Resumen de Investigación
Analyzed using Evidence Intelligence™

Telemedicine improves glycemic control in gestational diabetes

Última actualización 29 de agosto de 2026

Key finding

Average postprandial glucose was 5.6 ± 0.3 vs. 5.9 ± 0.4; p = 0.004.

This study evaluated the impact of telemedicine on glycemic control in women with gestational diabetes, finding significant improvements in postprandial glucose levels.

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 telemedicine on glycemic control in women with gestational diabetes, finding significant improvements in postprandial glucose levels.

Clinical relevance

Improving glycemic control in gestational diabetes is crucial for reducing complications for both mothers and infants. This study suggests that telemedicine can be an effective tool for managing blood sugar levels, potentially leading to better health outcomes and reduced cesarean section rates.

Keep in mind

The study's sample size may limit the generalizability of the findings. Potential confounding factors were not fully controlled for. The long-term effects of telemedicine on glycemic control remain unclear.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Ana M, Zala M, Petra AJ, Mojca L, Drazenka PB. Telemedicine Improves Glycemic Control in Women with Gestational Diabetes: A Randomized Controlled Trial. Acta Diabetologica. 2023:1-8. doi:10.1007/s00592-023-02099-8

Efectos Principales

Telemedicine care reduced average postprandial glucose by 0.3 mmol/L (p = 0.004).

The percentage of glucose readings above target decreased by 4.2% with telemedicine care (p = 0.015).

The cesarean section rate was lower in the telemedicine group, with 17.3% compared to 35.3% in standard care (p = 0.038).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Telemedicine care and Emergency cesarean section rate, Gestational weight gain, Percentage of glucose readings above glycemic target, and 1 more.

Primary intervention

Telemedicine care

Primary outcomes

  • Emergency cesarean section rate
  • Gestational weight gain
  • Percentage of glucose readings above glycemic target

Evidence relationships

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

4
Evidence pairs
4
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

4

Evidence pairs

1037

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 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

Tema de evidencia

Glycemic Control

matched_outcome

Evidencia relacionada

Tema de evidencia

Post-Meal and OGTT Glucose

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Emergency cesarean section rate

Telemedicine care → Emergency cesarean section rate

Telemedicine care → Emergency cesarean section rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Gestational weight gain

Telemedicine care → Gestational weight gain

Telemedicine care → Gestational weight gain

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Percentage of glucose readings above glycemic target

Telemedicine care → Percentage of glucose readings above glycemic target

Telemedicine care → Percentage of glucose readings above glycemic target

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Postprandial blood glucose

Telemedicine care → Postprandial blood glucose

Telemedicine care → Postprandial blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Telemedicine care led to a significant reduction in postprandial glucose levels.
  • There was a notable decrease in the percentage of glucose readings above target.
  • The cesarean section rate was significantly lower in the telemedicine group.
who this applies

A quién se aplica

  • Women diagnosed with gestational diabetes.
  • Pregnant individuals seeking alternative management strategies for diabetes.
keep in mind

Tener en Cuenta

  • Results may not apply to all populations or settings.
  • Further research is needed to explore long-term outcomes.
  • The study did not assess all potential confounding variables.
between the lines

Entre Líneas

  • The study's sample size may limit the generalizability of the findings.
  • Potential confounding factors were not fully controlled for.
  • The long-term effects of telemedicine on glycemic control remain unclear.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Telemedicine care and Emergency cesarean section rate, Telemedicine care and Percentage of glucose readings above glycemic target.

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 Telemedicine care improve emergency cesarean section rate?

Emerging Evidence

Telemedicine care appears to improve emergency cesarean section rate.

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

Ranked evidence signals

  1. 1

    Emergency cesarean section rate

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Telemedicine care improve percentage of glucose readings above glycemic target?

Emerging Evidence

Telemedicine care appears to improve percentage of glucose readings above glycemic target.

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

Ranked evidence signals

  1. 1

    Percentage of glucose readings above glycemic target

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Telemedicine care improve postprandial blood glucose?

Emerging Evidence

Telemedicine care appears to improve postprandial blood glucose.

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

Ranked evidence signals

  1. 1

    Postprandial blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Telemedicine care improve gestational weight gain?

Emerging Evidence

Current evidence does not show a clear benefit of Telemedicine care for gestational weight gain.

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

Ranked evidence signals

  1. 1

    Gestational weight gain

    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.
1 supporting study
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