1267-PUB: Sustained Reduction of A1C through Use of AI Digital Coach and Consumer-Friendly Glucose Measurement

Abstract

Management of diabetes has always depended upon sustained self-management by the person with diabetes. Data continues to show that people do a poor job of diabetes management. Many telehealth solutions achieve short-term, but not sustained results. This investigated platform implements two unique elements to improve the ability to achieve sustained self-management. One element is an Artificial Intelligence (AI) digital coach that exists in the mobile app--keeping the right behaviors in front of people with diabetes and encouraging continual engagement. The second element is an integrated glucose meter with a dramatically more friendly user experience--defined by smaller size, discreet (no visible assembly), and less painful. The platform has been commercialized for more than 12 months. A clinical registry has been established and currently includes 50 commercial users of the platform and more than 25,000 glucose tests are included. Demographics include both type 1 and type 2, 42% male, 58% female, with ages ranging from 24 to 69 years old. With use of the platform, Figure 1 shows a significant decrease in A1C, as calculated from glucose measurements, of 1.4 points (p = 0.0001) in early use to a sustained reduction of 0.9 points (p=0.0001). These results may indicate that easier visibility of results causes immediate reduction of glucose and that this easier visibility combined with the AI coach may sustain results. These results potentially demonstrate that a simpler experience for self-management will improve sustained diabetes management results. Future studies of the registry data will include improved compliance toward ADA guidelines and glucose time in range. Disclosure T. Balder: Advisory Panel; Self; POPS Diabetes Care.