Research Summary
Analyzed using Evidence Intelligence™

Telemedicine improves diabetes control.

Last updated July 8, 2026

Key finding

At 6 months, the unadjusted mean HbA1c values were 7.38% for the intervention group and 7.98% for the control group (P < 0.001).

This study evaluated the impact of telemedicine-assisted structured self-monitoring of blood glucose on glycemic control in adults with type 2 diabetes, finding significant improvements in HbA1c and other metrics.

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-assisted structured self-monitoring of blood glucose on glycemic control in adults with type 2 diabetes, finding significant improvements in HbA1c and other metrics.

Clinical relevance

Improving glycemic control is crucial for reducing the risk of diabetes-related complications. This study suggests that telemedicine can enhance self-monitoring practices, potentially leading to better health outcomes for individuals with type 2 diabetes.

Keep in mind

The study may have limited generalizability due to specific population characteristics. Potential biases in self-reported measures could affect outcome validity. The duration of the study may not capture long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

Chen-Yu H, Jian Z, Xiao-Mei Y, et al. Telemedicine-assisted structured self-monitoring of blood glucose improves glycemic control in adults with type 2 diabetes. BMC Medical Informatics and Decision Making. 2023;23:182. doi:10.1186/s12911-023-02283-4

Main Effects

The intervention group had a 0.6% reduction in HbA1c (P < 0.001).

LBGI decreased by 0.5 in the intervention group (P = 0.03).

DMSQ score increased by 1.04 in the intervention group (P < 0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Traditional blood glucose meter (BGM) and Blood glucose, Diabetes self-management behaviors, HbA1c.

Primary intervention

Traditional blood glucose meter (BGM)

Primary outcomes

  • Blood glucose
  • Diabetes self-management behaviors
  • HbA1c

Evidence relationships

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

3
Evidence pairs
3
Relationships
5
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

5

Related topics

3

Evidence pairs

1656

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Diabetes Management Self-Efficacy

matched_outcome

Related evidence

Evidence topic

Fasting Blood Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Traditional blood glucose meter (BGM) → Blood glucose

Traditional blood glucose meter (BGM) → Blood glucose

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

Traditional blood glucose meter (BGM) → Diabetes self-management behaviors

Traditional blood glucose meter (BGM) → 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

Traditional blood glucose meter (BGM) → HbA1c

Traditional blood glucose meter (BGM) → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Intervention group showed a significant 0.6% reduction in HbA1c levels.
  • LBGI decreased significantly by 0.5 in the intervention group.
  • DMSQ scores improved by 1.04 in the intervention group.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals interested in improving their diabetes self-management.
keep in mind

Keep in Mind

  • Results may not apply to all demographics or settings.
  • Further research is needed to confirm long-term benefits.
  • Self-monitoring practices may vary widely among individuals.
between the lines

Between the Lines

  • The study may have limited generalizability due to specific population characteristics.
  • Potential biases in self-reported measures could affect outcome validity.
  • The duration of the study may not capture long-term effects.

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 Traditional blood glucose meter (BGM) and HbA1c, Traditional blood glucose meter (BGM) and Fasting Glucose.

Related evidence relationships

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 Traditional blood glucose meter (BGM) lower HbA1c?

Moderate Evidence

Traditional blood glucose meter (BGM) may lower 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™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Traditional blood glucose meter (BGM) improve blood glucose?

Emerging Evidence

Current evidence does not show a clear benefit of Traditional blood glucose meter (BGM) for blood glucose.

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

Ranked evidence signals

  1. 1

    Blood glucose

    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

Does Traditional blood glucose meter (BGM) improve diabetes self-management behaviors?

Emerging Evidence

Current evidence does not show a clear benefit of Traditional blood glucose meter (BGM) for diabetes self-management behaviors.

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

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    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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