A telemedicine distributed decision-support system for diabetes management

This paper describes the application of a telemedicine system within a distributed knowledge-based framework to the management of diabetes. The objectives are to provide decision-aid support to patients and physicians in a range of therapeutic situations defined by the control goals and time scales of control action required. The telemedicine system allows three monitoring modes: long-term monitoring (weeks/months), short-term monitoring (days) and real-time mode (hours). The distributed KBS architecture has been designed to provide: 1) reasoning procedures at different time-scale and control situations, and 2) decision-aid procedures at various environment, with different person-oriented purpose, and different goals.