Emerging technology in diabetes care: the real-time diabetes monitoring system.

The majority of telemedicine interventions for diabetes have failed to show objective improvements in outcomes. We describe the real-time diabetes monitoring system (RT-DMS), which augments our successful telemedicine system for pediatric patients with type 1 diabetes by allowing automated uploads of glucometer readings. The addition of automatic transfer of glucometer readings enables RT-DMS to improve patient compliance and increases monitoring by physicians. The system is scalable for use by both children and adults with all forms of diabetes and has the potential to significantly improve clinic workflow, allowing RT-DMS to serve as a model for managing chronic disease using telemedicine.