The aim of the study is to investigate the effect of telemedicine among the group of type-2-diabetics who, despite rehabilitation, remain poorly regulated. To describe the patients with regards to vulnerability and social resources and to determine wich groups benefit the most from telemedicine.
Type-2-diabetes is a growing healthcare problem. Both because of the increasing amount of patients and because of the complications of diabetes. Non-pharmacological treatment is considered fundamental in the treatment of patients with type-2-diabetes. In the Community of Copenhagen, all patients diagnosed with diabetes receive rehabilitation. The rehabilitation consists of counseling with regards to nutrition, physical activity, smoking cessation and education about diabetes. Some patients however, remain poorly regulated despite rehabilitation as well as pharmacological treatment. A total number of 165 patients will be randomized to intervention group or standard care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
165
Monthly video consultations with a nurse as add-on to standard treatment. The nurse has access to bloodsugar- bloodpressure and weight measurements uploaded by the participants to a tablet computer directly from the devices. Patients on Insulin measure bloodsugar twice a day (fasting and before their evening meal). Patients not on Insulin measure bloodsugar once a week (fasting and before their evening meal). All participants measure bloodpressure and weight once a week. The intervention lasts 32 weeks.
Endocrine Section, Dept. of Internal Medicine I, Bispebjerg Hospital
Copenhagen, Copenhagen NV, Denmark
Changes in HbA1c
Time frame: Baseline, 16 weeks, 32 weeks, 6 months after intervention
Fasting total cholesterol, LDL, HDL, triglycerides
Time frame: Baseline, 32 weeks
Beta-cell function test (HOMA)
Time frame: Baseline, 32 weeks
Weight
Time frame: Baseline, 32 weeks
Bloodpressure
Time frame: Baseline, 32 weeks
Physical activity
Time frame: Baseline, 32 weeks
Change in quality of life
Time frame: Baseline, 32 weeks
Waist circumference
Time frame: Baseline, 32 weeks
Hip circumference
Time frame: Baseline, 32 weeks
Body mass index
Time frame: Baseline, 32 weeks
Use of medication
Time frame: Baseline, 32 weeks
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