There were three reported  deaths out of 3578 participants .Computer-based  diabetes self-management interventions currently have limited effectiveness .
Current interventions do not show adequate evidence for improving depression , health-related quality of life or weight .
AUTHORS ' CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup .
There is no evidence to show benefits in other biological outcomes or any cognitive , behavioural or emotional outcomes
BACKGROUND Diabetes is one of the commonest chronic medical conditions , affecting around 347 million adults worldwide .
Structured patient education programmes reduce the risk of diabetes-related complications four-fold .
Internet-based self-management programmes have been shown to be effective for a number of long-term conditions , but it is unclear what are the essential or effective components of such programmes .
If computer-based self-management interventions improve outcomes in type 2 diabetes , they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition .
OBJECTIVES To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus .
Quality of Outpatient Care Provided to Diabetic Patients: A health maintenance organization experience
OBJECTIVE To document the quality of diabetes care provided to patients in a large health maintenance organization ( HMO ) from 1 January 1993 to 1 January 1994 and compare it to the st and ards of the American Diabetes Association ( ADA ) . RESEARCH DESIGN AND METHODS To meet a Health Plan and Employer Data Information Set ( HEDIS ) requirement , a major HMO in California identified 14,539 members with diabetes and r and omly selected 384 individuals for review . Charts were available on 353 of these patients , and after obtaining the information for the HEDIS review , additional information was extracted from the charts by an outside chart review er . This data set was used for an analysis of the quality of diabetic care provided by the participating medical groups to these HMO members during 1 year . Documentation of follow-up and measures of glycemic and lipid control was examined both for absolute values and for the frequency of measurement over the year . These results were compared to the ADA st and ards of care . RESULTS Although patients averaged 4.5 visits to their primary care physicians ( PCPs ) over the year , 21 % had one or fewer visits per year . Glycated hemoglobin levels were not documented in 56 % of patients ( ADA recommends two to four measurements per year ) , and of those with a glycated hemoglobin level measured . 39 % had at least one value ≥ 10 % . Fasting plasma glucose concentrations were not documented in 65 % of patients ( four to six per year recommended ) . Foot exams ( which should be performed at each regular visit ) were not documented for 94 % of patients . Urine protein measurements were not performed in 52 % of patients . Additionally , many patients had elevated and untreated lipid abnormalities . CONCLUSIONS In spite of the frequency of PCP visits during the year for many of these patients , diabetes management was inadequate . This lack of adequate preventive care will lead to an increased risk of the development of the acute and chronic complications of diabetes , creating an even greater future burden on the health care system and negative consequences for patients
There were three reported  deaths out of 3578 participants .Computer-based  diabetes self-management interventions currently have limited effectiveness .
Current interventions do not show adequate evidence for improving depression , health-related quality of life or weight .
AUTHORS ' CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup .
There is no evidence to show benefits in other biological outcomes or any cognitive , behavioural or emotional outcomes
BACKGROUND Diabetes is one of the commonest chronic medical conditions , affecting around 347 million adults worldwide .
Structured patient education programmes reduce the risk of diabetes-related complications four-fold .
Internet-based self-management programmes have been shown to be effective for a number of long-term conditions , but it is unclear what are the essential or effective components of such programmes .
If computer-based self-management interventions improve outcomes in type 2 diabetes , they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition .
OBJECTIVES To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus .