Objective: To assess the effects of telephone reminders on glycemic control among diabetic patients. Methods: In this randomized clinical trial, we recruited 100 patients who visited the diabetic clinic of a medical center in central Taiwan between January 2003 and May 2003. After an initial consultation, patients were randomly assigned to a study or a control group. Members of the study group were telephoned by volunteers once per week to remind them to follow the instructions they received from physicians and nursing specialists. Members of the control group only received the initial consultation. During the study, the fasting blood sugar and HbA1c of the patients were measured, and data on their exercise, medication, dietary regimens, and follow-up rates were collected by questionnaire. Results: For members of the study group, the mean of fasting blood glucose decreased from 227 mg/dl to 159 mg/dl (30%), a significantly higher decrease than that found in the control group (p<.05). Furthermore, adherence to exercise, medication, and dietary regimes was also higher in the study group than in the control group. Conclusion: The telephone reminder program was effective in improving the glycemic level of diabetic patients as well as their adherence to exercise, medication, and dietary regimes.
Objective: To assess the effects of telephone reminders on glycemic control among diabetic patients. Methods: In this randomized clinical trial, we recruited 100 patients who visited the diabetic clinic of a medical center in central Taiwan between January 2003 and May 2003. After an initial consultation, patients were randomly assigned to a study or a control group. Members of the study group were telephoned by volunteers once per week to remind them to follow the instructions they received from physicians and nursing specialists. Members of the control group only received the initial consultation. During the study, the fasting blood sugar and HbA1c of the patients were measured, and data on their exercise, medication, dietary regimens, and follow-up rates were collected by questionnaire. Results: For members of the study group, the mean of fasting blood glucose decreased from 227 mg/dl to 159 mg/dl (30%), a significantly higher decrease than that found in the control group (p<.05). Furthermore, adherence to exercise, medication, and dietary regimes was also higher in the study group than in the control group. Conclusion: The telephone reminder program was effective in improving the glycemic level of diabetic patients as well as their adherence to exercise, medication, and dietary regimes.