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  1. Klobucar, Thomas F. PhD
  2. Hibbs, Robin RN, MBA, MSN, CDE
  3. Jans, Peg RN
  4. Adams, Margaret R. ARNP, BC-ADM, CDE


Purpose/Objectives: To describe and assess the effectiveness of a case management and home telemonitoring program for patients with diabetes mellitus (DM)


Primary Practice Setting: Case managers work in a mid-sized medical center for the Department of Veterans Affairs. Patients are veterans who participate in a home telemonitoring and case management program designed to assist with long-term control of serum glucose levels.


Findings/Conclusions: The home telemonitoring/case management program process is shown to be effective in helping patients with long-term control of glycosylated hemoglobin (A1C). When compared with a control group, program participants showed significantly differentiated long-term improvement in A1C levels.


Implications for Case Management Practice:


* Home telemonitoring and aggressive case management together are effective in helping patients with diabetes self-care.


* Case management practices for patients with diabetes should include a strong educational component, continuing throughout the process, that addresses lifestyle and dietary changes.


* Home telemonitoring may serve as a patient "demand" indicator and workload regulator for case managers.


* Case management and home telemonitoring have long-term effects in diabetes self-care even after active case management and home telemonitoring come to an end.