There is a gradual decline in concern of specialists who follow up the care of pregnant women with diabetes. In addition, due to\nthe dwindling economic resources allocated to health services, access to specialized healthcare facilities is becomingmore difficult.\nTelemedicine, or medicine practiced at a distance, is inserted in this context with applications differing for type of interaction\n(real-time or deferred, i.e., videoconferencing versus store-and-forward data transmission), type of monitoring (automatic versus\nrequesting cooperation from the patient), and type of devices used (web connections and use of mobile phones or smartphones).\nTelemedicine can cope with the current lack of ability to ensure these patients frequent direct contact with their caregivers. This\napproachmay have an impact not only on the classicalmaternal-fetal outcome, but also on some underestimated aspects of patients\nwith diabetes in pregnancy, in this case their quality of life, the perception of ââ?¬Å?diabetes self-efficacy,ââ?¬Â and the glycemic variability. In\nthis paper, we will analyze the current evidence regarding the use of telemedicine in pregnancies complicated by diabetes, trying\nto highlight the main limitations of these studies and possible strategies to overcome them in order to improve the effectiveness of\nfuture clinical interventions with these medical applications.
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