Diabetes as a case study of chronic disease management with a personalized approach: The role of a structured feedback loop

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. less thanbrgreater than less thanbrgreater thanDiabetes 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 patients 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 cycles constituting elements justifies expectations that the diabetes management cycle as a whole can generate medical and economic benefit.

Barkai, LaszloUniversity of Miskolc, Hungary (författare)
Sandahl Christiansen, JensAarhus University Hospital, Denmark (författare)
Czupryniak, LeszekMedical University of Lodz, Poland (författare)
Gomis, RamonHospital Clin Barcelona, Spain (författare)
Harno, KariLKT Dosentti FHIMSS, Finland (författare)
Kulzer, BernhardDiabet Clin, Germany (författare)
Ludvigsson, JohnnyÖstergötlands Läns Landsting,Linköpings universitet,Pediatrik,Hälsouniversitetet,Barn- och ungdomskliniken i Linköping(Swepub:liu)johlu29 (författare)
Nemethyova, ZuzanaPoliklin Bratislava, Slovakia (författare)
Owens, DavidUniversity Hospital Llandough, Wales (författare)
Schnell, OliverHelmholtz Centre, Germany (författare)
Tankova, TsvetalinaMedical University of Sofia, Bulgaria (författare)
Taskinen, Marja-RiittaHelsinki University Hospital, Finland (författare)
Verges, BrunoHop Bocage, France (författare)
Weitgasser, RaimundDiakonissen Hospital Salzburg, Austria (författare)
Wens, JohanUniversity of Antwerp, Belgium (författare)
Hospital Clin Barcelona, SpainUniversity of Miskolc, Hungary (creator_code:org_t)

Ingår i:Diabetes Research and Clinical Practice: Elsevier98:1, s. 5-100168-82271872-8227

Av författaren/redakt...: Ceriello, Antoni ...; Barkai, Laszlo; Sandahl Christia ...; Czupryniak, Lesz ...; Gomis, Ramon; Harno, Kari; visa fler...; Kulzer, Bernhard; Ludvigsson, John ...; Nemethyova, Zuza ...; Owens, David; Schnell, Oliver; Tankova, Tsvetal ...; Taskinen, Marja- ...; Verges, Bruno; Weitgasser, Raim ...; Wens, Johan; visa färre...

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