There were three reported  deaths out of 3578 participants .Computer-based  diabetes self-management interventions currently have limited effectiveness .
Current interventions do not show adequate evidence for improving depression , health-related quality of life or weight .
AUTHORS ' CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup .
There is no evidence to show benefits in other biological outcomes or any cognitive , behavioural or emotional outcomes
BACKGROUND Diabetes is one of the commonest chronic medical conditions , affecting around 347 million adults worldwide .
Structured patient education programmes reduce the risk of diabetes-related complications four-fold .
Internet-based self-management programmes have been shown to be effective for a number of long-term conditions , but it is unclear what are the essential or effective components of such programmes .
If computer-based self-management interventions improve outcomes in type 2 diabetes , they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition .
OBJECTIVES To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus .
The Vermont Diabetes Information System (VDIS): study design and subject recruitment for a cluster randomized trial of a decision support system in a regional sample of primary care practices
Background Despite evidence that optimal care for diabetes can result in reduced complications and improved economic outcomes , such care is often not achieved . The Vermont Diabetes Information System ( VDIS ) is a registry-based decision support and reminder system based on the Chronic Care Model and targeted to primary care physicians and their patients with diabetes . Purpose To develop and evaluate a regional decision support system for patients with diabetes . Methods R and omized trial of an information system with clustering at the practice level . Ten percent r and om sub sample of patients selected for a home interview . Subject and setting includes 10 hospitals , 121 primary care providers , and 7348 patients in 55 Vermont and New York primary care practice s. Results We report on the study design and baseline characteristics of the population . Patients have a mean age of 63 years and a mean glycosolated hemoglobin A1C of 7.1 % . Sixty percent of the population has excellent glycemic control ( A1C , 7 % ) ; 45 % have excellent lipid control ( serum LDL-cholesterol,100 mg /dL and serum triglycerides,400 mg/dL ) . Twenty-five percent have excellent blood pressure control ( , 130/80 mm Hg ) . These results compare favorably to recent national reports . However , only 8 % are in optimal control for all three of hyperglycemia , lipids and blood pressure . Conclusions Our experience to date indicates that a low cost decision support and information system based on the Chronic Care Model is feasible in primary care practice s that lack sophisticated electronic information systems . VDIS is well accepted by patients , providers and laboratory staff . If proven beneficial in a rigorous , r and omized , controlled evaluation , the intervention could be widely disseminated to practice s across America and the world with a substantial impact on the outcomes and costs of diabetes . It could also be adapted to other chronic conditions . We anticipate the results of the study will be available in 2006
There were three reported  deaths out of 3578 participants .Computer-based  diabetes self-management interventions currently have limited effectiveness .
Current interventions do not show adequate evidence for improving depression , health-related quality of life or weight .
AUTHORS ' CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup .
There is no evidence to show benefits in other biological outcomes or any cognitive , behavioural or emotional outcomes
BACKGROUND Diabetes is one of the commonest chronic medical conditions , affecting around 347 million adults worldwide .
Structured patient education programmes reduce the risk of diabetes-related complications four-fold .
Internet-based self-management programmes have been shown to be effective for a number of long-term conditions , but it is unclear what are the essential or effective components of such programmes .
If computer-based self-management interventions improve outcomes in type 2 diabetes , they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition .
OBJECTIVES To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus .