Effect of an Intensive, Integrated Telehealth Intervention on Glycemic Control in Children and Adolescents With Type 1 Diabetes Using Continuous Glucose Monitoring: A Randomized, Crossover Trial
Primary result · HbA1cResult — go to the resultDecrease in HbA1c −0.29 % 95% CI −0.41 to −0.17Authors' conclusion
This randomized, controlled, and crossover study shows that intensified follow-up with a weekly telehealth intervention results in small but significant improvements in glycemic control metrics in children and adolescents.
Study context
- Population
- Children and adolescents with T1D using FreeStyle Libre 2 continuous glucose monitoring (CGM) and MDI; mean age 11.8 (SD 4.2) years, 48.6% female, diabetes duration 3.5 (3.0) years, HbA1c 9.4 (1.6) %; May 2023–June 2024crossover
- Participants
- 105 children
- Comparison
- Intensive weekly telehealth vs routine care
- Primary endpoint
- HbA1c and CGM metrics
- Follow-up
- 12 weeks
Methodological detailstwo-period crossover, 2-week washout, Randomised to telehealth first then routine care (n = 50) or routine care first then telehealth (n = 55)
- Two-period crossover
- 2-week washout
- Randomised to telehealth first then routine care (n = 50) or routine care first then telehealth (n = 55)
Primary result
HbA1c
Decrease in HbA1c
−0.29 %
95% CI −0.41 to −0.17
P < 0.001
Intensive telehealthvs Routine care
decrease in HbA1c −0.29 % (95% CI −0.41 to −0.17); P < 0.001
As reported in the abstract
Original publication
Effect of an Intensive, Integrated Telehealth Intervention on Glycemic Control in Children and Adolescents With Type 1 Diabetes Using Continuous Glucose Monitoring: A Randomized, Crossover Trial. Pediatr Diabetes. Published 27 September 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →