Telehealth-Based Chronic Disease Management for Type 2 Diabetes

Inclusion criteria

• 18-70 years old;
• Confirmed diagnosis of type 2 diabetes mellitus;
• Ability to use smartphones to participate in online diagnosis and treatment;
• Ability of the patient or relatives to assist the patient in self-monitoring of blood glucose;
• Failure to meet control targets: glycated hemoglobin ≥7. 0%, or LDL-C ≥ 2.6 mmol/L (and ASCVD or definite atherosclerosis with stenosis ≥ 1.8 mmol/L), or blood pressure > 130% and ≥ 1.8 mmol/kg. L), or blood pressure over 130/80 mmHg.

Exclusion criteria

• Mental illness, cognitive dysfunction;
• Other diseases and complex conditions (untreated tumors, heart disease within 3 months);
• Acute complications of diabetes, severe hyperglycemia, fasting glucose greater than 16.9 mmol / L, random glucose greater than 20 mmol / L. Diabetic ketoacidosis and hypoglycemic coma that are not suitable for online management of diabetes emergencies;
• Patients with severe chronic complications of diabetes in critical condition (blindness, vision deterioration, new onset of ASCVD symptoms);
• Those who are unsuitable for the study: infection, fracture, trauma, foot ulceration, edema, blindness, cardiovascular emergencies, coma, etc;
• Those who have not signed the informed consent form.