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The efficiency of telemedicine to optimize metabolic control in patients with type 1 diabetes mellitus: Telemed study
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Objective: This study evaluated the impact of an Internet-based telematic system on the economic and clinical management of patients with type 1 diabetes mellitus. Research Design and Methods: This 6-month prospective, randomized, comparative, open, multicenter study included patients with type 1 diabetes >18 years old treated with multiple insulin doses and with a glycated hemoglobin (HbA1c) level of >8%. We compared an intervention group (IG) (two face-to-face and five telematic appointments) with a control group (CG) (seven face-to-face appointments). The variables studied were (1) patient and healthcare team costs, (2) metabolic control, (3) knowledge of diabetes, (4) quality of life, and (5) self-care treatment adherence. Results: Of the 154 patients included, 118 (76.6%) completed the study (IG, 54; CG, 64). The time used by the CG to follow the program was 823±645 min versus 353±222 min in the IG (P<0.0001). Compared with the CG, the IG required less healthcare time from the professionals (288±105 min vs. 232±89 min; P<0.001). HbA1c improved in both groups (IG, 9.2±1.5% [77.0±17.0 mmol/mol] vs. 8.7±1.5% [71.6±17.0 mmol/mol] [P<0.001]; CG, 9.2±0.9% [77.0±10.0 mmol/mol] vs. 8.6±0.9% [70.5±10.0 mmol/mol] [P<0.001], as did knowledge and self-care treatment adherence. Conclusions: The use of interactive telematic appointments in subjects with type 1 diabetes and inadequate metabolic control is an efficient strategy, providing results comparable to those of face-to-face appointments in relation to improvement in glycemic control, knowledge acquisition, and self-care treatment adherence, with a significant reduction in the time used, especially by patients.
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ESMATJES MOMPÓ, Enric, JANSÀ, Margarida, ROCA, Daria, PÉREZ FERRE, Natalia, VALLE, Laura del, MARTÍNEZ HERVÁS, Sergio, RUIZ DE ADANA, Marisol, LINARES, Francisca, BATANERO, Ricardo, VÁZQUEZ, Federico, GOMIS, Ramon, SOLÀ MORALES, Oriol de, Telemed-Diabetes Group. The efficiency of telemedicine to optimize metabolic control in patients with type 1 diabetes mellitus: Telemed study. _Diabetes Technology & Therapeutics_. 2014. Vol. 10, núm. 7, pàgs. 435-441. [consulta: 24 de gener de 2026]. ISSN: 1520-9156. [Disponible a: https://hdl.handle.net/2445/149470]