Telemedicine-Based Diabetes Management for Incarcerated Individuals - Summary - MDSpire

Telemedicine-Based Diabetes Management for Incarcerated Individuals

  • By

  • Julio A. Rebolledo

  • Karen C. Thomas

  • Joshua B. Katz

  • Shaeker Chandran

  • Krishna Schaffer

  • Chuxian Tang

  • Kirstie K. Danielson

  • LaMenta S. Conway

  • Steven Bowman

  • Brian T. Layden

  • June 12, 2026

  • 0 min

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Objective:

To evaluate the effectiveness of a diabetes telemedicine clinic (DTC) pilot program in improving diabetes management for incarcerated individuals.

Approach:
    Key Findings:
    • Mean HbA1c decreased by 1.6 percentage points (P <.001).
    • Patients achieving HbA1c <7% increased from 6.2% to 36.3%.
    • Mean weight reduction of 2.7 kg (P <.001).
    • Increased rates of foot examinations (from 58.3% to 82.6%), eye examinations (from 64.3% to 76.5%), and urine albumin-to-creatinine ratio testing (from 80.0% to 94.8%).
    Interpretation:

    Remove unsupported claims about effectiveness.

    Limitations:
    • Small sample size and single-site study.
    • No control group, affecting internal validity.
    • Limited preintervention data.
    Conclusion:

    Revise to avoid unsupported claims and focus on findings.

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