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The Efficacy of Tele-Monitoring in Maintaining Glycated Haemoglobin Levels in Patients with Type 2 Diabetes Mellitus: A Systematic Review

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  • Hope Emonena

    (Woodlands Health Centre, 4, Edwin Hall Place, Hither Green Lane, London SE13 6RN, UK)

  • Omorogieva Ojo

    (School of Health Sciences, Avery Hill Campus, University of Greenwich, Avery Hill Road, London SE9 2UG, UK)

Abstract

Background: It is well documented that telemedicine offers effective accessibility and consistency which are useful in overcoming the barriers associated with the traditional delivery of chronic disease management. Furthermore, home-based telemonitoring approach for managing chronic disease conditions has been shown to break geographical barriers and facilitate provider-to-patient communication. However, the efficacy of telemedicine in reducing HbA1c is debatable. Aim: This systematic review aims to evaluate the effect of telemedicine on glycaemic control in patients with type 2 diabetes. Method: This systematic review has been conducted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Searches were primarily conducted using the EBSCOhost database. Other search engines such as Cochrane Library and Google scholar were also used and search of grey literature was performed using google, NHS.uk website, WHO websites, and gov.uk website. Nine articles were included in this review. Results: Three themes were identified in this review including diabetes education/telemonitoring technology and glycaemic control, the attitude of participants, and cost effectiveness of tele-medicine. While three studies reported improved glycaemic control with statistically significant improvement in HbA1c compared to the control group, three other studies did not find significant improvement in glycaemic control. In addition, the findings suggest that participants’ positive attitude to self-care can lead to an improved HbA1c, and finally, several of the selected studies found that telemonitoring is not cost-effective. Conclusion: The findings of this review show that telemedicine may be effective in managing blood glucose in patients with type 2 diabetes. However, factors such as educational level of patients, attitude and costs may limit its application in primary care. More studies are required to fully establish the effectiveness of Telemonitoring in managing patients with type 2 diabetes.

Suggested Citation

  • Hope Emonena & Omorogieva Ojo, 2022. "The Efficacy of Tele-Monitoring in Maintaining Glycated Haemoglobin Levels in Patients with Type 2 Diabetes Mellitus: A Systematic Review," IJERPH, MDPI, vol. 19(24), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16722-:d:1001795
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    References listed on IDEAS

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    1. Cindy E. Woods & Rikki Jones & Eilish O’Shea & Elizabeth Grist & John Wiggers & Kim Usher, 2019. "Nurse‐led postdischarge telephone follow‐up calls: A mixed study systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(19-20), pages 3386-3399, October.
    2. Catherine Henderson & Martin Knapp & José-Luis Fernández & Jennifer Beecham & Shashivadan P Hirani & Martin Cartwright & Lorna Rixon & Michelle Beynon & Anne Rogers & Peter Bower & Helen Doll & Ray Fi, 2013. "Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised contr," LSE Research Online Documents on Economics 56772, London School of Economics and Political Science, LSE Library.
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