The M2DM Project--the experience of two Italian clinical sites with clinical evaluation of a multi-access service for the management of diabetes mellitus patients.

The paper presents a multi-access service for the management of Diabetes Mellitus patients and the results of its assessment in two Italian clinical sites. The evaluation shows that, thanks to the high flexibility of the service implemented, the telemedicine management of Diabetes patients is feasible, well accepted by patients and clinical effective. However, in Italy the problem of quantifying the reimbursement rate of telematic services and the impact they have on the organization are factors that can determine the difficulty in their introduction in the routine clinical practice.