Telemedicine Home-based Management in Patients With CHF and Type 2 Diabetes

Support the nursing case manager through a structured teleconsultation program (telephone and videoconference support at least once a week)

Cardiological and Diabetological teleconsultation at the beginning of the program and in case of need during the program.

Support from a physiotherapist (if needed)

Telemonitoring of patient vital signs (eg single electrocardiographic trace) and delay steps

The support of an App for recording and monitoring parameters: delay treatment, clinical parameters such as glycemia, blood pressure, HR, symptoms, etc.

Psychological support (if necessary)

Minnesota LIVING WITH HEART FAILURE® Questionnaire (MLHFQ), Short Form Survey (SF-12) Questionnaire and Diabetes Quality of Life (DQoL) questionnaire

Glycemia, glycated haemoglobin, total cholesterol, HDL and LDL, triglycerides, creatinine, BUN, creatinine clearance, BNP

6-minute-walking test, IMC, NYHA class, Ejection fraction

Severity Index and Comordbidity index