Cargando…

Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days

BACKGROUND: Lifestyle modification is an integral aspect for the management of type 2 diabetes (T2D). However, it is difficult to ensure the accuracy of personalized lifestyle advice. The study aims to analyse the real-world effectiveness of personalized glycemic response based Diabefly-Pro digital...

Descripción completa

Detalles Bibliográficos
Autores principales: Verma, Ritika, Bhardwaj, Shefali, Lathia, Tejal, Kalra, Sanjay, Ranadive, Ruchira, Tanna, Snehal, Padsalge, Mahesh, Juneja, Archana, Samundra, Kirti, Thakkar, Piya Ballani, Jain, Vandana, Kini, Vishal, Kothari, Sneha, Guntur, Saimala, Joshi, Shilpa, Singal, Arbinder
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303844/
https://www.ncbi.nlm.nih.gov/pubmed/35892065
http://dx.doi.org/10.1007/s13410-022-01111-1
_version_ 1784751965198090240
author Verma, Ritika
Bhardwaj, Shefali
Lathia, Tejal
Kalra, Sanjay
Ranadive, Ruchira
Tanna, Snehal
Padsalge, Mahesh
Juneja, Archana
Samundra, Kirti
Thakkar, Piya Ballani
Jain, Vandana
Kini, Vishal
Kothari, Sneha
Guntur, Saimala
Joshi, Shilpa
Singal, Arbinder
author_facet Verma, Ritika
Bhardwaj, Shefali
Lathia, Tejal
Kalra, Sanjay
Ranadive, Ruchira
Tanna, Snehal
Padsalge, Mahesh
Juneja, Archana
Samundra, Kirti
Thakkar, Piya Ballani
Jain, Vandana
Kini, Vishal
Kothari, Sneha
Guntur, Saimala
Joshi, Shilpa
Singal, Arbinder
author_sort Verma, Ritika
collection PubMed
description BACKGROUND: Lifestyle modification is an integral aspect for the management of type 2 diabetes (T2D). However, it is difficult to ensure the accuracy of personalized lifestyle advice. The study aims to analyse the real-world effectiveness of personalized glycemic response based Diabefly-Pro digital therapeutics for better glycemic control. METHODS: Data from continuous glucose monitoring (CGM) of 64 participants with T2D was analysed. All participants were provided with modified lifestyle plan based on their personalized glycemic response. The CGM data was analysed for a period of 7 days, before and after the introduction of modified lifestyle plan. Primary outcome of the study was change in time in range (TIR). Secondary outcomes of the study were change in mean blood glucose, time above range (TAR), time below range (TBR) and glucose management indicator (GMI). RESULTS: Significant improvement in glycemic control was observed after the introduction of personalized lifestyle plan. Median reduction in mean blood glucose was from 139.5 (118.3 to 169.3) mg/dL to 122.0 (101.5 to 148.8) mg/dL (p < 0.0001). TIR and GMI improved from 70.50 (50.75 to 83.50) % to 75.00 (58.25 to 89.00) % (p = 0.0001) and 6.64 (6.13 to 7.35) % to 6.23 (5.74 to 6.86) % (p < 0.0001) respectively. TAR reduced significantly from 17.00 (4.25 to 38.0) % to 6.00 (1.25 to 26.0) % (p < 0.0001). No significant increase in TBR was observed (p = 0.198). CONCLUSION: Personalized glycemic response-based Diabefly-Pro digital therapeutics program was effective in achieving better glycemic control in people with T2D.
format Online
Article
Text
id pubmed-9303844
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer India
record_format MEDLINE/PubMed
spelling pubmed-93038442022-07-22 Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days Verma, Ritika Bhardwaj, Shefali Lathia, Tejal Kalra, Sanjay Ranadive, Ruchira Tanna, Snehal Padsalge, Mahesh Juneja, Archana Samundra, Kirti Thakkar, Piya Ballani Jain, Vandana Kini, Vishal Kothari, Sneha Guntur, Saimala Joshi, Shilpa Singal, Arbinder Int J Diabetes Dev Ctries Original Article BACKGROUND: Lifestyle modification is an integral aspect for the management of type 2 diabetes (T2D). However, it is difficult to ensure the accuracy of personalized lifestyle advice. The study aims to analyse the real-world effectiveness of personalized glycemic response based Diabefly-Pro digital therapeutics for better glycemic control. METHODS: Data from continuous glucose monitoring (CGM) of 64 participants with T2D was analysed. All participants were provided with modified lifestyle plan based on their personalized glycemic response. The CGM data was analysed for a period of 7 days, before and after the introduction of modified lifestyle plan. Primary outcome of the study was change in time in range (TIR). Secondary outcomes of the study were change in mean blood glucose, time above range (TAR), time below range (TBR) and glucose management indicator (GMI). RESULTS: Significant improvement in glycemic control was observed after the introduction of personalized lifestyle plan. Median reduction in mean blood glucose was from 139.5 (118.3 to 169.3) mg/dL to 122.0 (101.5 to 148.8) mg/dL (p < 0.0001). TIR and GMI improved from 70.50 (50.75 to 83.50) % to 75.00 (58.25 to 89.00) % (p = 0.0001) and 6.64 (6.13 to 7.35) % to 6.23 (5.74 to 6.86) % (p < 0.0001) respectively. TAR reduced significantly from 17.00 (4.25 to 38.0) % to 6.00 (1.25 to 26.0) % (p < 0.0001). No significant increase in TBR was observed (p = 0.198). CONCLUSION: Personalized glycemic response-based Diabefly-Pro digital therapeutics program was effective in achieving better glycemic control in people with T2D. Springer India 2022-07-22 2023-06 /pmc/articles/PMC9303844/ /pubmed/35892065 http://dx.doi.org/10.1007/s13410-022-01111-1 Text en © The Author(s), under exclusive licence to Research Society for Study of Diabetes in India 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Verma, Ritika
Bhardwaj, Shefali
Lathia, Tejal
Kalra, Sanjay
Ranadive, Ruchira
Tanna, Snehal
Padsalge, Mahesh
Juneja, Archana
Samundra, Kirti
Thakkar, Piya Ballani
Jain, Vandana
Kini, Vishal
Kothari, Sneha
Guntur, Saimala
Joshi, Shilpa
Singal, Arbinder
Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
title Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
title_full Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
title_fullStr Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
title_full_unstemmed Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
title_short Personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
title_sort personalized glycemic response led digital therapeutics program improves time in range in a period of 14 days
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303844/
https://www.ncbi.nlm.nih.gov/pubmed/35892065
http://dx.doi.org/10.1007/s13410-022-01111-1
work_keys_str_mv AT vermaritika personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT bhardwajshefali personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT lathiatejal personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT kalrasanjay personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT ranadiveruchira personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT tannasnehal personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT padsalgemahesh personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT junejaarchana personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT samundrakirti personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT thakkarpiyaballani personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT jainvandana personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT kinivishal personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT kotharisneha personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT guntursaimala personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT joshishilpa personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days
AT singalarbinder personalizedglycemicresponseleddigitaltherapeuticsprogramimprovestimeinrangeinaperiodof14days