Copyright ©The Author(s) 2019.
World J Diabetes. Sep 15, 2019; 10(9): 473-480
Published online Sep 15, 2019. doi: 10.4239/wjd.v10.i9.473
Table 1 Technology-enabled strategies for inpatient glycemic management and diabetes care
Technology categoryPurposeTechnologies
Outpatient technologies adapted for inpatient useSupport insulin managementPersonal continuous subcutaneous insulin infusion pumps
Continuous glucose monitoring sensor systems
Technologies developed for inpatient useDiabetes and glycemic care management, including care transitionsElectronic medical record based clinical decision support
Electronic glycemic management systems
Technology-enabled diabetes educationEngagement in diabetes survival skills educationElectronic medical record-generated, printed education content
“SMART” TVs Web-based education platform
Table 2 Inpatient diabetes education delivery - current and future states
ModalityCurrent stateFuture state
1:1 at the bedsideUnit nurse/Physician/educator provides basic education- often skills based, e.g., insulin instruction, and/or printed generic contentSupplemented by printed individualized electronic medical record clinical decision support generated content based on diagnoses, procedures, medications
Low-techGeneric education content delivered via SMART TV or videoVideo-based survival skills education content individualized for diabetes medications prescribed at discharge
Provider and/or electronic medical record clinical decision support prescribes targeted generic education content
High-TechGeneric education content prescribed for delivery at bedside on TV or tablet computer from web-based platformIndividualized education delivered via an interactive patient engagement platform
Content auto-directed to learner based on embedded survey responses
“App” for telehealth coaching prescribed, e.g., BlueStar[49]