Type 2 Diabetes

Type 2 Diabetes: Introduction

Type 2 Diabetes: Introduction

Home telehealth has been used extensively in the management of type 2 diabetes. Most interventions are designed to enable remote monitoring through the transmission of blood glucose values from patient to provider […]

Type 2 Diabetes: Key Messages

Type 2 Diabetes: Key Messages

Home telehealth can be highly beneficial for people with type 2 diabetes.  There is strong evidence that it can reduce HbA1c, lower blood pressure, improve exercise habits, and raise self-efficacy and quality of life.  Under some circumstances, it can also improve cholesterol, body mass index, and diet.  Improvements are often greater than those seen with […]

Type 2 Diabetes: Scope of Literature

Type 2 Diabetes: Scope of Literature

Summary This review sought to collect and interpret the evidence base on home telehealth in managing type 2 diabetes. We looked at 3 areas: Patients: How is home telehealth used in care management for people with type 2 diabetes?  Do patients like it?  How clinically effective is it? Providers: What is the impact of home […]

Type 2 Diabetes: Intervention Design and Implementation

Type 2 Diabetes: Intervention Design and Implementation

Summary Home telehealth has been used extensively in the management of type 2 diabetes.  Most interventions are designed to enable remote monitoring through the transmission of blood glucose values from patient to provider.  Videoconferencing may be used for appointments with physicians or dietitians.  In some cases, there is an online educational component as well.   […]

Type 2 Diabetes: Patient Outcomes

Type 2 Diabetes: Patient Outcomes

Summary There is strong evidence that home telehealth can significantly improve glycemic control in people with type 2 diabetes.  Furthermore, this finding appears remarkably robust; over two-thirds of the studies that reported on hemoglobin A1c (HbA1c) found significant improvements in patients using home telehealth.  In most cases, these improvements are significantly greater than those seen […]

Type 2 Diabetes: Provider Outcomes

Type 2 Diabetes: Provider Outcomes

Summary The ideal for which home telehealth interventions appear to strive is a care delivery system that allows for specialist consultation and ensures high continuity of care while minimizing physician time commitment.  This is most frequently accomplished through heavy involvement of nurses. Nurses tend to take primary responsibility for the administrative side of home telehealth […]

Type 2 Diabetes: System Outcomes

Type 2 Diabetes: System Outcomes

Summary The economic effects of home telehealth can be discussed using direct or indirect measures of costs and cost savings.  Direct measures include figures such as cost per patient, cost per telehealth unit, and annual costs.  Examples of indirect measures are probability of patient hospitalization, number of emergency room visits, and other types of health […]

Type 2 Diabetes: Works Cited

Type 2 Diabetes: Works Cited

Arora S, Peters AL, Agy C, Menchine M (2012). A mobile health intervention for inner city patients with poorly controlled diabetes: Proof-of-concept of the TExT-MED Program. Diabetes Technology and Therapeutics. 14 (6): 492-496.   Barnett TE, Chumbler NR, Vogel WB, Beyth RJ, Qin H, Kobb R (2006). The effectiveness of a care coordination home telehealth […]

Type 2 Diabetes: Master Table

Type 2 Diabetes: Master Table

Click on a column’s arrow to sort by that column.  To view a larger version of the table, click on the icon in its lower right corner. See also Type 2 Diabetes – Works Cited.