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Randomised controlled trial
Telemonitoring improves diabetes control, but more work is needed
  1. Bonnie Wakefield
  1. Centre for Comprehensive Access & Delivery Research and Evaluation, Iowa City, Iowa, USA
  1. Correspondence to: Dr Bonnie Wakefield, Centre for Comprehensive Access & Delivery Research and Evaluation, 601 Hwy 6 West, Iowa City, IA 52246, USA; bonnie.wakefield{at}

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Implications for practice and research

  • Large-scale acceptance of telemonitoring of patient self-administered tests (eg, glucose, blood pressure) will require attention to how additional workload will be integrated into the workflow of the clinic.

  • Additional research is required to fine tune telemonitoring interventions, including content, intervention dose, intervention length and appropriate targeting to subpopulations with chronic illness.


Diabetes is an increasingly prevalent and costly disease worldwide. An important aspect of diabetes management is self-monitoring blood glucose in the home. Blood glucose control is associated with lower rates of the significant long-term adverse effects of diabetes. Use of home telemonitoring, that is, electronic transmission of symptom information to providers, is growing. Whether sharing …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.