Impact and duration effect of telemonitoring on ΗbA1c, BMI and cost in insulin-treated Diabetes Mellitus patients with inadequate glycemic control: A randomized controlled study.
Source: Fountou-lakis, S., et al. 2015 - Pubmed ID: 26188234
Setting: Greece, Hospital
RCT
Follow up: 12 months
Sample size:
Total: 115 (105)
IG: 76 (70)
CG: 39 (35)
Inclusion criteria:
Diabetes 1 +2
Home monitoring equipment
– Glucometer
– USB connected modem (datatransfer)
Telecommunication
– SMS
Intervention:
– Pt. transmit data every day
– An endocrinologist reviewed the data and contacted participants via mobile phone SMS or e-mails when necessary.
– Alerts were set for high or low glucose levels
– When alerts were activated, the endocrinologist received a text-message thus allowing prompt communication and proper therapeutic adjustments.
Duration: 6 months
Add on: –
Control group:
bimonthly care as provided by outpatient department endocrinologists
Clinical effect:
– HbA1c ↓
– BMI →
– freq. glucose measurement →
– Hypoglycemia↓
Patient safety:
NA
Patient experiences:
NA
Staff experiences:
Mean
time dedicated per IG patient per month: 10 min
Investment:
Home monitoring equipment
– Blood glucose
Running:
– Staff for monitoring clinical data and for contacting patients
Organization:
NA
Health care utilization:
NA