A Telemedicine Follow Up Program to Improve Glycemic Outcomes For Patients With Uncontrolled Type 2 Diabetes

Abstract

Type 2 Diabetes is responsible for a global public health burden and affects an estimated 30 million people in the United States, many of whom have difficulty reaching glycemic targets. Approximately 15 percent of the diabetic patients in the Family Health Clinic have an A1C above 8.0. Telemedicine shows promise in improving glycemic control and enhancing access to care. Current literature supports the use of telemedicine to improve glycemic outcomes. The purpose of this project was to assess the acceptability and effectiveness of a provider implemented intense telephonic follow-up program on glycemic outcomes and self-management of patients with uncontrolled Type 2 Diabetes. This quality improvement project used a pre-test post-test design using laboratory and survey data collection methods to measure hemoglobin A1C, diabetes self-care, and a post-test provider satisfaction survey. Over a 3-month period, patients meeting criteria for the intervention were provided with telephonic provider follow-up visits at 2-3 week intervals including education on lifestyle changes, medication management and self-care. The mean change in A1C was statistically and clinically significant. The mean change in total self-care survey score was also significant. The data indicated that utilization of telemedicine follow-up improved clinical outcomes for Type 2 Diabetics.