Your Guide to Treating Diabetes

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What to Expect With a Telehealth Appointment for Diabetes

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Doctor in scrubs with digital tablet and clipboard

Telehealth appointments for diabetes, also called telemedicine and virtual doctor visits, bring people with diabetes and their providers together electronically, via phone call, text message, or most commonly, video chat. Research shows telehealth helps those with diabetes communicate with their doctors more often, receive more timely education and treatment plan adjustments, feel more empowered in caring for themselves, and keep their blood glucose levels in good control.          

Talking to Your Endocrinologist Online

Telehealth involves a virtual doctor visit with an endocrinologist (a specialist in hormones, including insulin), primary health care provider, or other member of your healthcare team such as a certified diabetes educator or nephrologist (a specialist in kidney disease).

These visits usually take place through online video but may also be supported by phone, text, and email communications. For example, you may be able to text your blood glucose levels to your healthcare team, access urine test results online, or ask questions by email. Forms and reminders are often automated for you as part of the digital process. Some providers use detailed forms to collect extensive data from individuals to inform decision-making and better personalize care. 

Your doctor can perform many of the same aspects of a physical examination as would be done face to face, such as inspecting your feet for swelling or ulcers or scanning your eyes for signs of diabetic retinopathy, which can lead to vision loss.

Telemonitoring for Diabetes Treatment

Telemonitoring involves having physical health monitoring equipment in your home that can send data directly to your healthcare team. It can include devices to measure:

  • Glucose readings
  • Heart rate
  • Blood pressure
  • Body weight

Some systems can also flag signs of a worsening condition and send alerts. If your doctor orders home monitoring equipment, you’ll receive instructions for how to use it properly.

Wrapping Up Your Virtual Visit

One thing that tends to be different in a telehealth appointment is the ending. Your doctor won’t be able to hand you a printed summary of the visit and handwritten prescriptions like you may be used to, and you won’t be able to stop by the reception desk to make the next appointment. Make sure you understand your provider’s electronic equivalents of these steps. And always have pen and paper handy to keep notes.

As the use of telehealth has grown, so have the opportunities and insurance coverage. Talk with your primary care provider or endocrinologist about what telehealth can offer you.

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Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2020 May 19
  1. Using Telemedicine to Improve Outcomes in Diabetes—An Emerging Technology. US National Library of Medicine National Institutes of Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769943/
  2. Telemedicine in the Management of Type 1 Diabetes. Centers for Disease Control and Prevention. https://www.cdc.gov/pcd/issues/2018/17_0168.htm
  3. Interactive telemedicine: effects on professional practice and health care outcomes. US National Library of Medicine National Institutes of Health. https://www.ncbi.nlm.nih.gov/pubmed/26343551
  4. Telemedicine and Diabetes Care. American Diabetes Association. http://www.diabetesforecast.org/2018/02-mar-apr/telemedicine-and-diabetes.html
  5. In Living Color: Extending Your Practice’s Reach Via Telehealth.Endocrine Society. https://endocrinenews.endocrine.org/in-living-color-extending-your-practices-reach-via-telehealth/
  6. Virtual Visits With Your Doctor – Pants Optional! Taking Control of Your Diabetes. https://tcoyd.org/2020/03/virtual-visits-with-your-doctor-pants-optional/
  7. Telemedicine in the Management of Type 1 Diabetes. Centers for Disease Control and Prevention. https://www.cdc.gov/pcd/issues/2018/17_0168.htm
  8. Telemonitoring in diabetes: evolution of concepts and technologies, with a focus on results of the more recent studies. US National Library of Medicine National Institutes of Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814890/
  9. Using Telemonitoring for Preventative Diabetes Care in the Western New York Beacon Community. The Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/buzz-blog/beacon-community-program/telemonitoring-wny-beacon-community
  10. Active Care Management Supported by Home Telemonitoring in Veterans With Type 2 Diabetes. American Diabetes Association. https://care.diabetesjournals.org/content/33/3/478
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