Significant Improvement in Glycemic Outcomes in Type 2 Diabetes Patients: The Impact of 14-Day Personalized Coaching and Continuous Glucose Monitoring on Glycemic Variations

  • Unique Paper ID: 168420
  • Volume: 11
  • Issue: 5
  • PageNo: 819-826
  • Abstract:
  • Background Continuous Glucose Monitoring (CGM) is a revolution in diabetes management as it helps provide continuous insights into glycemic variability (GV) including hypo- and hyperglycemic episodes. The aim of this study was to observe if CGM-directed personalized nutrition, progressive fitness, and mindfulness coaching by Sugarfit Diabetes Reversal and Management Program (SDRMP) improved glycemic parameters in patients with T2D. Methods CGM data from 2860 participants with type 2 diabetes (T2D) enrolled in SDRMP was collected between June 01, 2021, to June 30, 2022, and analyzed retrospectively. All participants wore the CGM device subcutaneously on the arm for 14 days. Such device efficiently transmitted the gathered data (i.e. glycemic trends) to a separate receiver, typically a smartphone application (Innovative Sugarfit app, Ragus Healthcare Private Limited, India). Patients participating in the study were instructed to periodically scan the sensor, ensuring continuous monitoring throughout the day. Results Of the 2860 participants, 2078 were males (72.63%) and 782 were female (27.34%). The mean age of participants was 46.5±10.7 years. The CGM captured one reading every 15 minutes for a total of 96 glucose readings every day for up to 14 days. There was a significant increase in time in range (TIR, 22.01%, p<0.001) from day 1 to day 14 through SDRMP’S personalized life coaching interventions. There was a significant correction in the time above range (TAR) by 28.21% and of time below range (TBR) by 78.63% (p<0.001 for both). The average estimated HbA1c decreased from 7.2±1.7 at baseline to 6.7±1.3 at day 14. Interpretation CGM-directed personalized lifestyle interventions showed improved TIR in patients with T2D. Valuable insights into daily and intra-day glycemic variations promotes better adherence to lifestyle modifications, ultimately leading to improved glycemic outcomes and reduced complications in diabetes.

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