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 .
Quality improvement in primary health care using computerised journal, exemplified by a smoking cessation programme for diabetic patients
Objective - To study the possibility of using the computerised journal for quality improvement in diabetes care . Design - The computerised journal was used to reach all diabetic smokers aged 30 -75 years and to invite them to a structured smoking cessation programme . The follow-up time was 18 months . Setting - Habo , a Swedish community with 9600 inhabitants , with one primary health care centre . Subjects - 147 subjects , aged 30 - 75 years , were registered with the diagnosis of diabetes mellitus in the computerised journal at the primary health care centre . Altogether 25 of these patients were registered as smokers in the journal . All of them were invited to a smoking cessation group . Results - Information about smoking habits in the journal was available for all but 11 % . After 18 months ' follow-up , 9 of the 14 patients ( 64 % ) who started in the smoking cessation group had become non-smokers . Of those 11 subjects who did not attend the group , 6 had stopped smoking during the follow-up time in spite of not participating in the structured programme . Conclusion ? The computerised journal is a useful tool for quality improvement , giving the opportunity for directed preventive efforts on selected patient groups
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 .