Sunday , October 22 2017
Home / Resources / Articles / Telemedicine Improves Metabolic Control in Type 1 Diabetes Patients

Telemedicine Improves Metabolic Control in Type 1 Diabetes Patients

HbA1c, knowledge, and self-care treatment adherence significantly improved…. 

This study evaluated the impact of an internet-based telematic system on the economic and clinical management of patients with type 1 diabetes.

This 6-month prospective randomized multicenter trial included 118 patients with type 1 diabetes mellitus who received either two face-to-face and five telematic appointments (intervention group [IG]; n = 54) or seven face-to-face appointments (control group [CG]; n = 64). Compared with the CG, the IG required significantly less time from healthcare professionals. HbA1c, knowledge, and self-care treatment adherence significantly improved in both groups over the study duration.

Of the 154 patients included, 118 (76.6%) completed the study (IG, 54; CG, 64). The time used by the CG to follow the program was 823±645 min versus 353±222 min in the IG (P<0.0001). Compared with the CG, the IG required less healthcare time from the professionals (288±105 min vs. 232±89 min; P<0.001). HbA1c improved in both groups (IG, 9.2±1.5% [77.0±17.0 mmol/mol] vs. 8.7±1.5% [71.6±17.0 mmol/mol] [P<0.001]; CG, 9.2±0.9% [77.0±10.0 mmol/mol] vs. 8.6±0.9% [70.5±10.0 mmol/mol] [P<0.001], as did knowledge and self-care treatment adherence.

The researchers concluded that use of interactive telematic appointments in subjects with type 1 diabetes and inadequate metabolic control is an efficient strategy, providing results comparable to those of face-to-face appointments in relation to improvement in glycemic control, knowledge acquisition, and self-care treatment adherence, with a significant reduction in the time used, especially by patients.

Practice Pearls:

  • The use of interactive telematic appointments in subjects with type 1 diabetes and inadequate metabolic control is an efficient strategy
  • Telemedicine program reduced the amount of time used by both patients and healthcare professionals

Diabetes Technol. Ther. 2014 Jun 27;16(7)435-441, E Esmatjes, M Jansà, D Roca, N Pérez-Ferre, L Del Valle, S Martínez-Hervás, M Ruiz de Adana, F Linares, R Batanero, F Vázquez, R Gomis, O de Solà-Morales