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Updated: Feb 10, 2026

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Telemedicine in Complex Diabetes Management.

Marie E McDonnell1

  • 1Division of Endocrinology Diabetes and Hypertension, Brigham and Women's Hospital, 221 Longwood Avenue, Suite 381, Boston, MA, 02115, USA. MMCDONNELL@BWH.HARVARD.EDU.

Current Diabetes Reports
|May 26, 2018
PubMed
Summary

Telehealth offers a feasible and effective approach to managing complex adult diabetes, showing sustained A1c improvements. Future research should prioritize equitable access to these digital health tools.

Keywords:
Complex diabetesDiabetesTelemedicineType 1 diabetesType 2 diabetesVirtual careVirtual visits

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Area of Science:

  • Digital Health
  • Evidence-Based Medicine
  • Diabetes Management

Background:

  • Complex diabetes management in adults requires innovative solutions.
  • Telehealth presents a transformative potential for improving care quality and cost-effectiveness.

Purpose of the Study:

  • To explore telemedicine approaches for diabetes care.
  • To review evidence for integrating telehealth into general practice for diabetes management.

Main Methods:

  • Review of over 100 randomized clinical trials on telemedicine in diabetes care.
  • Analysis of existing evidence on feasibility, effectiveness, and cost-effectiveness.

Main Results:

  • Telemedicine interventions for diabetes are feasible and demonstrate modest, sustained A1c lowering compared to usual care.
  • Telehealth platforms are effective but require tailoring to specific contexts.
  • Cost-effectiveness is likely, but further implementation science research is needed.

Conclusions:

  • Telehealth is a viable and beneficial tool for adult diabetes management.
  • Future research must address increasing access for marginalized populations.
  • Tailoring telehealth solutions is crucial for successful implementation.