Diabetes Care and Treatment Project: A Joslin Telemedicine Initiative

This is a final report on the work accomplished during the period of performance from 2003 to 2007 with Joslin Diabetes Center as the prime organization. As of October 2007, under agreement with Joslin, this project was relocated to University of Hawaii as a new contract. The program proposed for this final year will not change but the organization supporting the performance becomes the University of Hawaii. We have completed all deliverables outlined in the Statement of Work and are in the process of completing the proposed clinical studies under the new contract through University of Hawaii. The proposed studies are all under active HSRRB approvals and are either in final recruitment, data analysis, or have been completed with manuscripts either accepted for or under review in appropriate peer reviewed journals. The application is currently being integrated into AHLTA. Technologically, our work on image quality improvement for retinal images has resulted in a digital camera optimized for low light level, non-pupil dilation acquisition and we have developed an image deconvolution algorithm that improves image quality through post image acquisition processing. CDMP development now incorporates a patient portal for home monitoring devices in collaboration with iMetrikus. CDMP development is ongoing for robust computer assisted decision support applications as the program is moved to University of Hawaii.