Current studies suggest that the control of Diabetes mellitus can be improved with home monitoring of blood sugars. Voice synthesizers and recent technology, allowing decoding of Touch-Tone® pulses into their digital equivalents, make it possible for diabetics with no more sophisticated equipment than a Touch-Tone® telephone to enter their blood sugars directly into a medical office computer. A working prototype that can provide physicians with timely, logically oriented information about their diabetics is discussed along with plans to expand this concept into giving the patients uncomplicated therapeutic advice without the need for a direct patient/physician interaction. The potential impact on health care costs and the management of other chronic diseases is presented.
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