Abstract
Telemedicine systems can play an important
role in the management of diabetes, a chronic condition that
is increasing worldwide. Evaluations on the consistency of
information across these systems and on their performance
in a real situation are still missing. This paper presents a
remote monitoring system for diabetes management based
on physiological sensors, mobile technologies and patient/
doctor applications over a service-oriented architecture that
has been evaluated in an international trial (83,905 operation
records). The proposed system integrates three types of
running environments and data engines in a single serviceoriented
architecture. This feature is used to assess key
performance indicators comparing them with other type
of architectures. Data sustainability across the applications
has been evaluated showing better outcomes for full integrated
sensors. At the same time, runtime performance of
clients has been assessed spotting no differences regarding
the operative environment
