The et al., (2017), it examines the patient’ knowledge,

The use of information and communication technology (ICT) in
the prevention, diagnosis, treatment, and monitoring of different medical
condition, including DM, is important for primary health-care (PHC) providers. This
is because it can further development of e-Health. Web-based is the one of
effective DM management but they still need to take over time to adapt it.
Similarly, Iljaz, Brodnik, Zrimec and Cukjati, (2017) conducted a
study which is to confirm the hypothesis about the improvement in treatment
outcomes compared to usual healthcare and the presumption of e-Diabetes
application impact on the functional health status of patients with DM type 2. Participants
involve 120 Diabetes Mellitus patients from 22 solicited family practices from
6 different regions in Slovenia. Family practices had at least 1000 patients, a
nurse with secondary-school training and a qualified nurse with higher
education. Between the ages of 18 and 75. This is an interventional, randomised
controlled study of patients with DM, treated only with a diet regime and/or
tablets. Slovene diabetes treated with insulin are usually treated by diabetes
care units, and were therefore not included in this study. The computerised
randomisation programme assigned patients to the interventional or the control
group through a balanced randomisation process using the last four patients.
Randomisation was carried out for all practices simultaneously, but not at the
level of individual practices. This e-Diabetes application was
confirmed to be an innovative approach for better self-management of DM type 2
patients not using insulin. Both a significant reduction of HbA1c values in the
interventional group were found which is from 7.1% to 6.8%.


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Patients with diabetes
mellitus must develop appropriate habits to maintain long-term control and
reduce the potential complications of this disease. One of the promote
self-management support is the implementation care which is one of the
effective management established by Chronic Care Model and it helps patients
perform day-to-day tasks of managing their disease. In a study conducted by Saucier et
al., (2017), it examines the patient’ knowledge, attitudes and beliefs about a
diabetic care management plan (DCMP) that was developed to provide patient
education on diabetes guidelines and display individual diabetes core measures.
102 of above 18 years old patients with diabetes mellitus type 2 were recruited
through advertising flyers for voluntary participation. 102 of participants
were at least 18 years old with diagnosis of T2DM seen at the Family Medicine
Centre at least once before and once after DCMP implementation. Each had to
attest to receiving the care management plan at least once. Once screened,
eligible patients were consented. In the results, participants understood the
DCMP (96%), found it important because it explained their laboratory results
and medications (89%) and believed it would help them to have better diabetic
control (99%). There was a significantly interaction between time and being at
goal pre-DCMP for HbA1c, SBP and LDL. Patients not at goal pre-DCMP for the
above measures decreased significantly over time (P=<0.01 for HbA1c, SBP and LDL). Participants at goal for all diabetic core measures increased pre-to post-DCMP from 13% to 20% (P=0.28). Patients perceived the diabetic care management plan favourably and their diabetic core measurements improved over time. This simple and reproducible self-management intervention can enhance self-management in a patient population with diabetes mellitus. Individualized diabetes care management plan From two articles, some of the care management would be individualized diabetes care management plan and e-healthcare for diabetes mellitus patients. In this section, I will be discussing the correlation of each care management. The aim of this review is to sustain and evaluate the effectiveness of care management which shows the developing the number of self-care management in patient with diabetes mellitus. This review is relevant to nursing as nurses plays an important role in educating patients in health intervention or assessment to enhance their knowledge. Nurses plays an important role in educating patients as they spend more time interacting with the patients as compared to doctors. Many studies have been done to prove which intervention is best at developing the number of self-management in patient with diabetes mellitus. Developing effective care management programmes for diabetic patients will enhance their knowledge and influence individuals' practice of self-care management which is the change in lifestyle and attitudes ("Long-term Care Resource" | Agency of Healthcare Research and Quality, 2014). Poor control in blood glucose levels is the one of the causes which increases the risk of complication in diabetes and increases the risk of mortality (Knight J et al, 2017). Thus, from these statistics, we know that the importance of care management in diabetes mellitus and understanding diabetic education from primary care settings is a significant 'agent' to enhance diabetic patient's self-care management. Diabetes mellitus is a chronic, lifelong condition that affects your body's ability to use the energy found in food. It is estimated that the total number of people with diabetes mellitus will rise from 425 million in 2017 to 629 million people in 2045 worldwide ("IDF Diabetic Atlas" | International Diabetic Federation, 2017). According to the 2010 figure from the Ministry of Health (MOH), it shows that the percentage of Singaporeans who will suffer from Diabetes Mellitus will increase from 8.2% to 11.3% from the period of 2004 to 2010.  ("Disease Burden" | Ministry of Health, 2017).