A Virtual Type 2 Diabetes Clinic Using Continuous Glucose Monitoring and Endocrinology Visits

Area of Science:

• Digital Health
• Endocrinology
• Diabetes Management

Background:

• Type 2 diabetes (T2D) requires continuous management.
• Traditional care models face challenges in sustained patient engagement.
• Telehealth offers a promising avenue for improving diabetes care accessibility.

Purpose of the Study:

• To evaluate the effectiveness of the Onduo Virtual Diabetes Clinic (VDC) telehealth model for adults with T2D.
• To assess the impact of the VDC on glycemic control (HbA1c) in T2D patients.
• To explore the role of connected devices, remote coaching, and specialist consultations in T2D management.

Main Methods:

• The VDC integrates connected devices, remote lifestyle coaching, and clinical support via a mobile app.
• Key features include live video consultations with endocrinologists and real-time continuous glucose monitoring (CGM) for high-risk individuals.
• Preliminary data analyzed from 740 participants with T2D.

Main Results:

• Participation in the VDC was associated with significant HbA1c improvements over 6 months for those not meeting treatment targets.
• HbA1c reductions observed: 2.3% (±1.9%) for baseline >9.0%, 0.7% (±1.0%) for 8.0%-9.0%, and 0.2% (±0.8%) for 7.0% to <8.0% (all P < .001).
• Significant improvements were noted across different baseline glycemic categories.

Conclusions:

• The VDC telehealth model demonstrates potential in supporting individuals with T2D and their clinicians.
• The integration of technology and personalized support can enhance diabetes management between clinical visits.
• The VDC shows promise for improving glycemic control and patient outcomes in T2D care.