Home telemonitoring of patients with diabetes: a systematic assessment of observed effects
Abstract
Rationale, aims and objectives Diabetes represents a common chronic disease continuously growing worldwide. Unless closely monitored, it can be associated with serious complications and high expenditures. Telemonitoring is a patient management approach increasingly used with chronic illnesses. It supports timely transmission and remote interpretation of patients’ data for follow‐up and preventive interventions. No comprehensive review exists on all aspects of diabetes ‘home telemonitoring’ and its effects. The objective of this study is to provide a systematic review of this approach and its effect at the informational, clinical, behavioural, structural and economical levels. Methods A comprehensive literature review was conducted on Medline and Cochrane Library to identify relevant articles. The keywords used include diabetes, telemonitoring, home monitoring, telecare and telemedicine. Results Seventeen studies using diverse technologies and transmitting different clinical, medical and behavioural data were found. Significant impacts were observed namely at the behavioural, clinical and structural levels. Minimal technical problems and no cost‐benefit and cost‐effectiveness analyses were reported. Conclusion Close management of diabetic patients through telemonitoring showed significant reduction in HbA 1c and complications, good receptiveness by patients and patient empowerment and education. Yet, the magnitude of its effects remains debatable, especially with the variation in patients’ characteristics (e.g. background, ability for self‐management, medical condition), samples selection and approach for treatment of control groups. Further investigation of telemonitoring efficacy and cost‐effectiveness over longer periods of time, and larger samples is needed. Assessment of the attitude of providers is also important in light of their heavy workload and issues of reimbursement.
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Previous systematic reviews on telemedicine for diabetes often focused on a specific type of telemedicine, a specific outcome, and/or a specific comparator.
“However, these previous reviews have often focused on a specific type of telemedicine, a specific outcome, and/or a specific comparator, which calls for a more comprehensive and inclusive systematic review seeking to compare and synthesize findings for treatment outcomes while adjusting for different study characteristics.”
From The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression (2023) · cites this paper as [21]
Nineteen reviews included both type 1 and 2 diabetes in their analyses, or included RCTs that did not differentiate.
“In total, 19 reviews included both type 1 and 2 diabetes in their analyses, or included RCTs that did not differentiate [16,22,25,27,28,31,32,34-40,44,45,47,50,51].”
Other 1-star narrative syntheses showed no overall benefit from teleconsultations or telemonitoring.
“Three 1-star narrative syntheses suggested improved outcomes with mobile phone interventions [32,35,36], but others showed no overall benefit from teleconsultations [47,51] or telemonitoring [34,39].”
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- Authors
- Jaana, M., & Paré, G.
- Corresponding author
- Jaana, Mirou
- Venue
- Journal of Evaluation in Clinical Practice
- Publisher
- Wiley
- Published
- 2006-12-12
- Volume
- 13
- Issue
- 2
- Pages
- 242-253
- ISSN
- 1356-1294 (ISSN-L)
- 1365-2753
- OpenAlex
- W2002822753
- Cited by
- 178
- References
- 26
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 11 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 10 · 2017: 9 · 2016: 9 · 2015: 13 · 2014: 13 · 2013: 17 · 2012: 10
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Evaluation in Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes mellitus, home health monitoring, telemedicine, glycemic control, HbA1c, diabetes complications, patient empowerment, patient education, cost-effectiveness, telecare, self-management
- MeSH terms
- Diabetes Mellitus, Home Care Services, Humans, Monitoring, Physiologic, Taiwan, Telemedicine
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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