system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Blood Glucose, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin A, Health Services Accessibility, Humans, Male, Medically Underserved Area, Middle Aged, Patient Care Team, Rural Population, Taiwan, Telemedicine.
user
Does shared care combined with telecare improve glycemic control of diabetic patients in a rural underserved community? Context: To investigate the effectiveness of shared care combined with telecare in type 2 diabetic patients in an underserved community in Asia. In total, 95 patients with type 2 diabetes who had a glycosylated hemoglobin (HbA1c) level of >7% were recruited from six community health centers in remote areas in Changhua County, Taiwan. All patients were randomly divided into intervention (shared care combined with telecare) and usual-care groups and followed up for 6 months. The decrease in HbA1c level was significantly greater in the intervention group than in the usual-care group (0.7 ± 1.3% versus 0.1 ± 1.0%, p=0.03). There were no significant differences in lipid profiles and blood pressure changes between the two groups.
assistant
Shared care combined with telecare could significantly reduce HbA1c levels in type 2 diabetic patients with poor glycemic control in underserved rural communities. Further studies should be conducted to clarify the target users and to develop cost-effective interventions. Final Decision: yes