The aging society are causing complicated problems from chronic diseases such as diabetes, heart disease in aged patients. Recently Covid pandemic swept across global aging societies and put aged people with chronic disease more vulnerable to mobidity. Therefore, from view of preventive and precision medicine, remote monitoring an aged people with chronic disease is an important issue than ever. Smart health care systems as remote monitoring is so called telemetry system which enable doctors or health care providers to manage remotely to consult, diagnose and treat patients with chronic disease and infectious disease as well. The goal of telemetry system is to meet timely medical need in aged patients in distant place through communication technologies. Through technological breakthrough, particularly in real-time health care industry, Telemetry system with realtime mornitoring of heart rhythm and blood glucose level can play an important role in managing healthcare services in aged patients. This report introduces a comprehensive and inclusive review on the usefulness of realtime patiens monitoring with wearable sensors in telemedicine applications. The findings of this report are as follows: (1) The advantage of real-time monitoring and blood glucose level and biofeedback based on visual data (2) The advantage of realtime-monitoring heart rhythm coupled with blood glucose level. (3) There is an additional need to produce a digital imaging from protable diagnostic divices such as X-ray and ultrasound.