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
- University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
- Correspondence to Kathryn H Bowles
Room 340 Fagin Hall, 418 Curie Blvd., Philadelphia, PA 19104-4217, USA;
- Published Online First 8 June 2010
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 …