Publications by authors named "Ana Maria Matzenbacher"
Effects of nurse tele support via telephone calls on transition between specialized and primary care in type 2 diabetes mellitus patients: a CONSORT-compliant randomized clinical trial.
Ana Marina Moreira Dimitris Varvaki Rados Camila Bergonsi de Farias Sabrina Coelli Livia de Almeida Faller Ana Maria Matzenbacher
Endocrine
November 2024
Article Synopsis
- The study evaluated the effectiveness of telemedicine, specifically nurse phone calls, in managing type 2 diabetes for patients transitioning to primary care after discharge from a tertiary clinic.
- In a randomized clinical trial with 147 patients, there was no significant difference in HbA1c levels (a marker of blood sugar control) after 12 months between those who received telemedicine support and those who underwent standard care.
- Overall, both groups maintained reasonable glycemic control, indicating that transitioning to primary care, with or without additional telemedicine support, was effective and safe for managing type 2 diabetes.
Background: According to the Global Diabetes Plan, a unified health system with preventive and educational strategies is essential to proper diabetes care and primary settings should be the main site of care. In Brazil, there is limited access to outpatient hospital diabetes services, while primary-care diabetes support is underutilized. Telemedicine can be a useful adjunct to support discharge of stable patients with type 2 diabetes to the primary care setting.
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