Integrated comprehensive management system for diabetics

Abstract

The invention relates to the technical field of chronic disease management, in particular to an integrated comprehensive management system for diabetic patients, which comprises a hospital terminal, a patient terminal, a management terminal and a data storage terminal which are in signal connection with one another, and is characterized in that the hospital terminal comprises a file establishing module, a data viewing module and an intervention module; the patient terminal comprises a blood glucose monitoring bracelet and an intelligent machine applet which are in mutual signal connection, a data monitoring module, an early warning module and a recording module are arranged in the blood glucose monitoring bracelet, and a self-management module and a communication module are arranged in the intelligent machine applet; the management terminal comprises an archive grouping module, a preset module, a user management module, a data analysis module and an equipment management module. Grouping management is carried out according to the conditions of the patients, the blood glucose levels of the patients in different groups are periodically monitored, the groups are intelligently adjusted, and medical staff can call related data at any time to carry out targeted intervention education on the patients exceeding the blood glucose change threshold value in a targeted mode.

Description

Technical Field

[0001] The present invention relates to the technical field of chronic disease management, and in particular to an integrated comprehensive management system for diabetic patients. Background Art

[0002] Diabetes is a chronic metabolic disease, which is mainly manifested by long-term elevated blood sugar levels. This is due to a relative or absolute lack of insulin in the body, which causes a series of hyperglycemic toxicity states, which in turn leads to metabolic disorders in the body. Long-term high blood sugar states can cause a series of complications in tissues and organs, such as atherosclerosis, diabetic nephropathy, diabetic foot, etc. These complications can seriously affect the patient's quality of life and even threaten life. Therefore, effective management of diabetic patients is crucial. Management can not only help patients control blood sugar levels and reduce the occurrence of complications, but also improve the patient's quality of life and reduce the burden on the medical system.

[0003] Although the existing integrated comprehensive management system for diabetic patients has improved the efficiency and effectiveness of diabetes management to a certain extent, there are still some defects. Especially in terms of patient self-management, some patients have poor self-awareness and often cannot adhere to a healthy lifestyle and treatment plan for a long time. In this case, timely intervention and education by medical staff are particularly important. However, the existing system often cannot provide timely intervention education. On the one hand, the early warning and reminder functions of the system may not be perfect enough to detect abnormal conditions of patients and intervene in time; on the other hand, even if the system can detect abnormalities, due to the limited resources of medical staff, it is often impossible to immediately provide targeted education and guidance to patients. In addition, the existing system also lacks full consideration of individual differences among patients. The treatment plan and lifestyle intervention for diabetic patients should be personalized according to the specific situation of the patient. However, the existing system can only provide standardized management plans and cannot carry out targeted intervention according to factors such as the patient's age, course of disease, complications, and risk of hypoglycemia. This may result in some patients not being able to get the treatment plan that best suits them, thus affecting the management effect.

[0004] Aiming at the defects of the existing management of diabetic patients in terms of poor self-consciousness, untimely intervention education and lack of personalized management plans, an integrated comprehensive management system for diabetic patients is proposed. Summary of the invention

[0005] To solve the above problems, the present invention provides an integrated comprehensive management system for diabetic patients, which groups patients according to their own conditions, periodically monitors blood sugar levels of patients in different groups, and intelligently adjusts the groups, and enables medical staff to call up relevant data at any time to provide targeted intervention education for patients who exceed the blood sugar change threshold.

[0006] In order to achieve the above-mentioned purpose, the technical scheme of the present invention is as follows: an integrated comprehensive management system for diabetic patients, comprising a hospital terminal, a patient terminal, a management terminal and a data storage terminal which are signal-connected to each other, the hospital terminal is used to collect diabetic patient condition information and view the patient condition information transmitted from the current patient terminal received by the management terminal, the patient terminal is used to monitor the physical condition information of the diabetic patient in real time to feed back to the management terminal, the management terminal is used to receive the patient terminal information and feed back the patient terminal information to the hospital terminal intuitively, and the hospital terminal adjusts the management mechanism of the management terminal according to the patient condition, and the patient condition information is recorded and saved in the data storage terminal, so that the hospital terminal can call the patient information at any time;

[0007] The hospital terminal includes a file creation module, a data viewing module and an intervention module, and the patient terminal includes a blood glucose monitoring bracelet and a smart phone applet that are connected to each other by signals. The blood glucose monitoring bracelet has a built-in data monitoring module, an early warning module and a recording module, and the smart phone applet has a built-in self-management module and a communication module. The data monitoring module, the early warning module and the recording module are all connected to the self-management module through the Internet of Things signal, the self-management module is connected to the management terminal through the Internet of Things signal, and the communication module is connected to the intervention module of the hospital terminal through the Internet of Things signal;

[0008] The management terminal includes a file grouping module, a preset module, a user management module, a data analysis module and a device management module;

[0009] The file grouping module is used to call the information of the data storage terminal and classify and group the patients according to their age, blood sugar level and medication status when the file establishment module was established;

[0010] The preset module is used to call the big data of the data storage terminal according to the different groups of patients, plan diet and exercise according to the age, blood sugar level and medication status of the patients, and transmit it to the smart phone applet of the patient terminal for the patient to query at any time;

[0011] The user management module manages the patient groups divided by the file grouping module, and is used to receive the real-time monitoring data of the patient terminal during diabetes management, and transmit the monitoring data to the data analysis module and the data viewing module of the hospital terminal respectively. If the user management module cannot receive the patient terminal data, it transmits the information to the device management module;

[0012] The data analysis module is used to receive the blood sugar level change data of the patients at the patient terminal during the group management period, and perform data analysis, comparison and statistics through big data analysis. For patients with large blood sugar level change data, the data is transmitted to the intervention module of the hospital terminal. For patients with small blood sugar level change data or normal blood sugar level change data, dynamic adjustments are made and the data is transmitted back to the file grouping module for re-grouping, and then group management is performed through the user management module;

[0013] The device management module is used to receive data from the user management module in real time to determine whether the blood glucose monitoring bracelet at the patient terminal is faulty, and to transmit data to the hospital terminal in a timely manner to notify the patient at the patient terminal to replace the blood glucose monitoring bracelet.

[0014] Furthermore, the file creation module is used to create file information of the current condition of the diabetic patient and record it to the data storage terminal through the Internet of Things.

[0015] Furthermore, the data monitoring module includes a blood glucose monitoring module and a blood pressure monitoring module. The blood glucose monitoring module is used to monitor the patient's blood glucose level, blood glucose fluctuation and time within the glucose target range in real time. The blood pressure monitoring module is used to monitor the patient's blood pressure in real time. Both the blood glucose monitoring module and the blood pressure monitoring module transmit data to the self-management module every 3 minutes.

[0016] Furthermore, the early warning module is used to monitor in real time whether the user's blood sugar level, blood sugar fluctuation and blood pressure are beyond the normal range. When the monitored data exceeds the normal range, the early warning module sends a warning signal to remind the user to seek medical treatment in time.

[0017] Furthermore, the recording module includes a data recording module, a sleep recording module, a diet recording module, an exercise recording module and a medication recording module. All data in the recording module are transmitted to the user management module. The data in the recording module can continuously record data within 30 days. When the data exceeds 30 days, the data of 30 days and before will be transmitted from the recording module and the user management module to the data storage terminal for long-term storage, so that the patient can retrieve the data during the later review;

[0018] The data recording module is used to receive the real-time data transmitted by the blood sugar monitoring module and the blood pressure monitoring module and record and display the data in an intuitive curve chart on the smart phone applet;

[0019] The sleep recording module is used to record the patient's daily nap time and nighttime sleep time, comprehensively record the patient's daily sleep duration, and record the patient's daily morning awakening time. The blood glucose monitoring module is used to focus on recording the patient's fasting blood glucose level when waking up in the morning;

[0020] The diet record module is used to record the patient's daily diet time, and the blood glucose monitoring module focuses on recording the patient's blood glucose level 0.5h and 2h after meals;

[0021] The exercise recording module is used to record the patient's daily exercise status, and the blood sugar monitoring module focuses on recording the patient's blood sugar level 0.5 hours before and after exercise;

[0022] The medication record module is used to record the daily medication status of patients who need to take hypoglycemic drugs, and the blood glucose monitoring module focuses on recording the patient's blood glucose level before and 1 hour after taking the medicine.

[0023] Furthermore, the self-management module is used to receive the diet and exercise plans pushed by the preset module in the management terminal, so that the patient can check the plan content at any time and follow the plan content for diet and exercise.

[0024] Furthermore, the data analysis module is also used to conduct in-depth analysis of the patient's blood sugar level change data transmitted by the patient terminal, identify the trend and pattern of the patient's blood sugar change; combined with the patient's age, gender, weight, height, diabetes type and course of disease and other personal information, conduct personalized data analysis to provide a basis for formulating management strategies.

[0025] Furthermore, the data viewing module is used by medical staff at the hospital terminal to obtain detailed health information of patients, including:

[0026] View the patient's blood sugar and blood pressure physiological index data in real time, as well as the historical change trends of these data;

[0027] Review the patient's self-management records, such as diet, exercise, medication, and sleep, to fully understand the patient's lifestyle;

[0028] Access the analysis results provided by the data analysis module, such as blood sugar trend analysis and assessment of the impact of diet and exercise on blood sugar, to provide data support for formulating and adjusting treatment plans.

[0029] Furthermore, the intervention module is used to carry out timely health intervention when the patient's self-management is ineffective. Specifically, when the patient's blood sugar fluctuation within a cycle is higher than the threshold set by the data analysis module, or the patient's glucose target range is not within the standard range for a long time, it can reflect that the patient's physical condition has deteriorated or is not implemented according to the plan pushed by the preset module. For patients who need emergency intervention, the intervention module automatically notifies the medical staff at the hospital terminal so that they can contact the patient in time and provide necessary medical assistance.

[0030] Furthermore, the communication module is used for patients to send consulting information to medical staff, asking questions about their condition, diet, exercise or medication; medical staff can respond to patients' inquiries in a timely manner through the communication module and provide personalized guidance and suggestions; the communication module also supports video call function between patients and medical staff, so that face-to-face communication and diagnosis can be carried out when necessary; in addition, the communication module can also record the communication history between patients and medical staff, which is convenient for patients to review and refer to at any time.

[0031] The above scheme has the following beneficial effects:

[0032] 1. This solution, first of all, divides patients in detail through the file grouping module, and realizes personalized group management based on key information such as the patient's age, blood sugar level, and whether or not they are taking medication. This grouping method helps medical staff to understand the patient's health status more accurately, and provides a solid foundation for subsequent health management and treatment plan formulation; secondly, the preset module calls big data for diet and exercise planning according to the conditions of patients in different groups, and pushes it to the patient terminal. This enables patients to check and follow the planned diet and exercise at any time, so as to more effectively control blood sugar levels and improve the quality of life; in addition, the group management function of the user management module enables medical staff to efficiently manage a large number of patients and receive and process patients' monitoring data in real time. This not only improves work efficiency, but also ensures the accuracy and timeliness of patient data, providing strong protection for the health of patients; the data analysis module can not only conduct in-depth analysis of the blood sugar level change data of different groups of patients, identify the trends and patterns of blood sugar changes, but also readjust the groups according to the periodic blood sugar changes of patients. This dynamic adjustment mechanism helps medical staff to more accurately assess the health status of patients and adjust treatment plans in time, thereby more effectively controlling blood sugar levels; when the patient's blood sugar fluctuations exceed the normal range or the glucose target range is not within the standard range for a long time, the intervention module of the hospital terminal can conduct health intervention in time. This targeted intervention measure helps prevent the patient's condition from worsening and improve the treatment effect.

[0033] 2. In this solution, the patient terminal can monitor the patient's blood sugar, blood pressure and other key physiological indicators in real time through the blood sugar monitoring bracelet and the smart phone applet, and transmit data every 3 minutes to ensure the timeliness and accuracy of the data; the early warning module can issue a warning signal in time when the data exceeds the normal range, reminding the patient to take corresponding measures or seek medical treatment, effectively preventing the occurrence of acute complications.

[0034] 3. In this solution, the data storage terminal can preserve the patient's health data for a long time, making it convenient for the patient to retrieve the data during subsequent follow-up examinations, and also providing rich data support for medical staff.

[0035] 4. In this solution, the communication module promotes effective communication between patients and medical staff. Patients can ask questions to medical staff at any time, and medical staff can respond in time and provide personalized guidance and suggestions.

[0036] 5. In this solution, patients can easily view their health data and planning content through the smart phone applet, enhance their self-management awareness, and the recording module can continuously record the patient's diet, exercise, medication and sleep conditions, helping patients better understand the impact of their lifestyle habits on blood sugar, so as to make adjustments and improvements.

[0037] Additional aspects and advantages of the present invention will be given in part in the following description and in part will be obvious from the following description, or will be learned through practice of the present invention. BRIEF DESCRIPTION OF THE DRAWINGS

[0038] Figure 1 It is a schematic diagram of the principle of an embodiment of the integrated comprehensive management system for diabetic patients of the present invention. DETAILED DESCRIPTION

[0039] The technical solution of the present invention will be described clearly and completely below in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0040] In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicating the orientation or positional relationship, are based on the orientation or positional relationship shown in the drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and cannot be understood as indicating or implying relative importance.

[0041] In the description of the present invention, it should be noted that, unless otherwise clearly specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be indirectly connected through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0042] The following is further described in detail through specific implementation methods:

[0043] Example:

[0044] As attached Figure 1 As shown: an integrated comprehensive management system for diabetic patients, including a hospital terminal, a patient terminal, a management terminal and a data storage terminal that are signal-connected to each other. The hospital terminal is used to collect diabetic patient condition information and view patient condition information received by the management terminal and transmitted from the current patient terminal. The patient terminal is used to monitor the physical condition information of diabetic patients in real time and feed it back to the management terminal. The management terminal is used to receive patient terminal information and intuitively feed back the patient terminal information to the hospital terminal. The hospital terminal adjusts the management mechanism of the management terminal according to the patient's condition. The patient's condition information is recorded and saved in the data storage terminal, so that the hospital terminal can call the patient information at any time.

[0045] The hospital terminal includes a file creation module, a data viewing module and an intervention module. The patient terminal includes a blood glucose monitoring bracelet and a smart phone applet that are connected to each other by signals. The blood glucose monitoring bracelet has built-in data monitoring module, early warning module and recording module. The smart phone applet has built-in self-management module and communication module. The data monitoring module, early warning module and recording module are all connected to the self-management module through Internet of Things signals, the self-management module is connected to the management terminal through Internet of Things signals, and the communication module is connected to the intervention module of the hospital terminal through Internet of Things signals.

[0046] The management terminal includes a file grouping module, a preset module, a user management module, a data analysis module and a device management module;

[0047] The file grouping module is used to call the information of the data storage terminal and classify and group the patients according to their age, blood sugar level and medication status when the file establishment module was established.

[0048] The preset module is used to call up the big data of the data storage terminal according to the conditions of different groups of patients, plan diet and exercise according to the patients' age, blood sugar level and whether they are taking medication, and transmit the data to the smart phone applet on the patient's terminal for patients to query at any time.

[0049] The user management module manages the patient groups divided by the file grouping module, and is used to receive real-time monitoring data from the patient terminal during diabetes management, and transmit the monitoring data to the data analysis module and the data viewing module of the hospital terminal respectively. If the user management module cannot receive the patient terminal data, the information is transmitted to the device management module.

[0050] The data analysis module is used to receive the blood sugar level change data of patients at the patient terminal during the group management, and perform data analysis, comparison and statistics through big data analysis. For patients with large blood sugar level change data, the data is transmitted to the intervention module of the hospital terminal. For patients with small blood sugar level change data or normal blood sugar level change data, dynamic adjustments are made and the data are sent back to the file grouping module for re-grouping, and then group management is carried out through the user management module.

[0051] The device management module is used to receive data from the user management module in real time to determine whether the blood glucose monitoring bracelet at the patient terminal is faulty, and to transmit data to the hospital terminal in a timely manner to notify the patient at the patient terminal to replace the blood glucose monitoring bracelet.

[0052] The file creation module is used to create file information of the current condition of diabetic patients and record it to the data storage terminal through the Internet of Things.

[0053] The data monitoring module includes a blood glucose monitoring module and a blood pressure monitoring module. The blood glucose monitoring module is used to monitor the patient's blood glucose level, blood glucose fluctuation and time within the glucose target range in real time. The blood pressure monitoring module is used to monitor the patient's blood pressure in real time. Both the blood glucose monitoring module and the blood pressure monitoring module transmit data to the self-management module every 3 minutes.

[0054] The early warning module is used to monitor in real time whether the user's blood sugar level, blood sugar fluctuations and blood pressure are beyond the normal range. When the monitored data exceeds the normal range, the early warning module sends a warning signal to remind the user to seek medical treatment in time.

[0055] The recording module includes a data recording module, a sleep recording module, a diet recording module, an exercise recording module and a medication recording module. All data in the recording module are transmitted to the user management module. The data in the recording module can continuously record data within 30 days. When the data exceeds 30 days, the data of 30 days and before will be transmitted from the recording module and the user management module to the data storage terminal for long-term storage, so that the patient can retrieve the data during the later review.

[0056] The data recording module is used to receive the real-time data transmitted by the blood glucose monitoring module and the blood pressure monitoring module and record and display the data in the form of intuitive curve charts on the smart phone applet.

[0057] The sleep recording module is used to record the patient's daily daytime nap time and nighttime sleep time, comprehensively record the patient's daily sleep duration, and record the patient's daily morning wake-up time. The blood glucose monitoring module also focuses on recording the patient's fasting blood glucose level when waking up early.

[0058] The diet record module is used to record the patient's daily diet time, and the blood glucose monitoring module focuses on recording the patient's blood glucose level 0.5h and 2h after meals.

[0059] The exercise recording module is used to record the patient's daily exercise status, and the blood glucose monitoring module focuses on recording the patient's blood glucose level 0.5h before and 0.5h after exercise.

[0060] The medication record module is used to record the daily medication status of patients who need to take hypoglycemic drugs, and the blood glucose monitoring module focuses on recording the patient's blood glucose level before and 1 hour after taking the medicine.

[0061] The self-management module is used to receive the diet and exercise plans pushed by the preset module in the management terminal, so that the patient can check the plan content at any time and follow the plan content for diet and exercise.

[0062] The data analysis module is also used to conduct in-depth analysis of the patient's blood sugar level change data transmitted by the patient terminal, identify the trend and pattern of the patient's blood sugar change, for example, whether there is frequent occurrence of nocturnal hypoglycemia or postprandial hyperglycemia; compare the patient's blood sugar data in different time periods, such as blood sugar changes before and after meals, before and after exercise, to evaluate the impact of diet and exercise on blood sugar; combine the patient's age, gender, weight, height, diabetes type and disease course personal information to conduct personalized data analysis to provide a basis for formulating management strategies.

[0063] The data viewing module is used by medical staff at the hospital terminal to obtain detailed health information of patients, including:

[0064] View the patient's blood sugar and blood pressure physiological indicator data in real time, as well as the historical change trends of these data.

[0065] Review the patient's self-management records, such as diet, exercise, medication, and sleep, to fully understand the patient's lifestyle.

[0066] Access the analysis results provided by the data analysis module, such as blood sugar trend analysis and assessment of the impact of diet and exercise on blood sugar, to provide data support for formulating and adjusting treatment plans.

[0067] The intervention module is used to carry out timely health intervention when the patient's self-management is ineffective. Specifically, when the patient's blood sugar fluctuations within a cycle are higher than the threshold set by the data analysis module, or the patient's glucose target range is not within the standard range for a long time, it can reflect that the patient's physical condition has deteriorated or is not implemented according to the plan pushed by the preset module. For patients who need emergency intervention, the intervention module automatically notifies the medical staff at the hospital terminal so that they can contact the patient in time and provide necessary medical assistance.

[0068] The communication module is used for patients to send consulting information to medical staff, asking questions about their condition, diet, exercise or medication; medical staff can respond to patients' inquiries in a timely manner through the communication module and provide personalized guidance and suggestions; the communication module also supports video call function between patients and medical staff, so that face-to-face communication and diagnosis can be carried out when necessary; in addition, the communication module can also record the communication history between patients and medical staff, which is convenient for patients to review and refer to at any time.

[0069] The specific implementation process is as follows: Generally, when a patient uses this management system for the first time, he or she enters basic personal information (such as age, gender, weight, height, type of diabetes, etc.) and current blood sugar level through the file creation module of the hospital terminal to create a personal health file. The file creation module uploads the patient's personal health file to the data storage terminal, and the file grouping module calls the patient's health file information in the data storage terminal, and classifies and groups the patient according to the patient's age, blood sugar level and medication status when the file creation module is established. The age groups are 18 to 40 years old, 40 to 55 years old, 55 to 65 years old and 65 years old and above. According to the range of the patient's blood sugar level, it is divided into mild, moderate and severe patients. Moderate patients are comprehensively evaluated based on their own physical condition and age to determine whether they need to take medicine to lower or maintain their blood sugar level. Severe patients are classified into the medication group by default. Patients in each group are assigned corresponding medical staff for management and regular data checks.

[0070] A blood glucose monitoring bracelet is assigned to each group of patients and bound to a smart phone applet to ensure real-time data transmission. After the groups are divided, the preset module uses big data to formulate personalized diet and exercise plans based on the grouping situation, and pushes them to the patients through the smart phone applet. The patients view and follow the planned diet and exercise through the self-management module, and monitor the blood glucose and blood pressure of the patients on a daily basis through the blood glucose monitoring bracelet. The data is transmitted to the smart phone applet every 3 minutes, and the data is intuitively displayed in the form of curve charts to achieve the recording of the patient's 24-hour blood glucose throughout the day; for patients in the group not requiring medication, the recording module of the blood glucose monitoring bracelet only records the patient's sleep, diet and blood glucose changes before and after exercise. For patients in the medication group, the blood glucose monitoring bracelet has an additional medication recording module, which focuses on recording the patient's blood glucose level changes before and after taking the medication every day. While the blood glucose monitoring bracelet monitors the patient's blood glucose data in real time, it manages high and low blood glucose settings according to the patient's situation. When the monitored blood glucose is higher or lower than the set range, the early warning module sends an early warning signal to remind the user to seek medical treatment in time to prevent the risk of complications caused by high or low blood glucose.

[0071] The data analysis module analyzes the patient's blood sugar level change data in a cycle of 7 days. If the data is stable and normal, the current group management will continue. The data viewing module of the hospital terminal can view the patient data bound to the data analysis module and the analysis and comparison data in real time, providing doctors with preliminary auxiliary diagnosis and treatment.

[0072] In the daily management of diabetic patients, the communication module can realize online interactive communication between doctors and patients and reminders for patients' follow-up visits. Combined with the self-management module, doctors at the hospital terminal can push popular science education guidance at any time, allowing patients to learn about diabetes-related knowledge on their own. The data analysis module compares the patient's blood sugar level data every 7 days. If the patient's blood sugar level changes from moderate to mild, the data analysis module will send the patient's personal information file back to the file grouping module for re-grouping, and make health plans according to the new grouping.

[0073] Since diabetes is a chronic disease that requires long-term management, some patients have poor compliance and self-management capabilities, resulting in poor management results. As diabetes progresses, the data analysis module analyzes the blood sugar level ratio and finds that such patients have large blood sugar fluctuations compared to the diet and exercise requirements in the preset module or when taking medication. The data analysis module feeds back to the medical staff through the data viewing module. The medical staff determines whether it is necessary to contact the patient urgently for a physical examination or inquiry to confirm whether the abnormal blood sugar is caused by the deterioration of the physical condition. If it is confirmed that the abnormal blood sugar is not caused by the deterioration of the physical condition, but by the patient's insufficient self-management (such as failure to take medication on time, irregular diet, etc.), the intervention module will send a reminder message to the patient's terminal, requiring the patient to strengthen self-management, and the medical staff will communicate with the patient through the communication module, provide personalized guidance and suggestions, and arrange video calls for face-to-face communication when necessary. For such patients, medical staff can focus on the patient's blood sugar level changes through the data viewing module. If the patient continues to have poor self-management, they can consider increasing face-to-face education or adjusting the treatment plan, thereby achieving intervention education for diabetic patients.

[0074] Obviously, the above embodiments are merely examples for the purpose of clear explanation, and are not intended to limit the implementation methods. For those skilled in the art, other different forms of changes or modifications can be made based on the above description. It is not necessary and impossible to list all the implementation methods here. The obvious changes or modifications derived therefrom are still within the scope of protection of the invention.

Claims

1. An integrated comprehensive management system for diabetic patients, comprising a hospital terminal, a patient terminal, a management terminal and a data storage terminal connected to each other by signals, characterized in that: The hospital terminal is used to collect information about the condition of diabetic patients and to view the patient condition information transmitted from the current patient terminal received by the management terminal. The patient terminal is used to monitor the physical condition information of diabetic patients in real time and to feed back the information to the management terminal. The management terminal is used to receive the patient terminal information and feed back the patient terminal information to the hospital terminal directly. The hospital terminal adjusts the management mechanism of the management terminal according to the patient's condition. The patient's condition information is recorded and saved in the data storage terminal, so that the hospital terminal can call the patient information at any time. The hospital terminal includes a file creation module, a data viewing module and an intervention module, and the patient terminal includes a blood glucose monitoring bracelet and a smart phone applet that are connected to each other by signals. The blood glucose monitoring bracelet has a built-in data monitoring module, an early warning module and a recording module, and the smart phone applet has a built-in self-management module and a communication module. The data monitoring module, the early warning module and the recording module are all connected to the self-management module through the Internet of Things signal, the self-management module is connected to the management terminal through the Internet of Things signal, and the communication module is connected to the intervention module of the hospital terminal through the Internet of Things signal; The management terminal includes a file grouping module, a preset module, a user management module, a data analysis module and a device management module; The file grouping module is used to call the information of the data storage terminal and classify and group the patients according to their age, blood sugar level and medication status when the file establishment module was established; The preset module is used to call the big data of the data storage terminal according to the different groups of patients, plan diet and exercise according to the age, blood sugar level and medication status of the patients, and transmit it to the smart phone applet of the patient terminal for the patient to query at any time; The user management module manages the patient groups divided by the file grouping module, and is used to receive the real-time monitoring data of the patient terminal during diabetes management, and transmit the monitoring data to the data analysis module and the data viewing module of the hospital terminal respectively. If the user management module cannot receive the patient terminal data, it transmits the information to the device management module; The data analysis module is used to receive the blood sugar level change data of the patients at the patient terminal during the group management period, and perform data analysis, comparison and statistics through big data analysis. For patients with large blood sugar level change data, the data is transmitted to the intervention module of the hospital terminal. For patients with small blood sugar level change data or normal blood sugar level change data, dynamic adjustments are made and the data is transmitted back to the file grouping module for re-grouping, and then group management is performed through the user management module; The device management module is used to receive data from the user management module in real time to determine whether the blood glucose monitoring bracelet at the patient terminal is faulty, and to transmit data to the hospital terminal in a timely manner to notify the patient at the patient terminal to replace the blood glucose monitoring bracelet.

2. The integrated comprehensive management system for diabetic patients according to claim 1, characterized in that: The file creation module is used to create file information of the current condition of diabetic patients and record it to the data storage terminal through the Internet of Things.

3. The integrated comprehensive management system for diabetic patients according to claim 2, characterized in that: The data monitoring module includes a blood glucose monitoring module and a blood pressure monitoring module. The blood glucose monitoring module is used to monitor the patient's blood glucose level, blood glucose fluctuation and time within the glucose target range in real time. The blood pressure monitoring module is used to monitor the patient's blood pressure in real time. Both the blood glucose monitoring module and the blood pressure monitoring module transmit data to the self-management module every 3 minutes.

4. The integrated comprehensive management system for diabetic patients according to claim 3, characterized in that: The early warning module is used to monitor in real time whether the user's blood sugar level, blood sugar fluctuations and blood pressure are beyond the normal range. When the monitored data exceeds the normal range, the early warning module sends a warning signal to remind the user to seek medical treatment in time.

5. The integrated comprehensive management system for diabetic patients according to claim 4, characterized in that: The recording module includes a data recording module, a sleep recording module, a diet recording module, an exercise recording module and a medication recording module. All data in the recording module are transmitted to the user management module. The data in the recording module can continuously record data within 30 days. When the data exceeds 30 days, the data of 30 days and before will be transmitted from the recording module and the user management module to the data storage terminal for long-term storage, so that the patient can retrieve the data during the later review; The data recording module is used to receive the real-time data transmitted by the blood sugar monitoring module and the blood pressure monitoring module and record and display the data in an intuitive curve chart on the smart phone applet; The sleep recording module is used to record the patient's daily nap time and nighttime sleep time, comprehensively record the patient's daily sleep duration, and record the patient's daily morning awakening time. The blood glucose monitoring module is used to focus on recording the patient's fasting blood glucose level when waking up in the morning; The diet record module is used to record the patient's daily diet time, and the blood glucose monitoring module focuses on recording the patient's blood glucose level 0.5h and 2h after a meal; The exercise recording module is used to record the patient's daily exercise status, and the blood sugar monitoring module focuses on recording the patient's blood sugar level 0.5 hours before and after exercise; The medication record module is used to record the daily medication status of patients who need to take hypoglycemic drugs, and the blood glucose monitoring module focuses on recording the patient's blood glucose level before and 1 hour after taking the medicine.

6. The integrated comprehensive management system for diabetic patients according to claim 5, characterized in that: The self-management module is used to receive the diet and exercise plans pushed by the preset module in the management terminal, so that the patient can check the plan content at any time and follow the plan content for diet and exercise.

7. The integrated comprehensive management system for diabetic patients according to claim 6, characterized in that: The data analysis module is also used to conduct in-depth analysis of the patient's blood sugar level change data transmitted by the patient terminal, and identify the trends and patterns of the patient's blood sugar changes; combined with the patient's age, gender, weight, height, diabetes type and disease course personal information, personalized data analysis is performed to provide a basis for formulating management strategies.

8. The integrated comprehensive management system for diabetic patients according to claim 7, characterized in that: The data viewing module is used by medical staff at the hospital terminal to obtain detailed health information of patients, including: View the patient's blood sugar and blood pressure physiological index data in real time, as well as the historical change trends of these data; Review the patient's self-management records, such as diet, exercise, medication, and sleep, to fully understand the patient's lifestyle; Access the analysis results provided by the data analysis module, such as blood sugar trend analysis and assessment of the impact of diet and exercise on blood sugar, to provide data support for formulating and adjusting treatment plans.

9. The integrated comprehensive management system for diabetic patients according to claim 8, characterized in that: The intervention module is used to carry out timely health intervention when the patient's self-management is ineffective. Specifically, when the patient's blood sugar fluctuations within a cycle are higher than the threshold set by the data analysis module, or the patient's glucose target range is not within the standard range for a long time, it can reflect that the patient's physical condition has deteriorated or is not implemented according to the plan pushed by the preset module. For patients who need emergency intervention, the intervention module automatically notifies the medical staff at the hospital terminal so that they can contact the patient in time and provide necessary medical assistance.

10. The integrated comprehensive management system for diabetic patients according to claim 9, characterized in that: The communication module is used by patients to send consultation information to medical staff, asking questions about their condition, diet, exercise or medication. Medical staff can use the communication module to respond to patients' inquiries in a timely manner and provide personalized guidance and suggestions; The communication module also supports video calls between patients and medical staff, so that face-to-face communication and diagnosis can be carried out when necessary; in addition, the communication module can also record the communication history between patients and medical staff, which is convenient for patients to review and refer to at any time.

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