Telemedicine maintains good glucose control in children with type 1 diabetes but is not time saving for healthcare professionals: KITES randomized study
Authors' conclusion
Nine-month telemedicine follow-up of the children with well-controlled T1D is not inferior to standard face-to-face visits. Telemedicine visits saved time for the participants but not for their diabetologists.
Study context
- Population
- Children with T1D
- Participants
- 50 children
- Comparison
- Telemedicine follow-up by e-mail vs face-to-face visits
- Primary endpoint
- Non-inferiority of HbA1c at final visit (non-inferiority level 5 mmol/mol)
- Follow-up
- Final visit (9 months)
Methodological detailssingle-centre, non-inferiority
- Single-centre
- Non-inferiority
Primary result
As reported in the abstract
HbA1c · final visit
| Group | Value | % DCCT |
|---|---|---|
| Telemedicine group (TG) | mean 45.8 ± 7.3 mmol/mol | 6.3 |
| Face-to-face group (FFG) | mean 50.0 ± 12.6 mmol/mol | 6.7 |
Value
Telemedicine group (TG)mean 45.8 ± 7.3 mmol/mol
Face-to-face group (FFG)mean 50.0 ± 12.6 mmol/mol
% DCCT
Telemedicine group (TG)6.3
Face-to-face group (FFG)6.7
- TG vs FFG: 95% CI −10.2 to 1.9; P = 0.17
Secondary outcomes
Participants' mean visit duration
P < 0.001
Physician's time consumption (mean visit duration)
P = 0.58
CGM parameters
- No differences between groups in CGM parameters
Original publication
Telemedicine maintains good glucose control in children with type 1 diabetes but is not time saving for healthcare professionals: KITES randomized study. Diabetes Res Clin Pract. Published 2 March 2024. doi:10.
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