Mobile Phone-Based Telemedicine Practice in Older Chinese Patients with Type 2 Diabetes Mellitus: Randomized Controlled Trial.

Source: Sun, C., et al. 2019 - Pubmed ID: 30609983

Setting: China, Hospital

Study design:



Follow up: 6 months

Patient group:

Sample size:

Total: 91

IG: 44

CG: 47


Inclusion criteria:

  • Older than 65 years
  • HbA1C level 7-10%
Type of technology:

App (mhealth)

  • Data transfer
  • Diet manage-ment software


  • Data transfer
  • Guidance

Home monitoring

  • Glucometer

Intervention: Patients upload data via app. Medical team send medical advice and reminders via app or SMS every 2 weeks. Once monthly dietary recommendations were sent. Follow up in clinic at 3 months interval


Duration: 6 months
Add on: NA 


Control group: Followed up through conventional outpatient clinic appointments

Clinical effect/ Patient safety:

Clinical effect:

  • HbA1c ↓
  • Postprandial plasma glucose level ↓

Patient safety:
No patients experienced any serious adverse events or aggravation of complications.

Patient experiences/ Staff experiences:

Patient experiences:

  • High satisfaction (score 6.3/7)

Staff experiences:

Costs and organization:

Staff resources

  • Development of app


  • Glucometer

Staff resources

  • Training patients
  • Data monitoring and messaging.

Organization: NA


Health care utilization: NA

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“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)