MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Abstract

Objective: To review the published literature on the effects of telecare intervention in patients with type 2 diabetes and inadequate glycemic control. Design and methods: A review of randomized controlled trials on telecare intervention in patients with type 2 diabetes, and a search of electronic databases such as The Cochrane Library, PubMed, EBSCO, CINAHL, Science Direct, Journal of Telemedicine and Telecare, and China National Knowledge Infrastructure (CNKI), were conducted from December 8 to 16, 2013. Two evaluators independently selected and reviewed the eligible studies. Changes in HbA1c, fasting plasma glucose (FPG), post-prandial plasma glucose (PPG), BMI, and body weight were analyzed. Results: An analysis of 18 studies with 3798 subjects revealed that telecare significantly improved the management of diabetes. Mean HbA1c values were reduced by K0.54 (95% CI, K0.75 to K0.34; P!0.05), mean FPG levels by K9.00 mg/dl (95% CI, K17.36 to K0.64; PZ0.03), and mean PPG levels reduced by K52.86 mg/dl (95% CI, K77.13 to K28.58; P!0.05) when compared with the group receiving standard care. Meta-regression and subgroup analyses indicated that study location, sample size, and treatment-monitoring techniques were the sources of heterogeneity. Conclusions: Patients monitored by telecare showed significant improvement in glycemic control in type 2 diabetes when compared with those monitored by routine follow-up. Significant reduction in HbA1c levels was associated with Asian populations, small sample size, and telecare, and with those patients with baseline HbA1c greater than 8.0%.

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

“…A significant number of articles focus on both type 1 and type 2 diabetes [12,13,22,29,32,33,39,46,48,53,55,57]. Other articles focus on type 2 diabetes [7,21,23,26,28,31,45,49,56].…”

Impact of Health Information Technologies in Nursing Practices

“…In recent years, it has been shown that telecare practices are effective in type 2 diabetes [16][17][18][19][20]. It was also found that diabetic patients had better glycemic control with tele-monitoring [16], and their hemoglobin A1c and postprandial glucose levels decreased [17][18][19].…”

Evaluation of The Awareness of Computer And Information Technologies of Nursing Students

“…Bu bağlamda hasta takip sistemlerinin kullanımı tedavi ve bakım açısından vazgeçilmez teknolojilerden biridir (3) . Son yıllarda Tip 2 diyabet hastaları için tele bakım uygulamalarının etkili olduğunu gösteren çalışmalar mevcuttur (6,7) . Tele izlem uygulaması ile hastaların glisemik kontrolünün daha iyi olduğu açıklanmıştır (6) .…”