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Web based care management improved glucose control in patients with poorly controlled diabetes

https://doi.org/10.1136/ebn.9.1.21

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    McMahon GT, Gomes HE, Hickson Hohne S, et al. Web-based care management in patients with poorly controlled diabetes. Diabetes Care 2005;28:1624–9.OpenUrlAbstract/FREE Full Text

    Q Does web based care management improve glucose and blood pressure control, compared with usual care, in patients with poorly controlled diabetes?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}.*

    Embedded ImageBlinding:

    {unblinded}.*

    Embedded ImageFollow up period:

    3, 6, 9, and 12 months.

    Embedded ImageSetting:

    Department of Veterans Affairs Boston Healthcare System in Boston, Massachusetts, USA.

    Embedded ImagePatients:

    104 English speaking patients >18 years of age (mean age 63 y, 99% men) who had poorly controlled diabetes (HbA1c concentration ⩾9.0%), were willing to use a computer and glucose and blood pressure monitoring devices, had access to a telephone, and had a primary care provider associated with the hospital. 49% of patients were using insulin. 71% had not previously used the internet.

    Embedded ImageIntervention:

    all patients attended a half day educational session on diabetes self management. 52 patients were allocated to …

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    Footnotes

    • ↵* Information provided by author.

    • ↵* Calculated from data in article.

    • For correspondence: Dr P R Conlin, Veterans Affairs Boston Healthcare System, Boston, MA, USA. paul.conlin{at}med.va.gov

    • Sources of funding: Department of the Army Cooperative Agreement, Department of Veterans Affairs, Health Services Research and Development Program, and National Institutes of Health.