Telemedicine and Diabetes

  • Sylvia FrancEmail author


Among the chronic diseases, diabetes is especially amenable to remote monitoring by telemedicine. Further, diabetology is the leading medical specialty in terms of volume of publications regarding telemedicine in Medline [1]. While the value of telemedicine has already been demonstrated in screening for diabetic retinopathy and/or follow-up of diabetic foot lesions, most of the studies in telemedicine with regard to diabetology continue to focus on remote blood glucose measurement via telemonitoring. In this case, patients transmit the data necessary for their follow-up, either automatically or manually, to a healthcare professional, who then interprets them remotely and sends back comments to the patients by text message, email or teleconsultation (Fig. 9.1a). The prominence of telemonitoring is partly due to the data transmission capacity of technologies, which facilitates the monitoring of clinical and laboratory parameters and the transmission of appropriate alerts. However, such systems have their limitations: they can be extremely time-consuming for healthcare providers who must analyse the data, and the time lag means that the comments are generally of little practical value to patients. A more elaborate form of telemedicine however is currently being developed with the aim not only of transmitting data but also of processing this data and enabling the caregiver to provide targeted assistance (Fig. 9.1b) [2]. This form of telemedicine is now moving out of the experimental stage and towards large-scale development and integration in patient care.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Centre for Study and Research for Improvement of the Treatment of Diabetes (CERITD)Evry CedexFrance
  2. 2.Department of DiabetesSud-Francilien HospitalCorbeil-EssonnesFrance

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