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Can Remote Glucose Monitoring Improve Control? Intervention from nurses appeared to improve glycemic control among T2D patients

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27 Jul 2016 - General
 

 

http://Can Remote Glucose Monitoring Improve Control? Intervention from nurses appeared to improve glycemic control among T2D patients

This UK clinical trials has showed that the simple intervention by the nurses checking diabetic patients glucose level, weight , and blood pressure online (patients' data telemtrically transmitted to them), and then they feedback to patients either by telephoneo or email, did produce an improved glyceamic control in the intervention group, comparing to the control group. This is a randomized trial. However, there are not significant different of weight, treatment patterns, medication adherence, or reported quality of life in both the intervention and control group. The proposed telemonitoring with nurse supported self-management of blood glucose (by feedback via phone or email), do possibly improved the glycemic control in those cohort with poorly control diabetes. Do you think such study will make some clinical impact in changing the practice? Sound like a good idea to implement on the cohort of patient with poorly glyceamic control ???

 

Yes, lack of blinding of the clinicians is the limitation of this study. The concept behind this clinical trial of telemonitoring and supported self-management is indeed a great idea to promote patient empowerment in managing themselves, especially in the patients with chronic disease. I do come across another similar concept intervention among the patient with Inflammatory Bowel Disease. The selected cohort of Inflammatory Bowel Disease patients will enter their daily bowel symptoms into a spec...
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From the clinician's perspective, supportive telemonitoring performed by healthcare providers sounds like a practical way to monitor modifiable risk factors to decrease complications from diabetes. Compared to self-monitoring, it would be advantageous if there is an available healthcare provider who will advise on appropriate medication use. Obtaining guidance and individualized treatment monitoring may improve patient compliance to prescribed medications and lifestyle changes. According to ...
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