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 .
Shared care combined with telecare improves glycemic control of diabetic patients in a rural underserved community.
OBJECTIVE To investigate the effectiveness of shared care combined with telecare in type 2 diabetic patients in an underserved community in Asia . RESEARCH DESIGN AND METHODS In total , 95 patients with type 2 diabetes who had a glycosylated hemoglobin ( HbA1c ) level of > 7 % were recruited from six community health centers in remote areas in Changhua County , Taiwan . All patients were r and omly divided into intervention ( shared care combined with telecare ) and usual-care groups and followed up for 6 months . RESULTS The decrease in HbA1c level was significantly greater in the intervention group than in the usual-care group ( 0.7 ± 1.3 % versus 0.1 ± 1.0 % , p=0.03 ) . There were no significant differences in lipid profiles and blood pressure changes between the two groups . CONCLUSIONS Shared care combined with telecare could significantly reduce HbA1c levels in type 2 diabetic patients with poor glycemic control in underserved rural communities . Further studies should be conducted to clarify the target users and to develop cost-effective interventions
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 .