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author:("Whiting, jude")
1.  DreamTel; Diabetes risk evaluation and management tele-monitoring study protocol 
Background
The rising prevalence of type 2 diabetes underlines the importance of secondary strategies for the prevention of target organ damage. While access to diabetes education centers and diabetes intensification management has been shown to improve blood glucose control, these services are not available to all that require them, particularly in rural and northern areas. The provision of these services through the Home Care team is an advance that can overcome these barriers. Transfer of blood glucose data electronically from the home to the health care provider may improve diabetes management.
Methods and design
The study population will consist of patients with type 2 diabetes with uncontrolled A1c levels living on reserve in the Battlefords region of Saskatchewan, Canada. This pilot study will take place over three phases. In the first phase over three months the impact of the introduction of the Bluetooth enabled glucose monitor will be assessed. In the second phase over three months, the development of guidelines based treatment algorithms for diabetes intensification will be completed. In the third phase lasting 18 months, study subjects will have diabetes intensification according to the algorithms developed.
Discussion
The first phase will determine if the use of the Bluetooth enabled blood glucose devices which can transmit results electronically will lead to changes in A1c levels. It will also determine the feasibility of recruiting subjects to use this technology. The rest of the Diabetes Risk Evaluation and Management Tele-monitoring (DreamTel) study will determine if the delivery of a diabetes intensification management program by the Home Care team supported by the Bluetooth enabled glucose meters leads to improvements in diabetes management.
Trial Registration
Protocol NCT00325624
doi:10.1186/1472-6823-9-13
PMCID: PMC2689225  PMID: 19426530
2.  Office Management of Diabetes in Children Part 2: Common Problems 
Canadian Family Physician  1986;32:877-881.
A problem-solving approach is used to illustrate principles of managing diabetes mellitus in children. Situations discussed include adjustments for hypo- and hyperglycemia and vigorous activity, and care of the diabetic child who has another illness. The usefulness of referral to a diabetes education centre is emphasized.
PMCID: PMC2327645  PMID: 21267139
Diabetes mellitus; children; management
3.  Office Management of Diabetes in Children Part 1: General Principles 
Canadian Family Physician  1986;32:869-875.
In order to manage diabetes mellitus in children, the physician must understand the principles of insulin action and dosage adjustment, meal planning, growth assessment, and the effects of exercise. The objectives of office supervision include ongoing education of the patient and family, excellent control of the diabetes, and the maintenance of normal growth and development, emotionally as well as physically.
PMCID: PMC2327643  PMID: 21267138
diabetes mellitus; children; management

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