20 Years Experiences in Remote Nursing Based on Video-phone for Children with Type I Diabetes

Abstract

In 1998, we have developed a self-management system using video-phone for children with type I diabetes. With video phones installed at home and schools, such an environment was created that made them possible to communicate with a support team. The attempt has shown its supportive effectiveness making to provide for children. For the next ten years, we introduced e-SMBG Blood Glucose Data Transfer System to mobile phones and supported children's self-management. These systems were effective in particular for supporting present condition of growing children who required self-management education at the time of early onset, lived at remote places and were in their adolescence. Currently, it is used as a blood glucose management system using i-Pad, in outpatients and diabetes summer camps.

I hope that our experience will be useful for future improvement and development of remote nursing care.