Results Telemedicine programs that include a nutritional component show similar effect in diabetes management as those programs that do not .
Furthermore , subgroup analysis reveals that nutritional intervention via SMS such as email and text messages is at least as equally effective in reducing HbA1c when compared to personal nutritional counseling with a practitioner over videoconference or telephone .
Conclusion The inclusion of nutritional counseling as part of a telemedicine program does not make a significant difference to diabetes outcomes .
Incorporating nutritional counseling into telemedicine programs via SMS is at least as effective as counseling via telephone or videoconference
Background A growing number of studies and review s have documented the impact of telemedicine on diabetes management .
However , no meta- analysis has assessed whether including nutritional counseling as part of a telemedicine program has a significant impact on diabetes outcomes or what kind of nutritional counseling is most effective .
Reported Practice Behaviors for Medical Care of Patients With Diabetes Mellitus by Primary-Care Physicians in Pennsylvania
Objective To compare the American Diabetes Association st and ards for the medical care of diabetic patients with reported care patterns . Research Design and Methods These st and ards were compared with reported care patterns obtained from a stratified r and om telephone survey of general practitioners , family physicians , and general internists in Pennsylvania . A total of 610 physicians completed the survey for a response rate of 73 % . Results All primary -care physicians reported measurement of glycosylated hemoglobin , routine referrals to eye doctors , and patient self-monitoring of blood glucose < recommended . Nearly all physicians performed foot exams , but the exams were infrequent for many of the physicians . Significant and independent differences ( P < 0.05 ) were noted between different groups of physicians . Older physicians and general practitioners reported patterns of care most different from the recommended st and ards for referral to eye doctors , measurement of glycosylated hemoglobin , and use of patient self-monitoring of blood glucose . General practitioners reported the lowest frequency of foot exams . Conclusions Educational programs on diabetes for primary -care physicians should focus on reported behaviors most different from recommended st and ards and may need to target subgroups of physicians to achieve a more uniform level of care for all diabetic patients
Results Telemedicine programs that include a nutritional component show similar effect in diabetes management as those programs that do not .
Furthermore , subgroup analysis reveals that nutritional intervention via SMS such as email and text messages is at least as equally effective in reducing HbA1c when compared to personal nutritional counseling with a practitioner over videoconference or telephone .
Conclusion The inclusion of nutritional counseling as part of a telemedicine program does not make a significant difference to diabetes outcomes .
Incorporating nutritional counseling into telemedicine programs via SMS is at least as effective as counseling via telephone or videoconference
Background A growing number of studies and review s have documented the impact of telemedicine on diabetes management .
However , no meta- analysis has assessed whether including nutritional counseling as part of a telemedicine program has a significant impact on diabetes outcomes or what kind of nutritional counseling is most effective .