Patients with uncontrolled type 2 diabetes benefited from an online disease management program in a randomized controlled trial conducted at the Palo Alto Medical Foundation (PAMF) in northern California. Equally important, the study showed that a nurse-led, multidisciplinary care team could use such a program to manage a population of diabetic patients, the report concluded.
In the 12-month trial, the 189 patients in the control group received usual care. The 193 patients in the intervention group used a wireless home glucometer that uploaded readings through a smartphone to PAMF's electronic health records (EHR) system. The patients could view the data in their Web-based personal health record and log in information relevant to diabetes management, such as dietary intake, physical activity, home blood pressure, insulin doses and weight. Nurse case managers and a registered dietician communicated with patients primarily through secure online messaging. Patients received regular feedback about their clinical variables and were provided educational materials online.