Integrated Telehealth with Personalized Diabetes Management (IT- PDM) in Insulin-Treated Patients
Care Process & Redesign
Technology
Ng Teng Fong Healthcare Innovation Programme
National Healthcare Group
6 January 2026
The primary aim is to evaluate whether integrated personalized diabetes management with telehealth can improve clinical and. The result of this study demonstrates that using an integrated, structured and personalized approach provides tangible benefits for.
Year Submitted: 2025
Published Date: 06 January 2026
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement, Job Effectiveness, Telehealth, Tele-Monitoring, Technology
About this Content
Aims
The primary aim is to evaluate whether integrated personalized diabetes management with telehealth can improve clinical and patient outcomes. The secondary aim is to assess the efficiency of care by utilizing a smartphone application for seamless transfer of blood glucose results from patient to the healthcare team.
Background
Integrated Personalized Diabetes Management has been proven to enhance diabetes care. In clinical practice, this approach requires frequent follow-ups and interactions between patients and healthcare providers. Telehealth has shown to be as useful and effective as face-face visits in providing care for people with diabetes.
Methods
A total of 120 patients participated in this prospective, two-arm randomized controlled trial. HbA1C, BMI, BP, LDL, frequency of hypoglycemia episodes and patient reported outcomes were assessed.
Results
IT-PDM led to a greater reduction in HbA1C after 6months. The HbA1c value in the intervention group was also statistically significantly lower than that in the control group (difference: -0.49, p-value =0.03). A significant decrease was observed in the PAID score post-intervention compared to pre-intervention with a mean difference of 8.3 (95% CI: 4.9, 11.7). DNEs spent less time on teleconsultation in the intervention group compared to the control group (11.2mins/call VS 13.8min/call). The intervention group experienced a 40% reduction in readmission.
Lessons Learnt
The result of this study demonstrates that using an integrated, structured and personalized approach provides tangible benefits for insulin-treated patients. An integrated software solution has the potential to streamline the delivery of patient care. Additionally, real-time continuous glucose monitoring can help overcome clinical inertia.
Additional Information
Funded by NTFHIP
Keywords
telehealth, blood glucose monitoring
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Ng Teng Fong Healthcare Innovation Programme |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Medical, Endocrinology |
Project Lead(s) | Rinkoo Dalan |
Project Member(s) | Lian Xia |
Connect with this contributor!
Rinkoo Dalan - rinkoo.dalan@nhghealth.com.sg