Am茅lioration de la prise en charge du diab猫te gestationnel gr芒ce 脿 la t茅l茅m茅decine, en milieu hospitalier et en ville

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• 作者：M.-F. Safraou¹ ; F.-X. Sallé ; e¹ ; E. Nobé ; court¹ ; R. Ducloux¹ ; Y. Ville² ; J.-J. Altman¹ ; ^{jean-jacques.altman@egp.aphp.fr}
• 关键词：Diabè ; te gestationnel ; t&eacute ; l&eacute ; m&eacute ; decine ; t&eacute ; l&eacute ; surveillance ; t&eacute ; l&eacute ; consultation
• 刊名：M茅decine des Maladies M茅taboliques
• 出版年：2010
• 期刊代码：pca249_19572557
• 类别：med
• 出版时间：May 2010
• 卷：4
• 期：3
• 页码：268-273
• 文件大小：1116 K

摘要

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Summary

Even without consensual approach, recent publications give us strong arguments to intensify screening and management of gestational diabetes.

Our experience using telemedicine in gestational diabetes management has been evaluated during a one-year period.

We demonstrate that permanent electronic assistance, telemonitoring and e-consulting, provides excellent results in a large cohort of patients at hospital as well as in a private structure.

Adequate therapeutic decisions, mainly insulin therapy initiation, can be taken within a short time frame. Continuous coaching and monitoring of insulin doses make it possible to achieve optimal glycemic control quickly. Babies are born in excellent conditions for themselves and their mothers.

Women expressed their total satisfaction for this practical and convivial approach. With improved reassurance, their good psychological wellbeing seems to be reinforced.

Telemedicine in gestational diabetes management could be a valuable educational tool also and a good example of possible improvements of quality of care in diabetes.