**3. Second-generation telemedicine projects and studies in the field of diabetes**

Over the last 10 years, *second-generation* telemedicine projects and studies have been developed in the setting of diabetes management, especially in the setting of telemonitoring [32–38], as defined in **Table 1**. These projects and studies have main objectives to evaluate the use of technology to implement medical and cost-effective healthcare management on a large scale for diabetes management. These projects include very few elderly patients. One project, the DiaTel study, was dedicated to elderly diabetic patients (<80 years old) [32]. Compared to the aforementioned project, most of the second-generation projects related to diabetes telemonitoring (for type 1 diabetic patients, n = 1; for type 2, n = 5) incorporate the following [32–38]:

• Self-administered medical questionnaires or forms on symptoms and signs of diabetes decompensation and BG levels

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**Figure 1.**

*Results of IDEAtel trial (n = 1665 diabetic elderly patients) (adapted from [21, 27]).*

