To address the problem rural communities face in accessing specialist diabetes care, a telemedicine consultation service was trialled in rural Pennsylvania. Twenty-five patients with diabetes participated via a 45-minute videoconferencing consultation with an endocrinologist at an urban centre and a locally based diabetes nurse. Patients and providers uniformly reported high levels of satisfaction and acceptability. Mean HbA1c decreased from 9.6% (~80 mmol/mol) to 8.5% (69 mmol/mol) (p <0.001) (Toledo et al 2012).
