diagnosed diabetic patients;(3)The study of clinical pharmacists using management system to improve the primary chronic disease the management level of patients with type 2 diabetes mellitus.(1)Development of diabetes management system.The system consists of seven main modules:login system,first visit information,return visit information,evaluation system,follow-up system,data management and retrieval statistics.The clinical pharmacists use of this system for patients follow-up management,medical nutrition education,self-monitoring of blood glucose and medication guide,and follow-up visit timely of the dosage and blood sugar records,expecting to achieve individualized intervention for newly diagnosed diabetic patients and reduce complications.(2)We develop a diabetic information management system that is adaptive to clinical pharmacists' use and combined with this system conduct a random,control study on 63 cases of newly diagnosed diabetic inpatients in our hospital.The patients are randomly divided into two groups:control group and test group.The control group don't accept clinical pharmacists ' services while the test group accept pharmaceutical services during the process of the study.Results showed that in test group,glucose control of patients(FPG,PPG and HbAlc)has improved more significantly than just enrolling the group and compared with control group the glucose level has decreased significantly.(3)We studied on 32 cases of newly diagnosed type 2 diabetic patients in our hospital with the help of this system.The patients received the pharmacist's pharmaceutical service during hospitalization.The results show that body mass index(BMI),triglyceride(TG),total cholesterol(TC),low density lipoprotein(LDL-C),and blood glucose were significantly improved after patients receiving pharmaceutical care,while there was no significant change in blood pressure and high-density lipoprotein(HDL-C).In conclusion,clinical pharmacists can use the diabetic information management system to improve the level of glucose control of patients.In the future work,we can use this system to complete clinical pharmacists' work procedure and provide a scheme for the exploration of the working mode of clinical pharmacists.