Digital Diabetes Intervention Effective In Improving Blood S
Traditional lifestyle interventions have shown limited success in improving diabetes-related outcomes. Digital interventions with continuously available support and personalized educational content may offer unique advantages for self-management and glycemic control.

In this study, researchers evaluated changes in glycemic control among participants with type 2 diabetes who enrolled in a digital diabetes management program.

The study employed a single-arm, retrospective design. A total of 950 participants with a hemoglobin A1c (HbA1c) baseline value of at least 7.0% enrolled in the Vida Health Diabetes Management Program. The intervention included one-to-one remote sessions with a Vida provider and structured lessons and tools related to diabetes management. HbA1c was the primary outcome measure.

Of the 950 participants, 258 (27.2%) had a follow-up HbA1c completed at least 90 days from program start. Paired t tests were used to evaluate changes in HbA1c between baseline and follow-up. Additionally, a cluster-robust multiple regression analysis was employed to evaluate the relationship between high and low program usage and HbA1c change. A repeated measures analysis of variance was used to evaluate the difference in HbA1c as a function of the measurement period (ie, pre-Vida enrollment, baseline, and postenrollment follow-up).

Results:
-- It was observed that a significant reduction in HbA1c of –0.81 points between baseline (mean 8.68) and follow-up (mean 7.88).

-- Among participants considered high risk (baseline HbA1c more than 8), there was an average reduction of –1.44 points between baseline (mean 9.73) and follow-up (mean 8.29).

-- Additionally, average follow-up HbA1c (mean 7.82) was significantly lower than pre-enrollment HbA1c (mean 8.12)

-- There was also significant effect of program usage on HbA1c change such that high usage was associated with a greater decrease in HbA1c (mean –1.02) compared to low usage (mean –.61).

Conclusively, the present study revealed clinically meaningful improvements in glycemic control among participants enrolled in a digital diabetes management intervention. Higher program usage was associated with greater improvements in HbA1c. The findings of the present study suggest that a digital health intervention may represent an accessible, scalable, and effective solution to diabetes management and improved HbA1c. The study was limited by a nonrandomized, observational design and limited postenrollment follow-up data.

Source: https://diabetes.jmir.org/2021/2/e28033
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