Telemedicine Boosts Glycemic Control in Rural T2D Patients:
A telehealth intervention improved glycemic control for patients with uncontrolled type 2 diabetes living in rural areas, researchers said.

Patients enrolled in Advanced Comprehensive Diabetes Care (ACDC) -- an intensive, 6-month telehealth program for patients with poor glycemic control -- had an average 1.36% reduction (95% CI -1.61 to -1.11) in HbA1c, reported Elizabeth Kobe, Duke University School of Medicine, North Carolina.

Across five healthcare sites, HbA1c improved from an average of 9.25% at baseline to 7.89% at 6 months, Kobe said in a presentation at the ADA virtual meeting.

Improvements in glycemic control persisted at 12 months and 18 months, Kobe and colleagues noted. Compared with patients in urban areas, those in rural communities have an increased diabetes prevalence. Rural patients with diabetes are more likely to experience poor glycemic control and lack access to specialty care and intensive self-management programs, all leading to poorer outcomes.

An earlier randomized trial showed that ACDC improved HbA1c, blood pressure, and diabetes self-managment in 50 veterans. ACDC has since been implemented in North Carolina, Vermont, Colorado, New Mexico, Montana, Ohio, and Idaho.

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