NICE recommends using telemedicine, such as Skype, to assist women with diabetes in achieving their blood glucose targets. Skype allows consultations with healthcare professionals over large geographical areas, facilitating discussions related to the achievement of blood glucose levels and related issues. The use of smartphone technology and mobile devices can facilitate a two-way exchange of biochemical information and appropriate advice. The usefulness of Skype technology in facilitating remote consultations with pregnant women diagnosed with gestational diabetes mellitus (GDM) was examined to assess the impact on outcomes and quality of care by the Countess of Chester Hospital NHS Foundation Trust. Outcomes were measured by clinic performance (did-not-attend [DNA] rates versus attendance), patient satisfaction, time to pharmacological therapy with metformin +/- insulin, along with other cost-benefit parameters such as savings in time/pharmacotherapy. The impact of consistent dietetic input on patient outcomes and time to pharmacological treatment was also assessed.
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