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

Ceriello, Antonio, Barkai, László, Christiansen, Jens Sandahl, Czupryniak, Leszek, Gomis, Ramon, Harno, Kari, Kulzer, Bernhard, Ludvigsson, Johnny, Némethyová, Zuzana, Owens, David Raymond, Schnell, Oliver, Tankova, Tsvetalina, Taskinen, Marja-Riitta, Vergès, Bruno, Weitgasser, Raimund and Wens, Johan 2012. Diabetes as a case study of chronic disease management with a personalized approach: the role of a structured feedback loop. Diabetes Research and Clinical Practice 98 (1) , pp. 5-10. 10.1016/j.diabres.2012.07.005

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Abstract

As non-communicable or chronicdiseases 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 personalizedchronicdiseasemanagement which are based on experience with one major chronicdisease, namely diabetes mellitus. Diabetes provides a pertinent case of chronicdiseasemanagement 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 personalizeddiabetes (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 diabetesmanagement cycle as a whole can generate medical and economic benefit.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: diabetes, chronicdisease, management, SMBG, personalized
Publisher: Elsevier
ISSN: 0168-8227
Last Modified: 04 Jun 2017 04:33
URI: http://orca.cf.ac.uk/id/eprint/40928

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