Diabetes technology

Effectiveness of video consultations in type 1 diabetes patients treated with insulin pumps in the outpatient clinic: a randomised controlled trial

DiabetologiaPublished Randomised controlled trial

Primary result · TiR (least square means)Result — go to the resultDifference 0.8 percentage points 95% CI −5.3 to 6.9

Authors' conclusion

Video consultations did not significantly improve the primary endpoint. However, compared with control, the intervention was associated with superior treatment satisfaction and a favourable effect on HbA1c, albeit with an inferior impact on quality of life.

Study context

Population
Adults with T1D treated with insulin pumps for ≥6 months, Hospital of Southern Jutland; median age 49 years, 51% womenrandomised
Participants
76 adults
Comparison
Video consultations vs physical consultations
  • Videon = 38
  • Controln = 38reference
Primary endpoint
Percentage time in range (TiR) (glucose 3.9-10.0 mmol/l) measured by CGM
Follow-up
Week 51 to 52
Methodological detailsopen label, superiority, 52 week, 1:1 block randomisation stratified for sensor type, single-centre
  • Open label
  • Superiority
  • 52 week
  • 1:1 block randomisation stratified for sensor type
  • Single-centre

Primary result

TiR (least square means) · 1 year

Difference

0.8 percentage points

95% CI −5.3 to 6.9

P = 0.25

By group

Videovs Control
difference 0.8 percentage points (95% CI −5.3 to 6.9); P = 0.25

As reported in the abstract

Secondary outcomes

Treatment satisfaction and HbA1c reduction

Video group superior in treatment satisfaction and reduction in HbA1c

Quality of life

Video group experienced an inferior impact on quality of life

Original publication

Effectiveness of video consultations in type 1 diabetes patients treated with insulin pumps in the outpatient clinic: a randomised controlled trial. Diabetologia. Published 7 November 2025. doi:10.1007/s00125-025-06585-2

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