StrongDecrease
Diabetic ketoacidosis
Group Meeting → Diabetic ketoacidosis
Group Meeting → Diabetic ketoacidosis
Evidence profile
StrongDecreaseSafety
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Research Summary
Analyzed using Evidence Intelligence™
Telemonitoring improves glycemic control in pediatric diabetes
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.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Some Concerns bias
Last updated July 8, 2026Quick read
Study at a glance
The essential study design details in one scan.
Population
Children (≤13), Adolescent (13–18), Male, Female, Asia-Pacific (APAC), with T1 Diabetes
Intervention
Telecounseling group, Standard care group
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Primary outcome
HbA1c
Comparator
Diabetes education during routine outpatient clinic visits
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
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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.
8
Evidence pairs
8
Relationships
1
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: 63
1
Related topics
8
Evidence pairs
161
Related studies
High relevance in at least one topic
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
Core evidence
Study findings
The primary outcomes reported in this study.
StrongDecrease
HbA1c
Group Meeting → HbA1c
Group Meeting → HbA1c
Evidence profile
StrongDecreaseGlycemic Control
Unlock full evidence details
StrongIncrease
Quality of life
Group Meeting → Quality of life
Group Meeting → Quality of life
Evidence profile
StrongIncreasePatient-Reported
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StrongDecrease
Simple reaction time
Group Meeting → Simple reaction time
Group Meeting → Simple reaction time
Evidence profile
StrongDecreasePatient-Reported
Unlock full evidence details
StrongDecrease
Diabetic ketoacidosis
Usual care → Diabetic ketoacidosis
Usual care → Diabetic ketoacidosis
Evidence profile
StrongDecreaseSafety
Unlock full evidence details
NoneNo Change
HbA1c
Usual care → HbA1c
Usual care → HbA1c
Evidence profile
NoneNo ChangeGlycemic Control
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NoneNo Change
Quality of life
Usual care → Quality of life
Usual care → Quality of life
Evidence profile
NoneNo ChangePatient-Reported
Unlock full evidence details
StrongDecrease
Simple reaction time
Usual care → Simple reaction time
Usual care → Simple reaction time
Evidence profile
StrongDecreasePatient-Reported
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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.
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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 Group Meeting and Diabetic ketoacidosis, Group Meeting and HbA1c.
Related evidence relationships
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
Diabetic ketoacidosis Evidence Hub
All studies measuring Diabetic ketoacidosis
1 studies
outcome_hubMeasures Diabetic ketoacidosis as a key outcome.
Group Meeting Evidence Hub
All studies on Group Meeting
1 studies
intervention_hubContributes to Group Meeting evidence base.
HbA1c Evidence Hub
All studies measuring HbA1c
1 studies
outcome_hubMeasures HbA1c as a key outcome.
Quality of Life Outcomes Evidence Hub
All studies measuring Quality of Life Outcomes
1 studies
outcome_hubMeasures Quality of Life Outcomes as a key outcome.
Recent Diabetes Research
Latest published studies
recency_collection
Published within the last 2 years.
Explore more in the evidence archive
Jump to pre-filtered views in the evidence archive.
All studies on Group Meeting and Diabetic ketoacidosis
Intervention: Group MeetingOutcome: Diabetic ketoacidosis
1 results
All studies on Group Meeting and HbA1c
Intervention: Group MeetingOutcome: HbA1c
1 results
All studies on Group Meeting
Intervention: Group Meeting
1 results
All studies measuring Diabetic ketoacidosis
Outcome: Diabetic ketoacidosis
1 results
All studies measuring HbA1c
Outcome: HbA1c
1 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Group Meeting improve diabetic ketoacidosis?
Emerging Evidence
Group Meeting appears to improve Diabetic ketoacidosis.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Diabetic ketoacidosis
EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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.
Does Group Meeting improve HbA1c?
Emerging Evidence
Group Meeting appears to improve HbA1c.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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.
Does Group Meeting improve quality of life?
Emerging Evidence
Group Meeting appears to improve Quality of life.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Quality of life
EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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.
Does Group Meeting improve simple reaction time?
Emerging Evidence
Group Meeting appears to improve Simple reaction time.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Simple reaction time
EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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.
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