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J Clin Res Pediatr Endocrinol. 2018 Jul 17. doi: 10.4274/jcrpe.0017. [Epub ahead of print]

Effect of Telehealth System on Glycemic Control in Children and Adolescents with Type 1 Diabetes.

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Gazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey.



A close diabetes team-patient relationship is required for establishing a well metabolic control. The purpose of this study is to research the effect of telehealth system developed by the diabetes team on the diabetes control.


The study was carried out between June 2015 and January 2016 at the Gazi University Pediatric Endocrinology Department. The Telehealth system was developed by the diabetes team and the demographic characteristics, frequency of use and HbA1c changes of diabetic patients (type 1) using this communication network were noted.


Eighty-two of the patients used The Telehealth system, 43(52.4%) female and 39 (47.6%) male with a mean age of 10,89±4 years. 14(17.1%) of the cases were pump therapy and 59(72.0%) were carbohydrate counts. The individuals with diabetes or their families prefer Whatsapp which is an instant messaging application at most (57.3%), contact with diabetes education nurse at most (32.9%) and consult with the diabetes team about insulin doses and blood glucose regulation at most (42.7%). At the beginning of the study, HbA1c level was rarely used cases (n = 34) in the teleheath system 9.1%, and frequently used cases were 8.3%. HbA1c values after 6 months were lower in those individuals calling frequently (p<.000).


Increase in frequency of counselling to the diabetes team caused the blood glucose control of individuals with diabetes. Telehealth system is a useful system in early detection of the changes and intervention in the status of individual with diabetes, enhancing the patient's self care. Key words: Type 1 diabetes, telehealth, diabetes team, HbA1c.

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