Teleconsultation in type 1 diabetes mellitus (TELEDIABE)
Teleconsultation in type 1 diabetes mellitus (TELEDIABE)
复制标题
DOI：
10.1007/s00592-017-1084-9
复制
发表时间：
2018-02-01
影响因子：
3.8
通讯作者：
Mazzone, Antonino
中科院分区：
文献类型：
--
作者：
Bertuzzi, Federico;Stefani, Ilario;Mazzone, Antonino
在意大利的两个糖尿病中心进行了一项随机、开放标签、平行组、对照试验。受1型糖尿病影响的参与者被随机（1：1）分配接受标准或基于网络的护理。远程会诊组的病人可以在网站上安排他们的预约，也可以参加网络教育课程或接受营养和心理咨询。主要结果是在12个月的随访后通过HbA 1c测量评估血糖控制情况。总共74名参与者被随访了1年。当考虑从基线到研究结束的差异时，组内（标准治疗组p = 0.56;远程医疗组p = 0.45）和组间（p = 0.60）HbA 1c变化无统计学差异。随机接受远程会诊的患者报告重度低血糖发作减少（p = 0.03）。此外，他们在很大程度上满意的活动，认为一个良好的改善自我管理的糖尿病，并报告说，有一个节省时间和成本reduction.In的结论，TELEDIABE提出了一个新的系统管理1型糖尿病患者。
A randomized open-label, parallel arms, controlled trial was conducted in two diabetes centers in Italy. Participants affected by type 1 diabetes mellitus have been randomly (1:1) assigned to receive their visits as standard or a web-based care. Patients in the teleconsultation group can arrange their appointments on a Web site and can also have access to web educational courses or to nutritional and psychological counseling. The primary outcome was the assessment of glycemic control by HbA1c measurement after a 12-month follow-up.Overall 74 participants were followed for 1 year. HbA1c changes were not statistically different within (p = 0.56 for standard care group; p = 0.45 for telemedicine group) and between (p = 0.60) groups when considering differences from baseline to the end of the study. Patients randomized to teleconsultation reported reduced severe hypoglycemic episodes (p = 0.03). In addition, they were largely satisfied with the activities, perceived a good improvement in the self-management of the diabetes, and reported to have a time saving and a cost reduction.In conclusion, TELEDIABE proposes a new system for the management of patients with type 1 diabetes mellitus.