目前市面上的通訊醫療設備與健康照護系統之間的通訊功能大多侷限在單向溝通，僅能將資料上傳至健康照護系統，無法直接執行系統傳來的指令，因此在照護功能上始終有所限制。為了讓糖尿病患者與關懷者間達到雙向溝通的健康照護目的，我們搭配『推拉操作』技術，為糖尿病患者設計了一種新的『互動式健康關懷者系統』，以提高糖尿病患者自我照護的品質。新的『互動式健康關懷者系統』在3G行動上網環境下，可以藉由『推拉操作』技術建立健康照護系統（雲端伺服器平台）、通訊醫療設備（3G血糖機）與關懷者（安裝遠距照護功能的手機）間的雙向溝通。 Most current commercially available communication medical equipment and healthcare systems only have one-way communication. Data can only be uploaded to the healthcare system, but commands from the system cannot be directly executed, thus limiting the care function. The complementary “push-pull operation” technique has been developed in order to achieve the healthcare purpose of two-way communication between patients with diabetes and caregivers. A new “interactive health caregivers system” has been designed for patients with diabetes in order to enhance the quality of self-care. The new “interactive health caregivers system” under the 3G Internet environment can establish two-way communication between the healthcare system (cloud server platform), communication medical equipment (3G Blood Glucose Monitoring, BGM), and caregivers (mobile phones equipped with remote care function).