Research Summary
Analyzed using Evidence Intelligence™

Telemedicine reduces costs and improves satisfaction for gestational diabetes management

Key finding

Total costs reduced significantly in the telemedicine group compared with the standard care group (P = 0.01).

The TELEGLAM study evaluated a telemedicine system for patients with gestational diabetes mellitus, finding significant cost reductions and improved quality of life scores compared to standard care.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Some Concerns bias
Last updated July 8, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Female, Asia-Pacific (APAC), with Gestational Diabetes

Intervention

Telemedicine, Standard face-to-face care

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Primary outcome

Total costs

Comparator

Standard face-to-face care

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

The TELEGLAM study evaluated a telemedicine system for patients with gestational diabetes mellitus, finding significant cost reductions and improved quality of life scores compared to standard care.

Clinical relevance

This study highlights the potential of telemedicine to enhance care for gestational diabetes, offering a cost-effective alternative that improves patient quality of life. As healthcare increasingly shifts towards remote solutions, findings from this study can inform clinical practices and policy decisions, ultimately benefiting patients and healthcare systems.

Keep in mind

Limited generalizability due to specific population characteristics Potential unmeasured confounders affecting outcomes Short study duration may not capture long-term effects

Published in

Journal Reference

Publication details and source links for this paper.

Kazuki A, Yuya N, Shu M, et al. TELEGLAM: Efficacy and Safety of a Telemedicine System in Patients with Gestational Diabetes Mellitus. JMIR mHealth and uHealth. 2026;14:e72242. doi:10.2196/72242

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Main Effects

Total costs reduced by 26.49 thousand yen in the telemedicine group (P = 0.01)

Direct non-health care costs reduced by 1.64 thousand yen in the telemedicine group (P = 0.02)

Problem Areas in Diabetes Survey score improved by 7.6 points in the telemedicine group (P = 0.02)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Remote nutrition education on low-carbohydrate diet, Standard face-to-face care and Diabetic microvascular complication multimorbidity, Direct non-health care costs, Quality of life, and 4 more.

Primary intervention

Remote nutrition education on low-carbohydrate diet

Primary outcomes

  • Diabetic microvascular complication multimorbidity
  • Direct non-health care costs
  • Quality of life

Evidence relationships

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

7
Evidence pairs
7
Relationships
0
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: 54

0

Related topics

7

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

StrongDecrease

Diabetic microvascular complication multimorbidity

Remote nutrition education on low-carbohydrate diet → Diabetic microvascular complication multimorbidity

Remote nutrition education on low-carbohydrate diet → Diabetic microvascular complication multimorbidity

Evidence profile

StrongDecreaseClinical Outcomes
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StrongDecrease

Direct non-health care costs

Remote nutrition education on low-carbohydrate diet → Direct non-health care costs

Remote nutrition education on low-carbohydrate diet → Direct non-health care costs

Evidence profile

StrongDecreasePatient-Reported
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StrongIncrease

Quality of life

Remote nutrition education on low-carbohydrate diet → Quality of life

Remote nutrition education on low-carbohydrate diet → Quality of life

Evidence profile

StrongIncreasePatient-Reported
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StrongDecrease

Reduction in indirect costs

Remote nutrition education on low-carbohydrate diet → Reduction in indirect costs

Remote nutrition education on low-carbohydrate diet → Reduction in indirect costs

Evidence profile

StrongDecreasePatient-Reported
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StrongDecrease

Total costs in telemedicine group compared to standard care

Remote nutrition education on low-carbohydrate diet → Total costs in telemedicine group compared to standard care

Remote nutrition education on low-carbohydrate diet → Total costs in telemedicine group compared to standard care

Evidence profile

StrongDecreasePatient-Reported
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NoneNo Change

Frequency of perinatal complications

Standard face-to-face care → Frequency of perinatal complications

Standard face-to-face care → Frequency of perinatal complications

Evidence profile

NoneNo ChangeClinical Outcomes
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NoneNo Change

Time to glycemic target

Standard face-to-face care → Time to glycemic target

Standard face-to-face care → Time to glycemic target

Evidence profile

NoneNo ChangeGlycemic Control
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evidence suggest

Evidence Suggest

  • Telemedicine reduced total costs by 26.49 thousand yen (P = 0.01)
  • Improved quality of life scores by 10.5 points in the telemedicine group (P = 0.03)
  • Direct non-health care costs decreased by 1.64 thousand yen (P = 0.02)
who this applies

Who this applies to

  • Pregnant women diagnosed with gestational diabetes mellitus
  • Patients seeking alternative management strategies for diabetes
keep in mind

Keep in Mind

  • Results may not apply to all populations with gestational diabetes
  • Study focused on short-term outcomes; long-term effects are unknown
  • Further research needed to validate findings across diverse settings
between the lines

Between the Lines

  • Limited generalizability due to specific population characteristics
  • Potential unmeasured confounders affecting outcomes
  • Short study duration may not capture long-term effects

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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 Remote nutrition education on low-carbohydrate diet and Diabetic microvascular complication multimorbidity, Remote nutrition education on low-carbohydrate diet and Direct non-health care costs.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Explore more in the evidence archive

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Questions answered by this study

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

Does Remote nutrition education on low-carbohydrate diet improve diabetic microvascular complication multimorbidity?

Emerging Evidence

Remote nutrition education on low-carbohydrate diet appears to improve Diabetic microvascular complication multimorbidity.

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

Ranked evidence signals

  1. 1

    Diabetic microvascular complication multimorbidity

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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 Remote nutrition education on low-carbohydrate diet improve direct non-health care costs?

Emerging Evidence

Remote nutrition education on low-carbohydrate diet appears to improve Direct non-health care costs.

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

Ranked evidence signals

  1. 1

    Direct non-health care costs

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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 Remote nutrition education on low-carbohydrate diet improve quality of life?

Emerging Evidence

Remote nutrition education on low-carbohydrate diet appears to improve Quality of life.

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

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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 Remote nutrition education on low-carbohydrate diet improve reduction in indirect costs?

Emerging Evidence

Remote nutrition education on low-carbohydrate diet appears to improve Reduction in indirect costs.

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

Ranked evidence signals

  1. 1

    Reduction in indirect costs

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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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