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 .
Reinforced follow-up for children and adolescents with type 1 diabetes and inadequate glycaemic control: a randomized controlled trial intervention via the local pharmacist and telecare.
AIM To evaluate the effectiveness and feasibility of reinforced follow-up via telecare mediated by the local pharmacist in contact with the hospital team to improve glycaemic control in children and adolescents with type 1 diabetes ( DT1 ) . METHODS One hundred patients , aged 8 to 17 years , with a history of DT1 of more than 1 year , with HbA(1c ) > = 8 % , were r and omly assigned to either the " reinforced follow-up " group ( RFG ) or the " usual follow-up " group ( UFG ) . The intervention consisted in downloading and then printing data stored in a glucometer every two weeks , by the local pharmacist . Printouts were faxed to the hospital team which then communicated adapted instructions for better glycemic control directly to the family . RESULTS Fifty patients were assigned to each group . The two groups were comparable at the beginning . 71 children had a doctor 's visit at 6 + /- 1 months ( 36 in RFG and 35 in UFG ) . At this date , there was no significant difference between the average HbA(1c ) levels of the two groups ( 9.12 + /- 1.46 in RFG versus 9.27 + /- 1.20 in UFG ) . We had various difficulties setting up and gaining compliance with the intervention procedure , which explains why only 33 children in the RFG transmitted at least one fax . CONCLUSION At this stage , the reinforced follow-up has not proved to be superior to the usual follow-up . However , it would be possible to make numerous improvements in order to make the former more feasible and probably more efficient
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 .