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Modem Transmission of Glucose Values Reduces the Costs of and Need for Clinic Visits

Response to Perlemuter and Yomtov

Department of Pediatrics, Barbara Davis Center, University of Colorado Health Sciences Center, Denver, Colorado

Address correspondence to H. Peter Chase, MD, Department of Pediatrics, Barbara Davis Center, University of Colorado Health Sciences Center, 4200 East 9th Ave., B140, Denver, CO 80262. E-mail: peter.chase{at}uchsc.edu

We thank Perlemuter and Yomtov (1) for their comments in this issue of Diabetes Care regarding our article (2). It seems that their previous study (3) and our study show similar results. They did not provide the ages of their participants, but "nine men and one woman" are mentioned, and our suspicion is that these subjects were a bit older than those in our population. It was also not stated if the subjects had type 1 or type 2 diabetes, though the latter seems likely. As our study dealt specifically with people 15–20 years of age with type 1 diabetes, it is likely that the two experiences are complementary. The main difference between our studies is in the response method, e-mail versus telephone. There are advantages to both methods. E-mail saves time when compared with the necessary repeat phone calls when people are not at home. The telephone allows person-to-person contact in which questions and answers can be used to reach a conclusion. It is also not as limited in dealing with the drawback mentioned by Perlemuter and Yomtov, that of dealing with emergencies. Currently, our clinic staff very effectively handles 20–30 calls per day related to ketones (4) or hypoglycemia. Subjects currently using e-mail switch to telephone calls for emergencies. A major goal of our study was to determine if e-mail communication could reduce the need for clinic visits for some subjects, and this was shown to be the case. We certainly agree that the electronic transmission of medical data is feasible and beneficial.

References

1. Perlemuter L, Yomtov B: Modem transmission of glucose values reduces the costs and need for clinic visits: response to Chase et al. (Letter). Diabetes Care 26:2969, 2003.[Free Full Text]
   
2. Chase HP, Roberts MD, Pearson JA, Oderberg AD, Wightman C, Garg SK: Modem transmission of glucose values reduces the costs and need for clinic visits. Diabetes Care 26:1475–1479, 2003[Abstract/Free Full Text]
   
3. Perlemuter L, Yomtov B: Feasibility and usefulness of dedicated software and e-mail for self-monitoring blood glucose in treating diabetes (Letter). Diabet Med 19:701–702, 2002[Medline]
   
4. Travaglini MT, Garg SK, Chase HP: Use of insulin lispro in the outpatient management of ketonuria. Arch Pediatr Adolesc Med 152:672–675, 1998[Abstract/Free Full Text]
   

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				H. P. Chase Modem Transmission of Glucose Values Reduces the Costs of and Need for Clinic Visits: Response to Perlemuter and Yomtov Diabetes Care, October 1, 2003; 26(10): 2969 - 2970. [Full Text] [PDF]

This Article Extract Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chase, H. P. Search for Related Content PubMed Articles by Chase, H. P. Social Bookmarking                What's this?