The review indicates that most telemedicine strategies can be useful , either as an adjunct or to replace usual care , leading to clinical ly meaningful reduction in HbA1c
The effects of telemedicine strategies on the management of diabetes is not clear .
This study aim ed to investigate the impact of different telemedicine strategies on glycaemic control management of type 2 diabetes patients .
Telemonitoring in fasting individuals with Type 2 Diabetes Mellitus during Ramadan: A prospective, randomised controlled study
We determined the impact of a remote blood glucose telemonitoring program with feedback in type 2 diabetes mellitus patients fasting during Ramadan compared to conventional self-monitoring method . A twelve-week cluster r and omised study , with 85 participants who wish to fast for at least 15 days during Ramadan was conducted . Self-measurement and transmission of blood glucose results were performed six times daily during Ramadan . Results were transmitted to a secure website for review with feedback from case manager if necessary . The control group received usual care . The main outcome was the number of participants experiencing hypoglycaemia during Ramadan and at the end of the study . During Ramadan , the number of participants reporting hypoglycaemia was significantly lower in the telemonitoring group [ Odds ratio ( OR ) : 0.186 , 95 % confidence interval : 0.04–0.936 ; p = 0.04 ] . Similarly , the proportion of participants reporting symptomatic hypoglycaemia at the end of the study was significantly lower in the telemonitoring group ( OR : 0.257 , 95 % CI : 0.07–0.89 ; p = 0.03 ) . A reduction of 1.07 % in glycated haemoglobin levels was observed in the telemonitoring group compared to 0.24 % in the control group ( p < 0.01 ) . Overall , telemonitoring was a useful adjunct to reduce the risk of hypoglycaemia during Ramadan with no deterioration in glycaemic
The review indicates that most telemedicine strategies can be useful , either as an adjunct or to replace usual care , leading to clinical ly meaningful reduction in HbA1c
The effects of telemedicine strategies on the management of diabetes is not clear .
This study aim ed to investigate the impact of different telemedicine strategies on glycaemic control management of type 2 diabetes patients .