A Telehealth Rural Practice Change for Diabetes Education and Management

Abstract Education may improve glycemic control for patients with type 2 diabetes, but patients from rural areas may experience barriers to participation. A nurse-led rural telehealth intervention examined the impact on health behaviors, weight, and blood glucose levels. Patients reported an increased number of days being active ( P  = .05), enhanced view of activity as important ( P  = .02), and enhanced assuredness about taking medications ( P  = .011). There were clinically significant decreases in mean blood glucose values and weight, both trending downward. Feasibility was challenging due to lack of reimbursement, time, and staffing, but patients and providers reported satisfaction with the intervention.