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DiaTel randomised controlled trial
Nurse practitioner provided home telemonitoring and medication management improves glycemic control in primary care patiemts with type 2 diabetes more than monthly care coordination telephone call
  1. Kathryn H Bowles
  1. University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
  1. Correspondence to Kathryn H Bowles
    Room 340 Fagin Hall, 418 Curie Blvd., Philadelphia, PA 19104-4217, USA; bowles{at}nursing.upenn.edu

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This study adds to the growing body of evidence that telemonitoring has positive effects on glucose control. The investigators tested the efficacy of home telemonitoring with active medication management by a nurse practitioner, compared to telephonic monthly coordination by a diabetic educator on glycemic control in veterans with type 2 diabetes and baseline Hbg A1C levels >7.5%. The sample included veterans who received primary care for at least a year at the Veterans Administration Healthcare System in Pittsburgh, Pennsylvania, between June 2004 and December 2005.

The study was a randomized controlled trial, with the control group receiving a monthly telephone call for diabetes education and self-management review. The experimental group received that, plus they transmitted blood glucose, blood pressure and body weight, using the Viterion 100 TeleHealth Monitor, and a nurse practitioner adjusted their diabetes, blood pressure …

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