Year-end Sale % OFF 
Abstract
BackgroundTraditional 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.ObjectiveIn this study, we evaluated changes in glycemic control among participants with type 2 diabetes who enrolled in a digital diabetes management program.MethodsThe 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).ResultsWe observed a significant reduction in HbA1c of –0.81 points between baseline (mean 8.68, SD 1.7) and follow-up (mean 7.88, SD 1.46; t257=7.71; P<.001). Among participants considered high risk (baseline HbA1c≥8), there was an average reduction of –1.44 points between baseline (mean 9.73, SD 1.68) and follow-up (mean 8.29, SD 1.64; t139=9.14; P<.001). Additionally, average follow-up HbA1c (mean 7.82, SD 1.41) was significantly lower than pre-enrollment HbA1c (mean 8.12, SD 1.46; F2, 210=22.90; P<.001) There was also significant effect of program usage on HbA1c change (β=–.60; P<.001) such that high usage was associated with a greater decrease in HbA1c (mean –1.02, SD 1.60) compared to low usage (mean –.61, SD 1.72).ConclusionsThe 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.
Highlights
Diabetes continues to plague the United States and the rest of the globe [1]
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 hemoglobin A1c (HbA1c)
Summary
Diabetes continues to plague the United States and the rest of the globe [1]. An estimated 34.1 million adults, 13% of the US adult population, have diabetes, with just under 80% diagnosed [2]. In The Principles and Practice of Medicine of 1892, William Osler estimated a diabetes prevalence of just 2.8 per 100,000 in the United Sates, which, in his day, lumped together both types 1 and 2 [3] This modernity would seem to suggest the tide can be rolled back if only its causes were understood, but, alas, the disease marches on [4]. Clinical guidelines broadly agree on hemoglobin A1c (HbA1c) targets of 7.0% or less for most people with diabetes, some 50% of those diagnosed are, by this standard, not on target, and at elevated risk of macrovascular and microvascular complications [2,5,6]. Digital interventions with continuously available support and personalized educational content may offer unique advantages for self-management and glycemic control
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
