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 equipment
– 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:

Material

– 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)