As part of an AHRQ grant in its 4th year for which I am the PI we have been utilizing a similar process - screening patients with chronic wounds for hypeglycemia, if present we have our CDE contact patient, develop and impliment an evidence based plan of care and set the patient up for vital sign monitoing over POTS to a secure internet accessable ASP database where results can be assessed longitudinally.

Texas tried a pilot program of heart disease and diabetes remote montoring in Laredo a few years back using the Health Buddy system. It posted positive results. Here is a brief overview from 2002:

Mercy Health System improves compliance and decreases visits using wireless devices. (www.mercylaredo.com) The Laredo, Texas hospital uses a low cost, Web-enabled device called the Health Buddy® appliance to help indigent or economically disadvantaged patients with heart disease self-manage their conditions. Health indicators such as weight, blood pressure, and fatigue are tracked and monitored by a case management nurse who intervenes with instructions such as diet modification or other behavioral changes as needed. If the monitoring reveals any significant change in a patient's condition, the device actually instructs the patient to call the physician, and the nurse follows up to ensure that the patient does in fact see the doctor. The results? Medication compliance increased from 34% to 94%, 93% of patients said the Health Buddy appliance helped them better manage their disease, and hospitalization rates were reduced.
--Healthcare Strategy Alert Newsletter

Great initiative.
Diabetes, especially in the early stage, is a complex condition and patients need coaching and encouragement to manage the condition and prevent deterioration.

Following glucose levels is part of the therapy, but why not also montor aspects such as medication, weight loss, fitness, and diet?