Tele Health Technologies and the Role of the Nurse in Diabetes Self-Management Education and Support

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Diabetes, Diabetes Self-Management Education, Nurse, Telehealth Technologies


Diabetes Mellitus is at the forefront of chronic noncommunicable diseases resulting from defects in both insulin secretion and action, which represent a major challenge for global health. Diabetes mellitus is one of the diseases that burden both public health and health care costs worldwide. Practices and approaches to support and maintain diabetes self-management are vital. Mobile health applications are used in fields such as education, training, support in diagnosis and diagnosis, patient monitoring, control of epidemic diseases, storage of health data, mobile learning, payment, smart payment systems. Diabetes self-management education enables patients to participate in care by increasing their knowledge and skills. The most important role of diabetes educators is to ensure that diabetes patients have the most up-to-date information. Diabetes self-management education and support provided by telehealth for older adults with diabetes after hospital discharge has been observed to be feasible for telemedicine intervention for hospitalized older adults with T2DM.


Agarwal, P., Mukerji, G., Desveaux, L., Ivers, N. M., Bhattacharyya, O., Hensel, J. M., …Bhatia, R. S. (2019). Mobile App for Improved Self-Management of Type 2 Diabetes: Multicenter Pragmatic Randomized Controlled Trial. JMIR mHealth and uHealth, 7(1), e10321.

ADA. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. Diabetes Care. 2021;44(Suppl 1):15-33.

Adu, M. D., Malabu, U. H., Malau-Aduli, A., & Malau-Aduli, B. S. (2020). The development of My Care Hub Mobile-Phone App to Support Self-Management in Australians with Type 1 or Type 2 Diabetes. Scientific reports, 10(1), 7.

American Diabetes Association (2021). 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. Diabetes care, 44(Suppl 1), S15–S33.

Alcántara-Aragón, V. (2019). Improving patient self-care using diabetes technologies. Therapeutic Advances in Endocrinology and Metabolism.

Azelton, K. R., Crowley, A. P., Vence, N., Underwood, K., Morris, G., Kelly, J., & Landry, M. J. (2021). Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home. Frontiers in digital health, 3, 764735.

Batalha, A., Ponciano, I. C., Chaves, G., Felício, D. C., Britto, R. R., & da Silva, L. P. (2021). Behavior change interventions in patients with type 2 diabetes: a systematic review of the effects on self-management and A1c. Journal of diabetes and metabolic disorders, 20(2), 1815–1836.

Braune, K., Boss, K., Schmidt-Herzel, J., Gajewska, K. A., Thieffry, A., Schulze, L., Posern, B., & Raile, K. (2021). Shaping Workflows in Digital and Remote Diabetes Care During the COVID-19 Pandemic via Service Design: Prospective, Longitudinal, Open-label Feasibility Trial. JMIR mHealth and uHealth, 9(4), e24374.

Carpenter, R., DiChiacchio, T., & Barker, K. (2018). Interventions for self-management of type 2 diabetes: An integrative review. International journal of nursing sciences, 6(1), 70–91.

Chin-Jung, L., Hsiao-Yean, C., Yeu-Hui, C., Kuan-Chia, L., & Hui-Chuan, H. (2021). Effects of mobile health interventions on improving glycemic stability and quality of life in patients with type 1 diabetes: A meta-analysis. Research in nursing & health, 44(1), 187–200.

Cui, M., Wu, X., Mao, J., Wang, X., & Nie, M. (2016). T2DM Self-Management via Smartphone Applications: A Systematic Review and Meta-Analysis. PloS one, 11(11), e0166718.

Chan, J. C. N., Lim, L.-L., Wareham, N. J., Shaw, J. E., Orchard, T. J., Zhang, P., … Gregg, E. W. (2020). The Lancet Commission on diabetes: using data to transform diabetes care and patient lives. The Lancet. https://doi:10.1016/s0140-6736(20)32374-6

Contreras, F, Jiménez, S, García, M, Rocafull, J, Montero, E, González, M, …Velasco, M. (2001). Nuevos Aspectos en el Tratamiento de la Diabetes Mellitus Tipo 2. Archivos Venezolanos de Farmacología y Terapéutica, 20(1), 6-26. Recuperado en 18 de julio de 2022, de

Cheng, C., Beauchamp, A., Elsworth, G. R., & Osborne, R. H. (2020). Applying the Electronic Health Literacy Lens: Systematic Review of Electronic Health Interventions Targeted at Socially Disadvantaged Groups. Journal of medical Internet research, 22(8), e18476.

Eroğlu, N. & Sabuncu, N. (2019). Diyabet Öz Yönetim Skalası’nın (DÖYS) Türk Toplumuna Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Hemşirelik Bilimi Dergisi, 1 (3) , 1-6 . Retrieved from

Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., …Weiss, M. A. (2010). National standards for diabetes self-management education. Diabetes care, 33 Suppl 1(Suppl 1), S89–S96.

Fain, J. A. (2017). 2017 National Standards for Diabetes Self-Management Education and Support (DSMES): Revised and Updated. The Diabetes Educator, 43(5), 439–439.

Guendelman, S., Broderick, A., Mlo, H., Gemmill, A., & Lindeman, D. (2017). Listening to Communities: Mixed-Method Study of the Engagement of Disadvantaged Mothers and Pregnant Women With Digital Health Technologies. Journal of medical Internet research, 19(7), e240.

Haas, L., Maryniuk, M., Beck, J., Cox, C. E., Duker, P., Edwards, L., …Youssef, G., (2012) Standards Revision Task Force (2012). National standards for diabetes self-management education and support. Diabetes care, 35(11), 2393–2401.

Hu, Y., Wen, X., Wang, F., Yang, D., Liu, S., Li, P., & Xu, J. (2019). Effect of telemedicine intervention on hypoglycaemia in diabetes patients: A systematic review and meta-analysis of randomised controlled trials. Journal of telemedicine and telecare, 25(7), 402–413.

Haider, R., Sudini, L., Chow, C. K., & Cheung, N. W. (2019). Mobile phone text messaging in improving glycaemic control for patients with type 2 diabetes mellitus: A systematic review and meta-analysis. Diabetes research and clinical practice, 150, 27–37.

Higa, C., Davidson, E. J., & Loos, J. R. (2021). Integrating family and friend support, information technology, and diabetes education in community-centric diabetes self-management. Journal of the American Medical Informatics Association: JAMIA, 28(2), 261–275.

Jain, S. R., Sui, Y., Ng, C. H., Chen, Z. X., Goh, L. H., & Shorey, S. (2020). Patients' and healthcare professionals' perspectives towards technology-assisted diabetes self-management education. A qualitative systematic review. PloS one, 15(8), e0237647.

International Diabetes Federation IDF Diyabet Atlası, 16 Temmuz 2022 tarihinde adresinden erişildi.

Idris, M. Y., Alema-Mensah, E., Olorundare, E., Mohammad, M., Brown, M., Ofili, E., & Pemu, P. (2022). Exploring the Discursive Emphasis on Patients and Coaches Who Participated in Technology-Assisted Diabetes Self-management Education: Clinical Implementation Study of Health360x. Journal of medical Internet research, 24(3), e23535.

Kearns, J. W., Bowerman, D., Kemmis, K., Izquierdo, R. E., Wade, M., & Weinstock, R. S. (2012). Group diabetes education administered through telemedicine: tools used and lessons learned. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 18(5), 347–353.

Kutsal, Y.G., Aslan D.(2021). Teletıp: Yaşlılık ve Teletıp Uygulamaları, Editör, Türk Geriatri Derneği, Ankara, ss.127-134. 18 Temmuz 2022 tarihinde adresinden erişildi.

Kopmaz, B. & Arslanoğlu, A. (2018).Mobil Sağlık ve Akıllı Sağlık Uygulamaları. Sağlık Akademisyenleri Dergisi, 5 (4) , 251-255.

Knapp, A., Harst, L., Hager, S., Schmitt, J., & Scheibe, M. (2021). Use of Patient-Reported Outcome Measures and Patient-Reported Experience Measures Within Evaluation Studies of Telemedicine Applications: Systematic Review. Journal of medical Internet research, 23(11), e30042.

Lee, M. K., Lee, D. Y., Ahn, H. Y., & Park, C. Y. (2021). A Novel User Utility Score for Diabetes Management Using Tailored Mobile Coaching: Secondary Analysis of a Randomized Controlled Trial. JMIR mHealth and uHealth, 9(2), e17573.

Malasanos TH, Burlingame JB, Youngblade L, Patel BD, Muir AB.(2005) Improved access to subspecialist diabetes care by telemedicine: cost savings and care measures in the first two years of the FITE diabetes project. J Telemed Telecare; 11:74-76.

Madsen, K. S., Chi, Y., Metzendorf, M. I., Richter, B., & Hemmingsen, B. (2019). Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at increased risk for the development of type 2 diabetes mellitus. The Cochrane database of systematic reviews, 12(12), CD008558.

Morgan, C. L., Currie, C. J., & Peters, J. R. (2000). Relationship between diabetes and mortality: a population study using record linkage. Diabetes care, 23(8), 1103–1107.

McDaniel, C. C., Kavookjian, J., & Whitley, H. P. (2022). Telehealth delivery of motivational interviewing for diabetes management: A systematic review of randomized controlled trials. Patient education and counseling, 105(4), 805–820.

Oh, S. W., Kim, K. K., Kim, S. S., Park, S. K., & Park, S. (2022). Effect of an Integrative Mobile Health Intervention in Patients With Hypertension and Diabetes: Crossover Study. JMIR mHealth and uHealth, 10(1), e27192.

Petrič, G., Atanasova, S., & Kamin, T. (2017). Ill Literates or Illiterates Investigating the eHealth Literacy of Users of Online Health Communities. Journal of medical Internet research, 19(10), e331.

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., …Vivian, E. (2015). Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Journal of the Academy of Nutrition and Dietetics, 115(8), 1323–1334.

Polat G., Ünsal Avdal E. Orem’in Öz Bakım Eksikliği Kuramına Göre Diyabet Teknolojileri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2021; 283-289.

Smits, M., Kim, C. M., van Goor, H., & Ludden, G. (2022). From Digital Health to Digital Well-being: Systematic Scoping Review. Journal of medical Internet research, 24(4), e33787.

Sood, S., Mbarika, V., Jugoo, S., Dookhy, R., Doarn, C. R., Prakash, N., & Merrell, R. C. (2007). What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 13(5), 573–590.

Sharma, V., Feldman, M., & Sharma, R. (2022). Telehealth Technologies in Diabetes Self-management and Education. Journal of Diabetes Science and Technology.

Sheehan, C. M., Gotlieb, E. E., Ayers, S. L., Tong, D., Oesterle, S., Vega-López, S., …Shaibi, G. Q. (2022). Neighborhood Conditions and Type 2 Diabetes Risk among Latino Adolescents with Obesity in Phoenix. International journal of environmental research and public health, 19(13), 7920.

Shan, R., Sarkar, S., & Martin, S. S. (2019). Digital health technology and mobile devices for the management of diabetes mellitus: state of the art. Diabetologia, 62(6), 877–887.]

Saffari, M., Ghanizadeh, G., & Koenig, H. G. (2014). Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis. Primary care diabetes, 8(4), 275–285.

Şahinol, M. & Başkavak, G. (2021). Sosyo-Biyo-Teknik Bakım Kompleksi: Tip 1 Diyabette Dijital Sağlık Takibi . Sosyoloji Araştırmaları Dergisi , Türkiye'de Çekişmeli Bedenler: Tıp Teknolojisindeki Gelişmelerle Dönüşen Beden, Sağlık ve Toplum , 110-145 . doı: 10.18490/Sosars.911385. 17 Temmuz 2022 tarihinde adresinden erişildi

Tezcan, Cenk (2016). “Sağlığa Yenilikçi Bir Bakış Açısı: Mobil Sağlık”. TÜSİAD Yayınları, Yayın No: TÜSİAD-T/2016-03/575. 17 Temmuz tarihinde adresinden erişildi.

Timm, L., Karlsson, I., Sidney Annerstedt, K., Absetz, P., Forsberg, B. C., Daivadanam, M., & Molsted Alvesson, H. (2021). Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes. Nutrients, 13(11), 3862.

Torbjornsen, A., Ribu, L., Ronnevig, M., Grøttland, A., & Helseth, S. (2019). Users' acceptability of a mobile application for persons with type 2 diabetes: a qualitative study. BMC health services research, 19(1), 641.

Whitehouse, C. R., Long, J. A., Maloney, L. M., Daniels, K., Horowitz, D. A., & Bowles, K. H. (2020). Feasibility of Diabetes Self-Management Telehealth Education for Older Adults During Transitions in Care. Research in gerontological nursing, 13(3), 138–145.

Yan, K., Balijepalli, C., & Druyts, E. (2021). The Impact of Digital Therapeutics on Current Health Technology Assessment Frameworks. Frontiers in digital health, 3, 667016.

Young, H. M., Miyamoto, S., Dharmar, M., & Tang-Feldman, Y. (2020). Nurse Coaching and Mobile Health Compared With Usual Care to Improve Diabetes Self-Efficacy for Persons With Type 2 Diabetes: Randomized Controlled Trial. JMIR mHealth and uHealth, 8(3), e16665.

Yang, Q., Hatch, D., Crowley, M. J., Lewinski, A. A., Vaughn, J., Steinberg, D., …Shaw, R. J. (2020). Digital Phenotyping Self-Monitoring Behaviors for Individuals With Type 2 Diabetes Mellitus: Observational Study Using Latent Class Growth Analysis. JMIR mHealth and uHealth, 8(6), e17730.

Zimmet P. Z. (2017). Diabetes and its drivers: the largest epidemic in human history?. Clinical diabetes and endocrinology, 3, 1.



How to Cite

DEMİRTAŞ ADLI , G. (2023). Tele Health Technologies and the Role of the Nurse in Diabetes Self-Management Education and Support. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(1), 142–151.