Landmark Studies of T2DM have demonstrated significant clinical benefit from intensive management...



Diabetes telehealth research to date has provided minimal description of its clinical protocols, including strategies used to foster behavior change and procedures to deliver diabetes self-management education (DSME) and medical care. Also, there has been a focus on time-limited research interventions but little on working clinical programs.

We describe here an effective diabetes telehealth program (HouseCalls) that serves an urban Medicaid population living with poorly-controlled type 2 diabetes (T2DM). We also discuss barriers to the future scalability and long-term sustainability of such programs that our health care system will need to overcome if we are to provide population-level telehealth solutions for the growing epidemic of T2DM.

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