Resumen de Investigación
Analyzed using Evidence Intelligence™

Telemonitoring improves glycemic control in pediatric diabetes

Última actualización 8 de julio de 2026

Key finding

Mean HbA1c values were 8.21 ± 1.82 SDS (Intervention group) versus 9.25 ± 2.22 SDS (Control group).

This study evaluated the effectiveness of telemonitoring for diabetes management in pediatric patients with type 1 diabetes. The telecounseling group showed significantly better outcomes compared to the standard care group.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

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 effectiveness of telemonitoring for diabetes management in pediatric patients with type 1 diabetes. The telecounseling group showed significantly better outcomes compared to the standard care group.

Clinical relevance

The findings suggest that telemonitoring can be an effective tool for managing type 1 diabetes in children, potentially reducing complications and improving overall health. This approach may enhance patient engagement and adherence to treatment, which are crucial for managing chronic conditions like diabetes.

Keep in mind

The study may have limited generalizability due to a specific population sample. Potential biases in self-reported outcomes could affect the validity of quality of life measures. The duration of the intervention may not reflect long-term effectiveness.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Lubna F, Nora B, Mostafa H, Radwa S. Telemonitoring for diabetes management in pediatric patients with type 1 diabetes: a randomized controlled trial. BMC Pediatrics. 2026;26:586. doi:10.1186/s12887-026-07147-0

Efectos Principales

The telecounseling group had a mean HbA1c of 8.21 ± 1.82 SDS compared to 9.25 ± 2.22 SDS in the control group, p = 0.001.

Diabetic ketoacidosis episodes were significantly lower in the intervention group (1.7%) compared to the control group (18%), p = 0.001.

Complication rates were significantly lower in the telecounseling group (15.5%) compared to the control group (37.7%), p = 0.01.

Quality of life scores improved significantly in the telecounseling group, p = 0.002.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Group Meeting, Usual care and Diabetic ketoacidosis, HbA1c, Quality of life, and 1 more.

Primary intervention

Group Meeting

Primary outcomes

  • Diabetic ketoacidosis
  • HbA1c
  • Quality of life

Evidence topics

Primary intervention

Evidence relationships

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

8
Evidence pairs
8
Relationships
1
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: 63

1

Related topics

8

Evidence pairs

189

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetic ketoacidosis

Group Meeting → Diabetic ketoacidosis

Group Meeting → Diabetic ketoacidosis

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

HbA1c

Group Meeting → HbA1c

Group Meeting → HbA1c

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

Quality of life

Group Meeting → Quality of life

Group Meeting → Quality of life

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

Simple reaction time

Group Meeting → Simple reaction time

Group Meeting → Simple reaction time

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

Diabetic ketoacidosis

Usual care → Diabetic ketoacidosis

Usual care → Diabetic ketoacidosis

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

HbA1c

Usual care → HbA1c

Usual care → HbA1c

Evidence Intelligence™
ImpactScore™
67
Slightly Positive
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Quality of life

Usual care → Quality of life

Usual care → Quality of life

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

Simple reaction time

Usual care → Simple reaction time

Usual care → Simple reaction time

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

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Today's Activity

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Saved this study

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • Telecounseling reduced HbA1c levels by 1.04 SDS, p = 0.001.
  • Diabetic ketoacidosis episodes decreased by 16.3% in the intervention group, p = 0.001.
  • Complication rates were 22.2% lower in the telecounseling group, p = 0.01.
who this applies

A quién se aplica

  • Pediatric patients aged 5-18 with type 1 diabetes.
  • Patients requiring diabetes management support and monitoring.
keep in mind

Tener en Cuenta

  • Results may not apply to adults or patients with type 2 diabetes.
  • The study's findings are based on a specific intervention duration and may vary over time.
  • Further research is needed to confirm long-term benefits of telemonitoring.
between the lines

Entre Líneas

  • The study may have limited generalizability due to a specific population sample.
  • Potential biases in self-reported outcomes could affect the validity of quality of life measures.
  • The duration of the intervention may not reflect long-term effectiveness.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Usual care and HbA1c, Group Meeting and Diabetic ketoacidosis.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

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

Behavioral & Lifestyle
Detailed evidence

Usual care → HbA1c

Behavioral & Lifestyle

Evidence Intelligence™
ImpactScore™
67
Slightly Positive
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
View evidence

Questions answered by this study

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

Does Usual care improve HbA1c?

Strong Evidence

Usual care may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Group Meeting improve diabetic ketoacidosis?

Emerging Evidence

Group Meeting appears to improve Diabetic ketoacidosis.

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

Ranked evidence signals

  1. 1

    Diabetic ketoacidosis

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Group Meeting improve HbA1c?

Emerging Evidence

Group Meeting appears to improve HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Group Meeting improve quality of life?

Emerging Evidence

Group Meeting appears to improve Quality of life.

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

Ranked evidence signals

  1. 1

    Quality of life

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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