Research Summary
Analyzed using Evidence Intelligence™

Telemedicine improves diabetes self-management education access

Key finding

HbA1c improved from 7.62% (SD=1.81) to 7.27% (SD=0.33)

This study compared diabetes self-management education via telemedicine to face-to-face encounters, finding significant improvements in glycemic control and diabetes knowledge.

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

Diabetes self-management education via telemedicine

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

HbA1c

Comparator

Diabetes self-management education via face-to-face encounter

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 compared diabetes self-management education via telemedicine to face-to-face encounters, finding significant improvements in glycemic control and diabetes knowledge.

Clinical relevance

These findings are significant as they suggest that telemedicine can effectively enhance diabetes management, especially in populations with limited access to in-person healthcare. Improved glycemic control and knowledge can lead to better health outcomes for patients with diabetes, making telemedicine a valuable tool in chronic disease management.

Keep in mind

Effectiveness of interventions was unclear in some outcomes Potential limitations in generalizability due to sample characteristics Study design constraints may affect the interpretation of results

Published in

Journal Reference

Publication details and source links for this paper.

Jeannine AOS, Dionise YVB, Maria HSG. Diabetes self-management education via telemedicine compared to face-to-face encounters. Journal of the Endocrine Society. 2024;8(Suppl 1):bvae163.997. doi:10.1210/jendso/bvae163.997

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Main Effects

HbA1c improved from 7.62% to 7.27%, p=0.001

Proportion of participants with better glycemic control increased from 37.50% to 57.14%, p=0.027

Diabetes knowledge improved by 5.27%

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to DSMES and Diabetes knowledge, Diabetes self-management behaviors, HbA1c, and 2 more.

Primary intervention

DSMES

Primary outcomes

  • Diabetes knowledge
  • Diabetes self-management behaviors
  • HbA1c

Evidence relationships

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

5
Evidence pairs
5
Relationships
4
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

4

Related topics

5

Evidence pairs

319

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

NoneIncrease

Diabetes knowledge

DSMES → Diabetes knowledge

DSMES → Diabetes knowledge

Evidence profile

NoneIncreaseAdherence & Engagement
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NoneIncrease

Diabetes self-management behaviors

DSMES → Diabetes self-management behaviors

DSMES → Diabetes self-management behaviors

Evidence profile

NoneIncreaseAdherence & Engagement
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StrongDecrease

HbA1c

DSMES → HbA1c

DSMES → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongIncrease

Proportion of participants with better glycemic control

DSMES → Proportion of participants with better glycemic control

DSMES → Proportion of participants with better glycemic control

Evidence profile

StrongIncreaseGlycemic Control
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StrongIncrease

Proportion of participants with good medication adherence

DSMES → Proportion of participants with good medication adherence

DSMES → Proportion of participants with good medication adherence

Evidence profile

StrongIncreaseAdherence & Engagement
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evidence suggest

Evidence Suggest

  • Telemedicine increased the proportion of participants with good glycemic control by 19.64%, p=0.027
  • Improvement in diabetes self-care adherence behavior by 13.25%
  • Medication adherence increased from 58.33% to 61.90%, p=0.032
who this applies

Who this applies to

  • Adults with type 2 diabetes
  • Individuals seeking alternative methods for diabetes education
keep in mind

Keep in Mind

  • Results may not be generalizable to all populations
  • Further studies needed to confirm long-term effectiveness
  • Variability in individual responses to telemedicine interventions
between the lines

Between the Lines

  • Effectiveness of interventions was unclear in some outcomes
  • Potential limitations in generalizability due to sample characteristics
  • Study design constraints may affect the interpretation of results

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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 Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Proportion of participants with better glycemic control.

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 Diabetes Self-Management Education and Support (DSMES) Programs improve diabetes management self-efficacy?

Emerging Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Diabetes Management Self-Efficacy.

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 6 supporting studies and existing graph evidence signals.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
6 supporting studiesUpdated: Jul 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Emerging Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsensusScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 53.5 | moderate positive | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on 24 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
24 supporting studiesUpdated: Jul 2026

Does DSMES improve proportion of participants with better glycemic control?

Emerging Evidence

DSMES appears to improve Proportion of participants with better glycemic control.

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

Ranked evidence signals

  1. 1

    Proportion of participants with better glycemic control

    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 DSMES improve proportion of participants with good medication adherence?

Emerging Evidence

DSMES appears to improve Proportion of participants with good medication adherence.

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

Ranked evidence signals

  1. 1

    Proportion of participants with good medication adherence

    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
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