Home Telemonitoring of Patients With Type 2 Diabetes: A Meta-Analysis and Systematic Review

Xu Zhu, Myia Williams, Kayla Finuf, Vidhi Patel, Liron Sinvani, Gisele Wolf-Klein, Allison Marziliano, Christian Nouryan, Amgad Makaryus, Roman Zeltser, Leanne Tortez, Tanya Shkolnikov, Alyson Myers, Renee Pekmezaris

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Telehealth has emerged as an evolving care management strategy that is playing an increasingly vital role, particularly with the onset of the coronavirus disease 2019 pandemic. A meta-analysis of 20 randomized controlled trials was conducted to test the effectiveness of home telemonitoring (HTM) in patients with type 2 diabetes in reducing A1C, blood pressure, and BMI over a median 180-day study duration. HTM was associated with a significant reduction in A1C by 0.42% (P 5 0.0084). Although we found statistically significant changes in both systolic and diastolic blood pressure ( 0.10 mmHg [P 5 0.0041] and 0.07 mmHg [P 5 0.044], respectively), we regard this as clinically nonsignificant in the context of HTM. Comparisons across different methods of transmitting vital signs suggest that patients logging into systems with moderate interaction with the technology platform had significantly higher reductions in A1C than those using fully automatic transmission methods or fully manual uploading methods. A1C did not vary significantly by study duration (from 84 days to 5 years). HTM has the potential to provide patients and their providers with timely, up-to-date information while simultaneously improving A1C.

Original languageEnglish (US)
Pages (from-to)118-128
Number of pages11
JournalDiabetes Spectrum
Issue number1
StatePublished - Jan 2022
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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