CoYoT1 Clinic: Home Telemedicine Increases Young Adult Engagement in Diabetes Care.

Source: Reid, M. W., et al. 2018 - Pubmed ID: 29672162

Setting: USA, Diabetes center

Study design:



Follow up: 12 months

Patient group:

Sample size:

Total: 81 (70)

IG: 42 (42)

CG: 39 (28)


Inclusion criteria:

  • Diabetes type 1
  • Age 18-25 years
Type of technology:

Video consultation (Web conferencing software)


Home monitoring

  • Insulin pump
  • Blood glucose monitor
  • Continuous glucose monitor

Intervention: Patients completed 3 telemedicine visits and one in-person appointment with care provider. Before appointment pt. upload data from diabetes management devices. During telehealth visit care provider reviewed clinical data and discussed barriers to individual diabetes management. As a part of teleconsultations online group sessions were held consisting of four patients.


Duration: 12 months one appointment every 3 months.
Add on:

Control group:
Treatment as usual, in person individual appointment every 3months

Clinical effect/ Patient safety:

Clinical effect:

  • Clinical visits ↑ (improved)
  • HbA1c goal of measures over year ↑
  • HbA1c →

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences:

  • High appointment satisfaction.
  • 74% of IG patients were seen four times over 12 months, (recommended), but no patients in the control group met the recommendation

Staff experiences: NA

Costs and organization:


  • Blood glucose monitor
  • Continuous glucose monitor
  • Web conferencing software

Staff resources

  • Online individual and group sessions


Health care utilization:

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“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)