Last updated July 8, 2026
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.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Short-Term (≤3 mo)
Risk of bias
Some Concerns
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Plain-language summary
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.
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.
Limited generalizability due to specific population characteristics Potential unmeasured confounders affecting outcomes Short study duration may not capture long-term effects
Published in
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
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
Understand where this research contributes within the broader evidence network.
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.
This study contributes evidence to
Primary intervention
Remote nutrition education on low-carbohydrate diet
Primary outcomes
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
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Evidence pairs
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Primary evidence
Evidence relationship
Related evidence
Intervention
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Outcome
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Core evidence
The primary outcomes reported in this study.
Remote nutrition education on low-carbohydrate diet → Diabetic microvascular complication multimorbidity
Remote nutrition education on low-carbohydrate diet → Diabetic microvascular complication multimorbidity
Remote nutrition education on low-carbohydrate diet → Direct non-health care costs
Remote nutrition education on low-carbohydrate diet → Direct non-health care costs
Remote nutrition education on low-carbohydrate diet → Quality of life
Remote nutrition education on low-carbohydrate diet → Quality of life
Remote nutrition education on low-carbohydrate diet → Reduction in indirect costs
Remote nutrition education on low-carbohydrate diet → Reduction in indirect costs
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
Standard face-to-face care → Frequency of perinatal complications
Standard face-to-face care → Frequency of perinatal complications
Standard face-to-face care → Time to glycemic target
Standard face-to-face care → Time to glycemic target
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Low-Carbohydrate Diet Education and Diabetic microvascular complication multimorbidity, Low-Carbohydrate Diet Education and Direct non-health care costs.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Diabetic microvascular complication multimorbidity
Measures Diabetic microvascular complication multimorbidity as a key outcome.
All studies measuring Direct non-health care costs
Measures Direct non-health care costs as a key outcome.
All studies on Low-Carbohydrate Diet Education
Contributes to Low-Carbohydrate Diet Education evidence base.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Low-Carbohydrate Diet Education may improve Quality of Life Outcomes.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Quality of life
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
Remote nutrition education on low-carbohydrate diet appears to improve Diabetic microvascular complication multimorbidity.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetic microvascular complication multimorbidity
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Remote nutrition education on low-carbohydrate diet appears to improve Direct non-health care costs.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Direct non-health care costs
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Remote nutrition education on low-carbohydrate diet appears to improve Reduction in indirect costs.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduction in indirect costs
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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