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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...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer India
2022
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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 |
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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 |
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