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 .
A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension
This study was performed to evaluate the effects of a patient-centered , tablet computer-based self-monitoring system for chronic disease care . A 3-month r and omized controlled pilot trial was conducted to compare the use of a computer-based self-monitoring system in disease self-care  ( intervention group ; n = 33 ) with a  conventional self-monitoring method ( control group ; n = 30 ) in patients with type 2 diabetes mellitus and /or hypertension . The system was equipped with a 2-in-1 blood glucose and blood pressure monitor , a reminder feature , and video-based educational material s for the care of the two chronic diseases . The control patients were given only the 2-in-1 monitor for self-monitoring . The outcomes reported here included the glycated hemoglobin ( HbA1c ) level , fasting blood glucose level , systolic blood pressure , diastolic blood pressure , chronic disease knowledge , and frequency of self-monitoring . The data were collected at baseline and at 1- , 2- , and 3-month follow-up visits . The patients in the intervention group had a significant decrease in mean systolic blood pressure from baseline to 1 month ( p < 0.001 ) and from baseline to 3 months ( p = 0.043 ) compared with the control group . Significant improvements in the mean diastolic blood pressure were seen in the intervention group compared with the control group after 1 month ( p < 0.001 ) and after 2 months ( p = 0.028 ) , but the change was not significant after 3 months . No significant differences were observed between the groups in the fasting blood glucose level , the HbA1c level , or chronic disease knowledge . The frequency of self-monitoring of blood glucose level and blood pressure was similar in both groups . The performances of the tablet computer-assisted and conventional disease self-monitoring appear to be useful to support/maintain blood pressure and diabetes control . The beneficial effects of the use of electronic self-care re sources and support provided via mobile technologies require further confirmation in longer-term , larger trials
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 .