Cost-Effective Use of Telemedicine and Self-Monitoring of Blood Glucose via Diabetes Tele Management System (DTMS) to Achieve Target Glycosylated Hemoglobin Values Without Serious Symptomatic Hypoglycemia in 1,000 Subjects with Type 2 Diabetes Mellitus—A Retrospective Study

Jothydev Kesavadev; Arun Shankar; Pradeep Babu Sadasivan Pillai; Gopika Krishnan; Sunitha Jothydev

doi:10.1089/dia.2012.0088

September 1, 2012Diabetes Technology & Therapeutics

Cost-Effective Use of Telemedicine and Self-Monitoring of Blood Glucose via Diabetes Tele Management System (DTMS) to Achieve Target Glycosylated Hemoglobin Values Without Serious Symptomatic Hypoglycemia in 1,000 Subjects with Type 2 Diabetes Mellitus—A Retrospective Study

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Key Points

To evaluate the safety, cost-effectiveness, and glycemic efficacy of telemedicine follow-up paired with self-monitoring of blood glucose via the Diabetes Tele Management System.
Conducted a retrospective study of N=1,000 subjects diagnosed with type 2 diabetes mellitus without serious co-morbidities.
Delivered intensive management through the Diabetes Tele Management System (DTMS), integrating multidisciplinary care, self-monitoring of blood glucose (SMBG), and remote follow-up for medication titration, dietary counseling, and exercise advice.
Enabled achievement of target glycosylated hemoglobin values in the cohort without any occurrences of serious symptomatic hypoglycemia.
Demonstrated clinical safety and cost-effectiveness while eliminating the requirement for frequent in-person clinic visits to adjust treatments.

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Implication

Retrospective study shows telemedicine with self-monitoring achieves glycemic targets safely in type 2 diabetes, indicating a cost-effective alternative to frequent clinic visits.

Abstract

DTMS, based on telemedicine follow-up and multidisciplinary care with SMBG-based monitoring, appears to be safe and cost-effective in the intensive treatment of T2D without serious co-morbidities. This system also avoids limitations of a traditional health care such as the need for very frequent physical visits for each and every drug dose adjustment, diet, and exercise advice.

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Kesavadev et al. (2012) studied this question.

synapsesocial.com/papers/69d75391aa68b335b4f30f5a https://doi.org/10.1089/dia.2012.0088

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Cost-Effective Use of Telemedicine and Self-Monitoring of Blood Glucose via Diabetes Tele Management System (DTMS) to Achieve Target Glycosylated Hemoglobin Values Without Serious Symptomatic Hypoglycemia in 1,000 Subjects with Type 2 Diabetes Mellitus—A Retrospective Study

Key Points

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Abstract

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Cite This Study

Cost-Effective Use of Telemedicine and Self-Monitoring of Blood Glucose via Diabetes Tele Management System (DTMS) to Achieve Target Glycosylated Hemoglobin Values Without Serious Symptomatic Hypoglycemia in 1,000 Subjects with Type 2 Diabetes Mellitus—A Retrospective Study

Key Points

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