Teleconsultation in type 1 diabetes mellitus (TELEDIABE)

Federico Bertuzzi, Ilario Stefani, Benedetta Rivolta, Basilio Pintaudi, Elena Meneghini, Livio Luzi, Antonino Mazzone

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: The growing incidence of diabetes and the need to contain healthcare costs empower the necessity to identify new models of care. Telemedicine offers an acknowledged instrument to provide clinical health care at a distance, increasing patient compliance and the achievement of therapeutical goals. The objective was to test the feasibility and the efficacy in the improvement of the glycemic control of the teleconsultation for patients with type 1 diabetes mellitus. Methods: A randomized open-label, parallel arms, controlled trial was conducted in two diabetes centers in Italy. Participants affected by type 1 diabetes mellitus have been randomly (1:1) assigned to receive their visits as standard or a web-based care. Patients in the teleconsultation group can arrange their appointments on a Web site and can also have access to web educational courses or to nutritional and psychological counseling. The primary outcome was the assessment of glycemic control by HbA1c measurement after a 12-month follow-up. Results: Overall 74 participants were followed for 1 year. HbA1c changes were not statistically different within (p = 0.56 for standard care group; p = 0.45 for telemedicine group) and between (p = 0.60) groups when considering differences from baseline to the end of the study. Patients randomized to teleconsultation reported reduced severe hypoglycemic episodes (p = 0.03). In addition, they were largely satisfied with the activities, perceived a good improvement in the self-management of the diabetes, and reported to have a time saving and a cost reduction. Conclusions: In conclusion, TELEDIABE proposes a new system for the management of patients with type 1 diabetes mellitus.

Original languageEnglish
Pages (from-to)185-192
Number of pages8
JournalActa Diabetologica
Volume55
Issue number2
DOIs
Publication statusPublished - Feb 1 2018

Keywords

  • HbA1c
  • Skype
  • Telemedicine
  • Type1 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Fingerprint

Dive into the research topics of 'Teleconsultation in type 1 diabetes mellitus (TELEDIABE)'. Together they form a unique fingerprint.

Cite this