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 .
A comparison of internet monitoring with continuous glucose monitoring in insulin-requiring type 2 diabetes mellitus.
OBJECTIVE To compare the effects of real-time continuous glucose monitoring ( RT-CGM ) and an Internet blood glucose monitoring system ( IBGMS ) on glycated hemoglobin levels in patients with type 2 diabetes mellitus treated with insulin . METHODS Fifty-seven patients with type 2 diabetes treated with insulin  were assigned r and omly to 1 of 2 groups . Group 1 had the results of their self-monitoring of blood glucose level monitored biweekly using an IBGMS . Group 2 used RT-CGM and were monitored biweekly . Both groups used a secure website to upload data and to receive feedback from their endocrinologist .  A1C and laboratory test results were collected at 0 , 3 and 6 months . RESULTS The baseline parameters were not significantly different . After a 6-month follow-up period , both IBGMS and RT-CGM showed significant within-group improvements in A1C level . In the IBGMS group , the A1C level decreased from 8.79%±1.25 % to 7.96%±1.30 % ( p<0.05 ) . The RT-CGM group decreased from 8.80%±1.37 % to 7.49%±0.70 % ( p<0.001 ) . IBGMS and RT-CGM did not show significantly different A1C levels at baseline , 3 and 6 months ( p>0.05 ) . CONCLUSIONS The use of both IBGMS and RT-CGM significantly improved A1C levels in patients with type 2 diabetes treated with insulin in a r and omized trial over a 6-month period . There were no significant differences in A1C values between groups after 6 months
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 .