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 .
Weighing every day matters: daily weighing improves weight loss and adoption of weight control behaviors.
BACKGROUND Daily weighing is emerging as the recommended self-weighing frequency for weight loss . This is likely because it improves adoption of weight control behaviors . OBJECTIVE To examine whether weighing every day is associated with greater adoption of weight control behaviors compared with less frequent weighing . DESIGN Longitudinal analysis of a previously conducted 6-month r and omized controlled trial . PARTICIPANTS / SETTING Overweight men and women in Chapel Hill , NC , participated in the intervention arm ( N=47 ) . INTERVENTION The intervention focused on daily weighing for weight loss using an e-scale that transmitted weights to a study website , along with weekly e-mailed lessons and tailored feedback on daily weighing adherence and weight loss progress . MAIN OUTCOME MEASURES We gathered objective data on  self-weighing frequency from the e-scales . At baseline and 6 months , weight change was measured in the clinic and weight control behaviors ( total items=37 ) , dietary strategies , and calorie expenditure from physical activity were assessed via question naires . Calorie intake was assessed using an online 24-hour recall tool . STATISTICAL ANALYSES We used χ(2 ) tests to examine variation in discrete weight control behaviors and linear regression models to examine differences in weight , dietary strategies , and calorie intake and expenditure by self-weighing frequency . RESULTS Fifty-one percent of participants weighed every day ( n=24 ) over 6 months . The average self-weighing frequency among those weighing less than daily ( n=23 ) was 5.4±1.2 days per week . Daily weighers lost significantly more weight compared with those weighing less than daily ( mean difference=-6.1 kg ; 95 % CI -10.2 to -2.1 ; P=0.004 ) . The total number of weight control behaviors adopted was greater among daily weighers ( 17.6±7.6 vs 11.2±6.4 ; P=0.004 ) . There were no differences by self-weighing frequency in dietary strategies , calorie intake , or calorie expenditure . CONCLUSIONS Weighing every day led to greater adoption of weight control behaviors and produced greater weight loss compared with weighing most days of the week . This further implicates daily weighing as an effective weight loss tool
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 .