Columbia University Irving Medical Center, New York, NY, USA.
Curr Diab Rep. 2022 Aug;22(8):365-369. doi: 10.1007/s11892-022-01476-x. Epub 2022 Jul 9.
Telehealth initiatives are becoming ubiquitous in clinical practice and can be a useful tool in the management of diabetes in pregnancy. The purpose of this review is to summarize new techniques in telemedicine delivery and offer details on how to leverage telehealth in delivering care to pregnant women with diabetes.
Using mobile phone technology to collect glucose values in women with gestational diabetes has been found to be beneficial by increasing the amount of glucose data available for interpretation. Remote patient monitoring in non-pregnant people with type 2 diabetes has shown a modest improvement in glucose control. In pregnant women with diabetes, the use of remote patient monitoring does not appear to improve outcomes but can decrease in-office visits and lower healthcare costs. However, telehealth may not be the only solution to helping patients with diabetes in pregnancy who have difficulty engaging in their care. Telehealth affords improvements in convenience, efficiency, and frequency of communication with healthcare professionals, and the amount of data available to patients and providers alike, yielding the potential for better outcomes when telehealth modalities are adopted.
远程医疗服务在临床实践中已无处不在，它可以成为妊娠糖尿病管理的有效工具。本综述旨在总结远程医疗的新技术，并详细介绍如何利用远程医疗为妊娠合并糖尿病的妇女提供护理。
利用手机技术收集妊娠期糖尿病妇女的血糖值，增加了可供解释的血糖数据量，被证明是有益的。使用远程患者监测技术对 2 型糖尿病非妊娠患者的血糖控制有一定程度的改善。在妊娠合并糖尿病妇女中，远程患者监测的使用似乎并不能改善结局，但可以减少就诊次数和降低医疗保健费用。然而，远程医疗可能不是帮助那些难以参与自身护理的妊娠合并糖尿病患者的唯一解决方案。远程医疗在方便性、效率和与医疗保健专业人员沟通的频率方面提供了改进，并且为患者和提供者提供了相同的数据量，从而有可能通过采用远程医疗模式来获得更好的结局。
