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The impact of telemedicine interventions involving routine transmission of blood glucose data with clinician feedback on metabolic control in youth with type 1 diabetes: a systematic review and meta-analysis

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dc.contributor.author Shulman, Rayzel M
dc.contributor.author O'Gorman, Clodagh S.
dc.contributor.author Palmert, Mark R
dc.date.accessioned 2013-02-20T11:13:53Z
dc.date.available 2013-02-20T11:13:53Z
dc.date.issued 2010
dc.identifier.uri http://hdl.handle.net/10344/2906
dc.description peer-reviewed en_US
dc.description.abstract Intensive glycemic control delays and preventsmicrovascular andmacrovascular complications of type 1 diabetes (T1DM) [1, 2]. Despite advances in insulin preparations and delivery mechanisms for insulin, glycemic control for many pediatric patients with T1DM remains suboptimal. An international study comparing glycemic control among pediatric diabetes centres failed to show a correlation with insulin regimen, suggesting that other factors, such as the organization of delivery of care and the number of staff on the diabetes team, may be critical to attaining optimal blood glucose control [3]. The intensive treatment protocol used in the Diabetes Control and Complications Trial (DCCT) included telephone contacts to adjust insulin regimens daily for the first week and then weekly thereafter. The intervention also involved an intensive insulin regimen, increased frequency of clinic visits, and intensive blood glucose monitoring [4]. Although shown to be effective in improving glycemic control, these intensive measures are not feasible to carry out in routine practice. Moreover, the particular challenges presented by youth with T1DM necessitate innovative management strategies [5]. One strategy for improving glycemic control is the use of telemedicine (TM). We distinguish routine T1DM management that may include solicited remote communication between patients and the diabetes team on an as-needed basis from TM interventions as defined in our study. We define TM to be the scheduled remote transmission of blood glucose (BG) data by means such as telephone, fax, mobile phone, or internet with unsolicited clinician feedback. This definition of TM is consistent with that used previously by authors of systematic reviews on this topic in the adult population with T1DM en_US
dc.language.iso eng en_US
dc.publisher BioMed Central Ltd en_US
dc.relation.ispartofseries International Journal of Pediatric Endocrinology;ID 536957
dc.subject clinical feedback en_US
dc.subject blood glucose en_US
dc.subject youth en_US
dc.subject type 1 Diabetes en_US
dc.subject telemedicine en_US
dc.title The impact of telemedicine interventions involving routine transmission of blood glucose data with clinician feedback on metabolic control in youth with type 1 diabetes: a systematic review and meta-analysis en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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