Type 1 Diabetes: Introduction

Type 1 diabetes is estimated to affect roughly 300,000 individuals across Canada . Though often conflated with type 2 diabetes in public health surveys and casual discourse, its risk factors, etiology, and patient population are distinct from those of type 2 diabetes. One might therefore expect two things: first, that the model of intervention used in telehealth-assisted management of type 1 diabetes would also be distinct; and second, that the population would not necessarily respond to forms of management that were successful in patients with type 2 diabetes.  Due to these considerations, studies looking solely or primarily at the use of home telehealth in managing type 1 diabetes are here addressed separately from those with a focus on type 2 diabetes.

Home telehealth is used to support the management of type 1 diabetes in a number of ways.  Its most frequent embodiment is as a remote monitoring service.  Patients upload their blood glucose values to a provider-accessible server and receive feedback that assists them in managing their condition.  Target populations tend consist of patient with sub-optimal glycemic control, but the emphasis is generally on supporting self-management rather than on enabling remote management.  The feedback mentioned above, for instance, may simply be a graphic display of blood glucose trends.  The provider can access this display and provide advice, but does not respond to every data transmission with an explicit recommendation.

  1. Key Messages
  2. Scope of Literature
  3. Intervention Design and Implementation
  4. Outcomes
  5. Works Cited
  6. Master Tables


Leave a Reply