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Telemedicine with advanced communication technology in management of type 2 diabetes mellitus: a network meta-analysis

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International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Background

Type 2 diabetes mellitus has risen to one of the most common chronic diseases worldwide, which puts heavy pressure on patients and the health-care system. Self-management is an important treatment for type 2 diabetes. New self-management treatments have been making great progress with the development of the advanced telemedicine.

Objective

The purpose of this study is to gauge and examine the blood glucose control of various self-management strategies through a network meta-analysis.

Methods

We search the articles through PubMed, Cochrane library, MEDLINE, and EMBASE databases to seek out randomized controlled trials, and the primary outcome was the change in HbA1c from baseline. This meta-analysis was conducted to compare different kinds of self-management methods, applying Revman 5.3, Stata 14.0 software, and GeMTC 0.14.3.

Results

Thirty-five studies were included, consisting of 5554 type 2 diabetes mellitus patients and 4 interventions including computer-based self-management, telephone-based self-management, telemonitoring self-management, and usual care of clinic. In addition to performance bias, the risk of bias of included studies was low. In network meta-analysis, the computer-based self-management has the highest probability to be the most effective way in diabetes self-management treatments.

Conclusion

In conclusion, computer-based, telephone-based, and telemonitoring self-management methods are effective self-management methods for type 2 diabetes mellitus. The computer-based self-management method was the most effective compared to the other two self-management methods.

Clinical trial registration

The detailed protocol was registered in PROSPERO (https://www.crd.york.ac.uk/PROSPERO). Registration number was CRD42020186839.

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Author notes

  1. Jia Zhang and Xi Liu contributed equally to this work.

Authors and Affiliations

  1. Heyuan People’s Hospital, Heyuan, Guangdong, China

    Jia Zhang & Xi Liu

  2. Department of Neurology, The First Affiliated Hospital of Shantou University Medical College, Shantou, China

    Liling Wei & Qiong Zeng

  3. Department of Endocrinology, The First Affiliated Hospital of Shantou University Medical College, Shantou, China

    Kun Lin

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  1. Jia Zhang
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Zhang, J., Liu, X., Wei, L. et al. Telemedicine with advanced communication technology in management of type 2 diabetes mellitus: a network meta-analysis. Int J Diabetes Dev Ctries 43, 338–346 (2023). https://doi.org/10.1007/s13410-022-01115-x

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  • DOI: https://doi.org/10.1007/s13410-022-01115-x

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