Cost-benefit analysis of internet therapeutic intervention on patients with diabetes.

Source: Deng, L., et al. 2015 - Pubmed ID: 25926853

Setting: Canada, 1 hospital and 1 Endocrine Research Society

Study design:



Follow up: Patients were surveyed to as­sess the costs associated with doctor appointments in the past 12 months.

Patient group:

Sample size:

Total: 200

IG: 100

CG: 100


Inclusion criteria:

  • Patients with diabetes reporting blood glucose online
Type of technology:

Home monitoring

  • Glucometer


Webpage (Online reporting platform)

  • Uploading data
  • Data transfer

Intervention: Patients upload data on blood glucose on online platform, recommended every second week. Endocrinologists review the reports and send feedback directly to the patients via email. Recommendations included: medication adjustments, suggestions on testing frequency and lifestyle modifications.


Duration: 12 months

Add on: NA


Control group: Routine care

Clinical effect/ Patient safety:

Clinical effect:

  • Cost of transportation →
  • Cost missed work →
  • Total visits medical service →


Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences:

Selfmonitoring blood glucose

  • Intervention 3.06 times/day
  • Control 1.83 times/day

Staff experiences: NA

Costs and organization:



  • Blood glucose


Staff resources

  • Staff for monitoring clinical data and for emailing patients


Organization: NA


Health care utilization:

  • Total visits medical service →
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“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)