ECE2015 Eposter Presentations Diabetes (complications & therapy) (143 abstracts)
Web-based telemedicine system is useful for monitoring glucose control in pregnant women with diabetes
María del Carmen Ayala Ortega 1 , Florentino Carral San Laureano 1 , Carmen González Macías 2 , Ana Isabel Jiménez Millán 1 , Juan Jesus Fernandez Alba 2 , Antonia Piñero Zaldivar 1 & Concepción García Calzado 1
1Endocrinology Department, Puerto Real University Hospital, Puerto Real, Cádiz, Spain; 2Obstetric and Gynecology Department, Puerto Real University Hospital, Puerto Real, Cádiz, Spain.
Objective: The aim of this study was to examine the impact of a web-based telemedicine system for monitoring glucose control in pregnant women with diabetes on health care visits, metabolic control and pregnancy outcomes.
Subjects and methods: A prospective, single-centre, and interventional study with two parallel groups was performed in Puerto Real University Hospital (Spain). Women were assigned to two different glucose monitoring groups: control group (CG) that was managed only by follow-up with the Gestational Diabetes Unit (GDU) and telemedicine group (TMG) that was monitored both by more spaced GDU visits and a web-based telemedicine system. The number of health care visits, degree of metabolic control and maternal and neonatal outcomes were evaluated.
Results: 104 pregnant women with diabetes (77 with gestational diabetes, 16 with type 1 diabetes, and 11 with type 2 diabetes) were included in the TMG (n=40) or in the CG (n=64). There were no significant differences in mean HbA1c level during pregnancy or after delivery, despite significantly lower number of visits to the GDU (3.2±2.3 vs 5.9±2.3 visits, P<0.001), nurse educator (1.7±1.3 vs 3.0±1.7 visits, P<0.001), and general practitioner (3.7±2.0 vs 4.9±2.8 visits, P<0.034) in the TMG. There were no significant differences between groups in maternal or neonatal outcomes.
Conclusions: Web-based telemedicine system can be a useful tool facilitating the management of pregnant diabetic patients, as a complement to conventional follow up and could contribute to reduce the outpatient clinic visits.
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Endocrine Abstracts
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