A mobile diabetes management and internetworking system
Diabetes is a chronic, progressive disease that affects 1.8 million people in UK, and more than 194 million worldwide. It is currently ranked amongst the leading causes of chronic disease related death because of the occurrence of its life threatening complications. This thesis presents the design, implementation and evaluation of a mobile diabetes management and internetworking system (MDMIS). The system is based on Bluetooth and GPRS wireless communication technologies and provides an improved ubiquitous diabetes management service to both the diabetes sufferers and medical doctors. The MDMIS consists of modular suites of medical control centre, patient stations, physician stations, medical administration stations, and system maintenance stations. A patient station acquires the blood glucose measurement autonomously from a Bluetooth enabled glucose meter and transmits the data to a tailored MDMIS administration system via a GPRS wireless communications link. The medical centre of the system provides the relevant management services to both patients and physicians, such as updating user information and medication plans, side-effects reporting, analysis and alarming of blood glucose measurements, together with medical management procedures. These tasks can be accessible by patients and medics through a simple interface from various devices powered by different operating systems. The security issues of MDMIS are addressed briefly. The prototype of the system has been tested successfully. The system performance analysis of these tests is also presented in this study. The thesis also addresses the interoperability issues between mobile chronic disease management system and medical devices for universal mobile healthcare applications. An architectural framework to improve interoperability for m-health applications is presented and discussed. This architecture has been initially implemented successfully on the MDMIS system.