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Telehealth for Integrated Cardiovascular and Diabetes Management: A Scoping Review
Maria Dulce Estêvão1,2, Mónica Teotónio Fernandes1,2, Ana Luísa De Sousa-Coelho1,2
1School of Health-University of Algarve (ESSUAlg), Faro, Portugal.
Telehealth shows promise for managing Type 2 diabetes and improving glycemic control. However, its effectiveness for broader cardiovascular risk management requires further investigation due to varied study designs.
Area of Science:
- Digital Health
- Cardiovascular Medicine
- Endocrinology
Background:
- Cardiovascular disease (CVD) and diabetes mellitus are significant global health issues.
- These conditions often coexist and worsen each other.
- Telehealth interventions are emerging as a potential solution for managing these diseases.
Purpose of the Study:
- To review evidence on telehealth interventions for diabetes management, specifically focusing on cardiovascular risk.
- To identify gaps in current research.
Main Methods:
- Systematic literature search of RCTs and observational studies in PubMed, Web of Science, and Scopus.
- Inclusion criteria focused on digital tools for remote monitoring, consultation, education, and medication management.
- Six studies were included after screening 3041 articles.
Main Results:
- Telehealth interventions used diverse digital tools like mobile apps, AI, e-consultations, and remote monitoring.
- Studies reported improvements in glycemic control and self-management for Type 2 diabetes.
- Direct assessment of composite cardiovascular risk was limited, but some cardiovascular health parameters (blood pressure, lipids, HbA1c) showed positive trends.
Conclusions:
- Telehealth interventions show potential for improving diabetes management and glycemic control.
- More research is needed to clarify the effectiveness of telehealth in managing broader cardiovascular risk factors due to inconsistent reporting and study designs.
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