Challenges in applying standard telemedicine solutions in the home of type 2 diabetics

Approximately 5.5% of the Danish population is diagnosed with type 2 diabetes mellitus. Of these, a minor group requires regular visits from homecare nurses, to assist with daily medication and insulin injection. In this study we analyzed the deployment of a standard telemedicine platform in the home of seven patients and followed them through a 3 month field study. We found that the enrolled patients did achieve an increased empowerment and self-awareness about their own health conditions. However, the standard telemedicine solution had several short comings, which could lead to reporting errors. Based on our findings, we developed a proof-of-concept prototype to illustrate the ideal solution for this group of patients. This included features such as automatic transfer of weight and blood sugar data, video capture of an insulin monitor for verification of the correct dosage of insulin. Also, an overview of previously taken measurements and storage of these in a telemedicine database was implemented to eliminate the identified challenges.