Research Summary
Analyzed using Evidence Intelligence™

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.

Primary intervention

Group Meeting

Primary outcomes

  • Diabetic ketoacidosis
  • HbA1c
  • Quality of life

Evidence topics

Primary intervention

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

425

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

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetic ketoacidosis

Group Meeting → Diabetic ketoacidosis

Group Meeting → Diabetic ketoacidosis

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Group Meeting → HbA1c

Group Meeting → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Quality of life

Group Meeting → Quality of life

Group Meeting → Quality of life

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Simple reaction time

Group Meeting → Simple reaction time

Group Meeting → Simple reaction time

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diabetic ketoacidosis

Usual care → Diabetic ketoacidosis

Usual care → Diabetic ketoacidosis

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Usual care → HbA1c

Usual care → HbA1c

Evidence Intelligence™
EvidenceScore™
86
Strong
ImpactScore™
59
Slightly Positive
ConsistencyScore™
90
consistent
Supporting studies: Based on 11 studies
Add to Evidence Tracker

Quality of life

Usual care → Quality of life

Usual care → Quality of life

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Simple reaction time

Usual care → Simple reaction time

Usual care → Simple reaction time

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

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

Who this applies to

  • Pediatric patients aged 5-18 with type 1 diabetes.
  • Patients requiring diabetes management support and monitoring.
keep in mind

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

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

Save research, organize studies, and quickly find important evidence again.

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 Explorer

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 Usual care improve HbA1c?

Strong Evidence

Usual care may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 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.
1 supporting studyUpdated: Aug 2026

Does Usual care improve quality of life?

Moderate Evidence

Usual care may improve Quality of life.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 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.
1 supporting studyUpdated: Aug 2026

Does Group Meeting improve diabetic ketoacidosis?

Emerging Evidence

Group Meeting appears to improve Diabetic ketoacidosis.

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

Ranked evidence signals

  1. 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.
1 supporting studyUpdated: Aug 2026

Does Group Meeting improve HbA1c?

Emerging Evidence

Group Meeting appears to improve HbA1c.

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

Ranked evidence signals

  1. 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.
1 supporting studyUpdated: Aug 2026
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