Telehealth technologies: Changing the way we deliver efficacious and cost-effective diabetes self-management education

Karen K. Fitzner*, Elizabeth Heckinger, Katrina M. Tulas, James Specker, June McKoy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Nearly 26 million people diagnosed with diabetes mellitus in the U.S. must actively engage in self-management of the disease. Telehealth is a population-based approach with the potential to optimize resources and increase access to diabetes self-management education/training (DSME/T). We conducted a systematic literature review on diabetes education and telehealth (2009-April 2014) to determine whether remote DSME/T sufficiently improves behavioral, clinical, and economic outcomes and access. Twenty-five out of 213 identified systematic literature reviews or meta-analyses (two on mobile health were identified via a Google search) met our criteria and were fully reviewed; 22 additional studies and reports of diabetes-related technologies and interventions were also identified. Telemedicine has the potential to offer great utility, but guidelines for high research standards must be introduced, adopted, and proactively refined to determine the strengths of this technology for DSME/T, behavioral change, cost-effective care, and improved access in chronic disease self-management.

Original languageEnglish (US)
Pages (from-to)1853-1897
Number of pages45
JournalJournal of health care for the poor and underserved
Issue number4
StatePublished - 2014


  • Access
  • Cost-effective
  • Diabetes education
  • Diabetes self-management education
  • Disease management
  • Economic
  • Population health improvement
  • Population health management
  • Systematic review
  • Telehealth
  • Telemedicine

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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