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Thailand Diabetes registry (TDR); A cross-sectional, multicenter, hospital-based diabetes registry was carried out from April through December 2003. The participating centers were university-based and tertiary-care hospitals.
Rajavithi Diabetes registry is different registry from TDR by tracking up to 5,000 urban patients in Bangkok with diabetes and store information specific to their care. Registries may generate concise patient reports for clinicians that highlight cases for attention during the office visit and may also aggregate information across the population to generate report charts which show, for example, the proportion of patients with diabetes who had routine eye examination, protein in urine examination, foot examination during prior year, proportion of patient with achieve hemoglobin A1c (HbA1c) level below 7 percent, low dense lipoprotein (LDL) below than 100 milligrams per milliliter and good blood pressure control. A continuous data gathering every year and shows instant data of diabetes KPI that served for public health service in diabetes scheme by 43 files of Thailand health personal in Health Data Center (HDC).
There has been a growth recently in “wearable sensors” and remote monitoring devices. For example, researchers have developed a portable electrocardiogram (ECG) system for high-risk cardiac patients. It uses smart phones attached to heart monitors to transmit heart rhythm data to health providers. Software analyzes the ECG waveforms for possible abnormalities.
Diabetes brings the risk of hypoglycemia, low blood sugar. Most often the result of imbalance between food, exercise, and medications, a "hypo," a low blood sugar reaction, can cause disorientation, unconsciousness, and sometimes, the need for an ambulance. Smart Hypoglycemic warning watch, it is actually designed to monitor the temperature, heart rate and moisture level of the skin; symptoms normally associated with insulin reactions. If it does not detect one of these symptoms, if a low blood sugar reaction occurs without them, the alarm will not sound, and it will probably be of no use to the diabetes.
It is important to emphasize that hypoglycemia is a biomarker of disease burden rather than a true cause of mortality. Regardless of the cause, clinicians need to be aware of high-risk patients who require careful monitoring and less stringent glycemic control. When a hypoglycemic event does occur, it should be treated promptly and with appropriate changes in the treatment regimen to avoid recurrent episodes. Unfortunately hypoglycemia often occurred in older and bed ridden status with serious comorbidity such as stroke and could not call for help to health care worker or family members.
The hypoglycemia warning watch alarm is intended to awaken the user, if there has been a temperature drop, or it is detecting increased perspiration or if it is detecting of increased heart rate. The alarm does not directly indicate hypoglycemia. If the alarm goes off, and, after checking your blood sugar, you find it is in the normal range, the alarm could have been triggered by its wrist band being too loose, by an extreme change in the room temperature, or if the user perspires excessively or exhibits a drop in skin temperature for reasons other than hypoglycemia, as examples, fever, menopause, or as a side effect of medications. Software that helps health providers understand how to deal with particular symptoms and what drug interactions they should avoid are increasingly being viewed more like a reference library than a medical device, calling into question how they should be regulated. Healthcare providers need access to as much accurate data as they can get on how to treat in serious diabetes condition by integrate it together in the same system.
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