Web-based telemedicine for management of type 2 diabetes through glucose uploads: a randomized controlled trial.

Source: Zhou, P., et al. 2014 - Pubmed ID: 25674254

Setting: China, Hospital

Study design:

RCT

 

Follow up: 3 months

Patient group:

Sample size:

Total: 114 (108)

IG: 57 (53)

CG: 57 (55)

 

Inclusion criteria:

  • Type 2 diabetes
Type of technology:

Home page

  • Education
  • Data upload and transfer

Telephone

  • Messaging
  • Guidance

Home monitor

  • Blood glucose
  • Blood pressure
  • Weight
Intervention:

Intervention:  30-60min educational session for diabetes self-management + pamphlet of diabetes management. Patients taught to use telemedicine software to upload their blood glucose and other metabolic information at home at least every 2 weeks. Staffs read and analyze the data, and then give guidance to the patients through internet, short messages, or tele­phone.

 

Duration: 3 months
Add on: NA

 

Control group: Usual care

Clinical effect/ Patient safety:

Clinical effect:

  • HbA1c ↓
  • BMI →
  • Fasting blood glucose ↓
  • Bp →
  • Cholesterol →

Patient safety: 7 cases of hypoglycemia in telemedicine group and 16 cases in control group

Patient experiences/ Staff experiences:

Patient experiences:  NA

Staff experiences: NA

Costs and organization:

Investment:
Equipment/Materials

  • Pamphlet
  • Home monitor equipment

Running:
Staff resources

  • Training patient
  • Monitoring and guidance


Organization: NA


Health care utilization: NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)