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Letters: Comments and Responses

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

Response to Perlemuter and Yomtov

  1. H. Peter Chase, MD
  1. Department of Pediatrics, Barbara Davis Center, University of Colorado Health Sciences Center, Denver, Colorado
  1. 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
Diabetes Care 2003 Oct; 26(10): 2969-2970. https://doi.org/10.2337/diacare.26.10.2969-a
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Response to Perlemuter and Yomtov

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.

Footnotes

  • DIABETES CARE

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.
    OpenUrlFREE 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
    OpenUrlAbstract/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
    OpenUrlPubMed
  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
    OpenUrlCrossRefPubMed
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Diabetes Care: 26 (10)

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October 2003, 26(10)
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Modem Transmission of Glucose Values Reduces the Costs of and Need for Clinic Visits
H. Peter Chase
Diabetes Care Oct 2003, 26 (10) 2969-2970; DOI: 10.2337/diacare.26.10.2969-a

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Modem Transmission of Glucose Values Reduces the Costs of and Need for Clinic Visits
H. Peter Chase
Diabetes Care Oct 2003, 26 (10) 2969-2970; DOI: 10.2337/diacare.26.10.2969-a
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