VA Greater Los Angeles HealthCare System, Los Angeles, CA, USA.
David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Am Fam Physician. 2022 Mar 1;105(3):281-288.
Telemedicine can be useful for the management of diabetes mellitus. Remote monitoring of glucose levels improves A1C levels in people with poor glucose control. When multiple daily injections of insulin are required, continuous glucose monitoring improves glycemic control and increases patient satisfaction. Telemedicine diabetes prevention programs can be cost-effective. Teleretinal screening allows for the remote evaluation of retinal photos obtained at the primary care office to facilitate the timely completion of annual screening. Telemedicine for patients who have diabetes requires administrative and patient preparation before the visit. The physical examination should focus on the skin and extremities, especially the feet. Patients receiving telediabetes care require at least annual in-person visits for complete foot examinations, sensory screenings, and to address issues noted during previous telemedicine visits.
远程医疗在糖尿病管理中可能很有用。远程监测血糖水平可改善血糖控制不佳人群的 A1C 水平。当需要多次每日胰岛素注射时，连续血糖监测可改善血糖控制并提高患者满意度。远程医疗糖尿病预防计划可能具有成本效益。远程视网膜筛查可对初级保健办公室获得的视网膜照片进行远程评估，以促进年度筛查的及时完成。开展糖尿病患者远程医疗服务需要在就诊前进行行政和患者准备。体格检查应重点关注皮肤和四肢，尤其是足部。接受远程糖尿病护理的患者至少需要每年亲自就诊，以进行全面的足部检查、感觉筛查，并解决在之前的远程医疗就诊期间发现的问题。
