Research Summary

Telemedicine improves diabetes control.

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.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Some Concerns bias
Last updated July 8, 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

Telemedicine-assisted structured self-monitoring of blood glucose (SMBG), Traditional blood glucose meter (BGM)

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

Glycated hemoglobin (HbA1c)

Comparator

Traditional blood glucose meter

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

Save this study and add notes to your research library.

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 Standard care with capillary blood glucose monitoring, Traditional blood glucose meter (BGM) and Blood glucose, Diabetes self-management behaviors, HbA1c.

Primary intervention

Standard care with capillary blood glucose monitoring

Primary outcomes

  • Blood glucose
  • Diabetes self-management behaviors
  • HbA1c

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

315

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.

StrongDecrease

Blood glucose

Standard care with capillary blood glucose monitoring → Blood glucose

Standard care with capillary blood glucose monitoring → Blood glucose

Evidence profile

StrongDecreaseGlycemic Control
Unlock full evidence details
StrongIncrease

Diabetes self-management behaviors

Standard care with capillary blood glucose monitoring → Diabetes self-management behaviors

Standard care with capillary blood glucose monitoring → Diabetes self-management behaviors

Evidence profile

StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongDecrease

HbA1c

Standard care with capillary blood glucose monitoring → HbA1c

Standard care with capillary blood glucose monitoring → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
Unlock full evidence details
NoneNo Change

Blood glucose

Traditional blood glucose meter (BGM) → Blood glucose

Traditional blood glucose meter (BGM) → Blood glucose

Evidence profile

NoneNo ChangeGlycemic Control
Unlock full evidence details
NoneNo Change

Diabetes self-management behaviors

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

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

Evidence profile

NoneNo ChangeAdherence & Engagement
Unlock full evidence details
NoneNo Change

HbA1c

Traditional blood glucose meter (BGM) → HbA1c

Traditional blood glucose meter (BGM) → HbA1c

Evidence profile

NoneNo ChangeGlycemic Control
Unlock full evidence details

Unlock full evidence analysis

Create a free account to access effectiveness ratings, evidence strength and depth scores, consistency analysis, and direct links to all supporting studies.

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.

Unlock Full Analysis

Create a free account to unlock the bias score, detailed effectiveness analysis, and clinical outcomes for this study.

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

This study contributes to evidence on Standard care with capillary blood glucose monitoring and Fasting Glucose, Standard care with capillary blood glucose monitoring and Diabetes Management Self-Efficacy.

Related evidence relationships

Explore in Evidence Archive

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

Questions answered by this study

Does Standard care with capillary blood glucose monitoring improve blood glucose?

Emerging Evidence

Standard care with capillary blood glucose monitoring appears to improve Blood glucose.

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

Ranked evidence signals

  1. 1

    Blood glucose

    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 Standard care with capillary blood glucose monitoring improve diabetes self-management behaviors?

Emerging Evidence

Standard care with capillary blood glucose monitoring appears to improve Diabetes self-management behaviors.

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

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    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 Standard care with capillary blood glucose monitoring improve HbA1c?

Emerging Evidence

Standard care with capillary blood glucose monitoring may improve HbA1c.

ConsensusScore™: 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™ 47.1 | moderate positive | ConsensusScore™ Mixed | 1 study

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

Limitations

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

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

Limited Evidence

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

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

Ranked evidence signals

  1. 1

    Blood glucose

    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

Next steps

Continue your research

Choose a next path through related evidence topics, archive views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.