Research Summary
Analyzed using Evidence Intelligence™

Telehealth intervention shows no significant metabolic improvement in diabetes patients

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.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Some Concerns bias
Last updated July 7, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

Telehealth intervention

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

HbA1c

Comparator

Standard care without telehealth intervention

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

Journal Reference

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

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Main Effects

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

294

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

Core evidence

Study findings

The primary outcomes reported in this study.

NoneNo Change

BMI

Telehealth intervention → BMI

Telehealth intervention → BMI

Evidence profile

NoneNo ChangeWeight & Anthropometrics
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NoneNo Change

Body weight

Telehealth intervention → Body weight

Telehealth intervention → Body weight

Evidence profile

NoneNo ChangeWeight & Anthropometrics
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NoneNo Change

Diabetes self-management behaviors

Telehealth intervention → Diabetes self-management behaviors

Telehealth intervention → Diabetes self-management behaviors

Evidence profile

NoneNo ChangeAdherence & Engagement
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NoneNo Change

HbA1c

Telehealth intervention → HbA1c

Telehealth intervention → HbA1c

Evidence profile

NoneNo ChangeGlycemic Control
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NoneNo Change

Systolic blood pressure

Telehealth intervention → Systolic blood pressure

Telehealth intervention → Systolic blood pressure

Evidence profile

NoneNo ChangeMetabolic Health
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StrongDecrease

Triglycerides

Telehealth intervention → Triglycerides

Telehealth intervention → Triglycerides

Evidence profile

StrongDecreaseMetabolic Health
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evidence suggest

Evidence Suggest

  • 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

Who this applies to

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

Keep in Mind

  • 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

Between the Lines

  • 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.

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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 Telehealth intervention and Adipokine and Angiogenic Markers, Telehealth intervention and Body Mass Index.

Related evidence relationships

Explore in Evidence Archive

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 intervention improve triglycerides?

Emerging Evidence

Telehealth intervention appears to improve Triglycerides.

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

Ranked evidence signals

  1. 1

    Triglycerides

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ 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 intervention affect bmi?

Limited Evidence

Current evidence does not show a clear benefit of Telehealth intervention for BMI.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Limited | EvidenceScore™ 37.8 | neutral | ConsensusScore™ 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 Telehealth intervention affect body weight?

Limited Evidence

Current evidence does not show a clear benefit of Telehealth intervention for Body weight.

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

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ 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 intervention improve diabetes self-management behaviors?

Limited Evidence

Current evidence does not show a clear benefit of Telehealth intervention for Diabetes self-management behaviors.

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

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ 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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