The impact of telehealth‐delivered Medical Nutrition Therapy on diabetes outcomes in rural general practice: A secondary analysis of the Healthy Rural Hearts randomised controlled trial
Authors' conclusion
Current results indicate that MNT delivered via telehealth supports improvement in glucose control in individuals with diagnosed diabetes and possible diabetes. Larger studies are needed to confirm these findings in similar populations.
Study context
- Population
- Adults with diagnosed (general practitioner (GP)-reported) or possible diabetes (baseline FBG ≥5.5 mmol/L or HbA1c ≥6.0%) in a rural CVD prevention trial, large rural area in Australiasubsample
- Participants
- 81 adults
- Comparison
- Telehealth-delivered Medical Nutrition Therapy (MNT) vs usual care
- Interventionn = 56
- Controln = 25reference
- Primary endpoint
- Change in FBG and HbA1c from baseline
- Follow-up
- 12 months
Methodological detailscluster randomised, Bayesian hierarchical regression
- Cluster randomised
- Bayesian hierarchical regression
Primary result
As reported in the abstract
Between-group posterior mean difference in FBG
−0.43 mmol/L
95% CrI −1.05, 0.19
Between-group posterior mean difference in HbA1c
−0.26%
95% CrI −0.51, −0.00
Evidence ratio, positive vs negative intervention effect, FBG
10.64
Evidence ratio, positive vs negative intervention effect, HbA1c
39.45
Original publication
The impact of telehealth‐delivered Medical Nutrition Therapy on diabetes outcomes in rural general practice: A secondary analysis of the Healthy Rural Hearts randomised controlled trial. Diabetes Obes Metab. Published 5 December 2025. doi:10.
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