Improvements in Glycemic Control and Depressive Symptoms Among Adults With Type 2 Diabetes: Retrospective Study
Aarathi Venkatesan1, Gretchen Zimmermann1, Kelly Rawlings1
1Vida Health, San Francisco, CA, United States.
JMIR Formative Research
|January 26, 2023
Summary
A mobile health program significantly improved glycemic control in individuals with type 2 diabetes, showing sustained results up to one year. Improvements in depression symptoms also correlated with better blood sugar management.
Area of Science:
- Digital Health
- Diabetes Management
- Metabolic Health
Background:
- High diabetes prevalence necessitates effective interventions.
- Traditional methods show limited success, especially with mental health comorbidities.
- Digital health offers scalable diabetes self-management solutions.
Purpose of the Study:
- Evaluate a mobile health program for glycemic control in high-risk type 2 diabetes.
- Assess the sustainability of glycemic control improvements.
- Examine the impact on participants with depression.
Main Methods:
- Retrospective, single-arm study of the Vida Health Diabetes Management Program.
- App-based intervention with health coaching and structured lessons.
- Analysis of hemoglobin A1c (HbA1c) and mental health symptom data.
Main Results:
- Significant HbA1c reduction (-1.35 points) observed.
- Glycemic control improvements were sustained for up to 1 year.
- Improved depressive symptoms correlated with better HbA1c.
Conclusions:
- The Vida Health program yields clinically meaningful glycemic control improvements.
- This study represents one of the largest digital diabetes management program samples.
- Digital interventions show promise for sustained diabetes care.
Related Concept Videos
01:22Diabetes Mellitus: Type 2 and Gestational
2.6K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.6K
01:15Diabetes: Management and Pharmacotherapy
326
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
326
01:15Diabetes: Symptoms, Diagnosis, and Complications
630
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
630
01:22Diabetes Mellitus: Overview and Type I Subtype
2.9K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.9K
01:36Carbohydrate Metabolism
11.3K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.3K
01:19Psychoneuroimmunology: Diabetes and Cancer
54
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
54