Abstract
We report a case of a 55-year-old newly diagnosed Type 2 diabetes mellitus (T2DM) patient with elevated glycated hemoglobin (HbA1c) of 12.1%. He received care at Zest Online Diabetes Clinic after facing challenges with access to care. He received lifestyle and medical treatment with the Zest mobile application for 3 months. The Zest model of treatment focuses on nutrition, physical activity, medication, and education to support self-management. The Zest care delivery model also involved a multidisciplinary team of experts: A dietitian, endocrinologist, nurse, and a digital coach to provide quality care remotely. After 3 months of receiving care, he returned with an HbA1c of 5.3%, net weight loss of 1.3 kg, and also a reduction in medication. This case report provides preliminary evidence that the Zest model: carbohydrate restriction, physical activity, diabetes self-management education, and behavioral coaching can effectively and safely treat T2DM through a digital platform.
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