- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Telemonitoring improves glycemic control in pediatric diabetes
Last updated July 8, 2026
Key finding
Mean HbA1c values were 8.21 ± 1.82 SDS (Intervention group) versus 9.25 ± 2.22 SDS (Control group).
This study evaluated the effectiveness of telemonitoring for diabetes management in pediatric patients with type 1 diabetes. The telecounseling group showed significantly better outcomes compared to the standard care group.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
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 effectiveness of telemonitoring for diabetes management in pediatric patients with type 1 diabetes. The telecounseling group showed significantly better outcomes compared to the standard care group.
Clinical relevance
The findings suggest that telemonitoring can be an effective tool for managing type 1 diabetes in children, potentially reducing complications and improving overall health. This approach may enhance patient engagement and adherence to treatment, which are crucial for managing chronic conditions like diabetes.
Keep in mind
The study may have limited generalizability due to a specific population sample. Potential biases in self-reported outcomes could affect the validity of quality of life measures. The duration of the intervention may not reflect long-term effectiveness.
Published in
Journal Reference
Publication details and source links for this paper.
Lubna F, Nora B, Mostafa H, Radwa S. Telemonitoring for diabetes management in pediatric patients with type 1 diabetes: a randomized controlled trial. BMC Pediatrics. 2026;26:586. doi:10.1186/s12887-026-07147-0
Main Effects
The telecounseling group had a mean HbA1c of 8.21 ± 1.82 SDS compared to 9.25 ± 2.22 SDS in the control group, p = 0.001.
Diabetic ketoacidosis episodes were significantly lower in the intervention group (1.7%) compared to the control group (18%), p = 0.001.
Complication rates were significantly lower in the telecounseling group (15.5%) compared to the control group (37.7%), p = 0.01.
Quality of life scores improved significantly in the telecounseling group, p = 0.002.
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Group Meeting, Usual care and Diabetic ketoacidosis, HbA1c, Quality of life, and 1 more.
This study contributes evidence to
Primary intervention
Group Meeting
Primary outcomes
- Diabetic ketoacidosis
- HbA1c
- Quality of life
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
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.
1
Related topics
8
Evidence pairs
425
Related studies
Why it is useful
- Contributes to 8 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
HbA1c Reduction
matched_outcome
Core evidence
Study findings
The primary outcomes reported in this study.
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 86
- Strong
- ImpactScore™
- 59
- Slightly Positive
- ConsistencyScore™
- 90
- consistent
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 35
- mixed
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Evidence Library
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Evidence Suggest
- Telecounseling reduced HbA1c levels by 1.04 SDS, p = 0.001.
- Diabetic ketoacidosis episodes decreased by 16.3% in the intervention group, p = 0.001.
- Complication rates were 22.2% lower in the telecounseling group, p = 0.01.
Who this applies to
- Pediatric patients aged 5-18 with type 1 diabetes.
- Patients requiring diabetes management support and monitoring.
Keep in Mind
- Results may not apply to adults or patients with type 2 diabetes.
- The study's findings are based on a specific intervention duration and may vary over time.
- Further research is needed to confirm long-term benefits of telemonitoring.
Between the Lines
- The study may have limited generalizability due to a specific population sample.
- Potential biases in self-reported outcomes could affect the validity of quality of life measures.
- The duration of the intervention may not reflect long-term effectiveness.
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 Usual care and HbA1c, Usual care and Quality of Life Outcomes.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Usual care → HbA1c
Behavioral & Lifestyle
- EvidenceScore™
- 86
- Strong
- ImpactScore™
- 59
- Slightly Positive
- ConsistencyScore™
- 90
- consistent
Usual care → Quality of Life Outcomes
Behavioral & Lifestyle
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 35
- mixed
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
HbA1c Evidence Hub
All studies measuring HbA1c
Measures HbA1c as a key outcome.
Usual care Evidence Hub
All studies on Usual care
Contributes to Usual care evidence base.
Quality of Life Outcomes Evidence Hub
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
Recent Diabetes Research
Latest published studies
Published within the last 2 years.
Explore more in Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Usual care and HbA1c
11 results
All studies on Usual care and Quality of life
2 results
All studies on Usual care
11 results
All studies measuring HbA1c
11 results
All studies measuring Quality of life
2 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Usual care improve HbA1c?
Usual care may improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 85.9 | weak positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
Does Usual care improve quality of life?
Usual care may improve Quality of life.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
- 1
Quality of life
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.
- Population details are unavailable.
Does Group Meeting improve diabetic ketoacidosis?
Group Meeting appears to improve Diabetic ketoacidosis.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Diabetic ketoacidosis
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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.
Does Group Meeting improve HbA1c?
Group Meeting appears to improve HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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.
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