Discussion Compared to usual care , the use of telemedicine was found to improve HbA1c and reduce the risk of moderate hypoglycaemia  in diabetic patients , but without significant difference in BMI
Introduction Hypoglycaemia is a clinical syndrome from various causes , which happens when the blood glucose concentration is too low .
Many studies show that telemedicine intervention can improve glycemic control and has a positive impact on the management of diabetic patients .
The purpose of this study was to evaluate the effect of telemedicine intervention on hypoglycemic event occurrences and results on hemoglobin A1c ( HbA1c ) and body mass index ( BMI ) .
Randomized Trial of Long-Acting Insulin Glargine Titration Web Tool (LTHome) Versus Enhanced Usual Therapy of Glargine Titration (INNOVATE Trial).
BACKGROUND Basal insulin titration in the real world is often unsuccessful . LTHome , a web tool , applies a rules engine-based algorithm providing insulin titration advice directly to the patient . METHODS This pilot , r and omized trial evaluates basal insulin glargine titration by LTHome compared to enhanced usual therapy ( [EUT]-diabetes education program ) over 12 weeks . Important inclusion criteria : 18 - 75 years , type 2 diabetes , computer literacy , and HbA1c > 7.0 % . Trial protocol was approved by ethics board . RESULTS We r and omized 139 subjects . The achievement of primary composite outcome ( four out of seven fasting plasma glucose [ FPG ] within 5 - 7.2 mmol/L + mean for three consecutive FPG within 5 - 7.2 mmol/L + no severe hypoglycemia ) was 15 % in LTHome versus 41 % in EUT ( noninferiority not met , P-value = 0.92 ) . Other outcomes were similar between the LTHome and EUT arms : alternate composite outcome achievement ( last five FPG mean within the range of 5 - 7.2 mmol/L + no hypoglycemia , 47 % and 51 % , P = 0.73 ) ; A1c reduction ( -1.0 % and -1.1 % , P = 0.66 ) ; proportion achieving A1c ≤7 % ( 14 % and 20 % , P = 0.36 ) ; and hypoglycemia incidence ( 31 % and 37 % , P = 0.4 ) , respectively . Patient satisfaction score improvements were greater in LTHome versus EUT ( change in fear of hypoglycemia score P = 0.04 and change in diabetes distress score P = 0.04 ) . The mean number of additional healthcare provider visits was 0.13 for LTHome and 1.22 for EUT ( P < 0.01 ) . CONCLUSION INNOVATE trial suggests clinical utility of LTHome compared to EUT in real-life setting s. Further research is needed to evaluate the efficacy and safety of automated insulin titration algorithms
Discussion Compared to usual care , the use of telemedicine was found to improve HbA1c and reduce the risk of moderate hypoglycaemia  in diabetic patients , but without significant difference in BMI
Introduction Hypoglycaemia is a clinical syndrome from various causes , which happens when the blood glucose concentration is too low .
Many studies show that telemedicine intervention can improve glycemic control and has a positive impact on the management of diabetic patients .
The purpose of this study was to evaluate the effect of telemedicine intervention on hypoglycemic event occurrences and results on hemoglobin A1c ( HbA1c ) and body mass index ( BMI ) .