Resumen de Investigación
Analyzed using Evidence Intelligence™

Telehealth intervention shows no significant metabolic improvement in diabetes patients

Última actualización 7 de julio de 2026

Key finding

Triglyceride levels from type 1 diabetes group was the only variable that demonstrated improvement with telehealth intervention (66.5% intervention group vs. 86.5% control group; p = 0.05).

This study evaluated the impact of a telehealth intervention on metabolic outcomes in diabetes patients during the COVID-19 pandemic, finding no significant changes in most outcomes except for triglyceride levels in type 1 diabetes patients.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the impact of a telehealth intervention on metabolic outcomes in diabetes patients during the COVID-19 pandemic, finding no significant changes in most outcomes except for triglyceride levels in type 1 diabetes patients.

Clinical relevance

Understanding the effectiveness of telehealth interventions is crucial, especially during the pandemic when in-person visits were limited. The findings indicate that while telehealth may not significantly improve overall metabolic outcomes, it could have specific benefits, such as lowering triglyceride levels in certain diabetes patients, which may inform future telehealth strategies.

Keep in mind

Limited sample size may affect generalizability. Results may not apply to populations outside the study's demographic. Lack of significant findings in most outcomes limits conclusions.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Debora WF, Janine A, Taíse RDC, et al. Impact of a Telehealth Intervention on Metabolic Outcomes in Diabetes Patients During the COVID-19 Pandemic. Primary Care Diabetes. 2022;16(6):745-752. doi:10.1016/j.pcd.2022.09.011

Efectos Principales

No significant changes in HbA1c levels for type 1 (8.1% vs. 8.6%; p = 0.11) and type 2 diabetes (8.6% vs. 9.0%; p = 0.09).

Triglyceride levels improved in the type 1 diabetes group (66.5% intervention vs. 86.5% control; p = 0.05).

No significant changes in blood pressure, body weight, BMI, or self-perceptions about diabetes management.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Telehealth intervention and BMI, Body weight, Diabetes self-management behaviors, and 3 more.

Primary intervention

Telehealth intervention

Primary outcomes

  • BMI
  • Body weight
  • Diabetes self-management behaviors

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

6

Evidence pairs

366

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Telehealth Interventions and Body Mass Index

Evidencia relacionada

Relación de evidencia

Telehealth Interventions and HbA1c

Guardar evidencia

Relación de evidencia

Telehealth Interventions and Adipokine and Angiogenic Markers

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Telehealth intervention → BMI

Telehealth intervention → BMI

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Body weight

Telehealth intervention → Body weight

Telehealth intervention → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diabetes self-management behaviors

Telehealth intervention → Diabetes self-management behaviors

Telehealth intervention → Diabetes self-management behaviors

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Telehealth intervention → HbA1c

Telehealth intervention → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Telehealth intervention → Systolic blood pressure

Telehealth intervention → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Triglycerides

Telehealth intervention → Triglycerides

Telehealth intervention → Triglycerides

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • No significant change in HbA1c levels (p = 0.11).
  • Triglyceride levels decreased significantly in type 1 diabetes (p = 0.05).
  • No changes in blood pressure, weight, or BMI.
who this applies

A quién se aplica

  • Adults with type 1 diabetes.
  • Adults with type 2 diabetes.
keep in mind

Tener en Cuenta

  • The study's findings are specific to the COVID-19 context.
  • Telehealth may not be effective for all metabolic outcomes.
  • Further research is needed to explore long-term effects.
between the lines

Entre Líneas

  • Limited sample size may affect generalizability.
  • Results may not apply to populations outside the study's demographic.
  • Lack of significant findings in most outcomes limits conclusions.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Telehealth Interventions and Body Mass Index, Telehealth Interventions and Body Weight.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Telehealth Interventions affect body mass index?

Moderate Evidence

Current evidence does not show a clear benefit of Telehealth Interventions for Body Mass Index.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Telehealth Interventions improve HbA1c?

Moderate Evidence

Telehealth Interventions may improve HbA1c.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Telehealth Interventions affect body weight?

Emerging Evidence

Current evidence does not show a clear benefit of Telehealth Interventions for Body Weight.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Telehealth Interventions improve blood pressure?

Emerging Evidence

Current evidence does not show a clear benefit of Telehealth Interventions for Blood Pressure.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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