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 .
Telecare for teenagers with type 1 diabetes: a trial.
AIM The aim of this paper was to test in teenagers with type 1 diabetes mellitus ( T1DM ) the Glucobeeb ( Gb ) , a web based tool to support the diabetes care . METHODS Gb transfers glucometer 's data by phone and Internet to the PC of practitioner in files dedicated to each patient ; the response returns to patient as 1-min vocal message . From out patients paediatric clinic 28 teenagers ( mean 14.8 years , range 10 - 20 , male 14 ) with T1DM on multiple daily injections insulin therapy , with glicated haemoglobin ( HbA1c ) over 7 % and > 2 years ' duration of the disease ( 9.1 years , range 2 - 15 ) , were consequently r and omized to telecare ( glucometer transmission with feedback , group A ) or control ( st and ard communication by phone and face-to-face visits , group B ) .  Glycaemia was tested four times per day and data transmitted every 2 weeks ; clinician feedback returned within the following week . Two controls were excluded after r and omization . Outcomes of 14 patients of A were compared with 12 of B. RESULTS In intervention group average HbA1c% decreased from baseline at 3 and 6 months in comparison with controls ( 9.5 , 9.0 , 9.1 , vs 9.1 , 9.4 , 9.4 respectively ) . Controls after 6 months were introduced to Gb , and similar trend of HbA1c was observed in the following examinations at 3 and 6 month ( 9.4 , 8.9 , 8.7 ) . Then , in both groups HbA1c after 12 months of Gb increased , and after 18 reduced ( A : 9.2 , and 8.8 , B 9.1 and 8.5 respectively ) . The enhancement of HbA1c from baseline to end was significant ( P=0.01 ) . CONCLUSION The tool improves metabolic control in teenagers with T1DM
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 .