Telemedicine compared with standard care in type 2 diabetes mellitus: A randomized controlled project in an outpatient clinic

O. W. Rasmussen

Research output: Contribution to journalConference abstract in journalResearchpeer-review

Abstract

Objectives: For patients with T2DM does telemedicine, compared with standard care, provide equivalent clinical outcomes? Methods: Forty patients with type 2 diabetes mellitus allocated from October 2011 until July 2012 randomized to either treatment at home by video conferences only or the standard outpatient treatment. Primary outcomes were HbA1c and blood glucose levels and secondary outcomes were 24-h blood pressure, cholesterol levels, and albuminuria. The videotelephone was installed and serviced by the telephone company, TDC, Denmark, as a broadband solution. Results: The improvements in the two treatments, given as changes in percent of telemedicine vs. standard, showed significant differences in HbA1c (-15 vs. -11 %), mean blood glucose (-18 vs. -13 %,.and in cholesterol (-7 vs. -6 %). No differences in LDL (-4 vs. -6 %), weight (-1 vs. 2 %), diastolic diurnal blood pressure (-1 vs. -7 %), and systolic diurnal blood pressure (0 vs. -1 %) were found. Nine consultations were missed in the standard outpatient group and none in the telemedicine group. Conclusions: The direct comparison of home video consultations versus standard outpatient treatment in T2DM, telemedicine was a safe and superior option in treatment of T2DM with equivalent or better outcome after six months treatment.
Original languageEnglish
Article numberPDB133
JournalValue in Health
Volume18
Issue number7
Pages (from-to)A621
ISSN1098-3015
DOIs
Publication statusPublished - 2015
EventISPOR 18th Annual European Congress - Milano, Italy
Duration: 7. Nov 201511. Nov 2015

Conference

ConferenceISPOR 18th Annual European Congress
Country/TerritoryItaly
CityMilano
Period07/11/201511/11/2015

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