RT Journal Article T1 Telemedicine influence on the follow-up of type 2 diabetes patients. A1 Rodríguez-Idígoras, María I A1 Sepúlveda-Muñoz, Jesús A1 Sánchez-Garrido-Escudero, Ramón A1 Martínez-González, José L A1 Escolar-Castelló, José L A1 Paniagua-Gómez, Isabel M A1 Bernal-López, Rosa A1 Fuentes-Simón, María V A1 Garófano-Serrano, Daniel K1 Glucemia K1 Diabetes Mellitus Tipo 2 K1 Medicina Familiar y Comunitaria K1 Hemoglobina A Glucosilada K1 Remisión y Consulta K1 Apoyo Social K1 España K1 Telemedicina AB OBJECTIVEThis study was designed to evaluate the impact of a teleassistance system on the metabolic control of type 2 diabetes patients.RESEARCH DESIGN AND METHODSWe conducted a 1-year controlled parallel-group trial comparing patients randomized (1) to an intervention group, assigned to a teleassistance system using real-time transmission of blood glucose results, with immediate reply when necessary, and telephone consultations, or (2) to a control group, being regularly followed-up at their healthcare center. Study subjects were type 2 diabetes patients >30 years of age followed in the primary care setting.RESULTSA total of 328 type 2 diabetes patients were recruited from 35 family practices in the province of Málaga, Spain. There was a reduction in hemoglobin A1c after 12 months from 7.62 +/- 1.60% to 7.40 +/- 1.43% (P = 0.027) in the intervention group and from 7.44 +/- 1.31% to 7.35 +/- 1.38% (P = 0.303) in the control group. The difference in the change between groups was not statistically significant. There was also a significant decrease in systolic and diastolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, and body mass index in the intervention group. In the control group, the only significant decline was in low-density lipoprotein cholesterol.CONCLUSIONSA teleassistance system using real-time transmission of blood glucose results with an option to make telephone consultations is feasible in the primary care setting as a support tool for family physicians in their follow-up of type 2 diabetes patients. PB Mary Ann Liebeert SN 1520-9156 YR 2009 FD 2009-07 LK http://hdl.handle.net/10668/1155 UL http://hdl.handle.net/10668/1155 LA en NO Rodríguez-Idígoras MI, Sepúlveda-Muñoz J, Sánchez-Garrido-Escudero R, Martínez-González JL, Escolar-Castelló JL, Paniagua-Gómez IM, et al. Telemedicine influence on the follow-up of type 2 diabetes patients. Diabetes Technol. Ther.. 2009 ; 11(7):431-7 NO Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 11, 2025