Telemedicine had no convincing effect on quality of life , mortality or hypoglycemia .
INTERPRETATION : Compared with usual care , the addition of telemedicine , especially systems that allowed medication adjustments with or without text messaging or a Web portal , improved HbA1C but not other clinical ly relevant outcomes among patients with diabetes
BACKGROUND : Telemedicine , the use of telecommunications to deliver health services , expertise and information , is a promising but unproven tool for improving the quality of  diabetes care  .
We summarized the effectiveness of different methods of telemedicine for the management of diabetes compared with usual care .
Six-Month Outcomes from Living Well with Diabetes: A Randomized Trial of a Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control
Background Intensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions , but are less informative for translation in applied setting s. Purpose Living Well with Diabetes is a telephone-delivered weight loss intervention design ed for real-world delivery . Methods This study is a r and omized controlled trial of telephone counseling  ( n = 151 ) versus  usual care ( n = 151 ) ; 6-month primary outcomes of weight , physical activity , HbA1c ; secondary diet outcomes ; analysis was by adjusted generalized linear models . Results Relative to usual care , telephone counseling participants had small but significantly better weight loss [ −1.12 % of initial body weight ; 95 % confidence interval ( CI ) −1.92 , −0.33 % ] ; physical activity [ relative rate ( RR ) = 1.30 ; 95 % CI , 1.08 , 1.57 ] ; energy intake reduction ( −0.63 MJ/day ; 95 % CI , −1.01 , −0.25 ) ; and diet quality ( 3.72 points ; 95 % CI , 1.77 , 5.68 ) , with no intervention effect for HbA1c ( RR = 0.99 ; 95 % CI , 0.96 , 1.01 ) . Conclusions Results are discussed in light of challenges to intervention delivery
Telemedicine had no convincing effect on quality of life , mortality or hypoglycemia .
INTERPRETATION : Compared with usual care , the addition of telemedicine , especially systems that allowed medication adjustments with or without text messaging or a Web portal , improved HbA1C but not other clinical ly relevant outcomes among patients with diabetes
BACKGROUND : Telemedicine , the use of telecommunications to deliver health services , expertise and information , is a promising but unproven tool for improving the quality of  diabetes care  .
We summarized the effectiveness of different methods of telemedicine for the management of diabetes compared with usual care .