Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes

While lifestyle modification remains fundamental for prediabetes management, the potential added value of real-time continuous glucose monitoring (RT-CGM) in diabetes health education programs warrants investigation. This study evaluated whether an individualized diabetes health education program us...

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Bibliographic Details
Published in:Diabetes, metabolic syndrome and obesity Vol. 18; no. Issue 1; pp. 1939 - 1948
Main Authors: Ma, Yuqi, Deng, Sisi, Xie, Wei, Weng, Minfang, Jia, Yeran
Format: Journal Article
Language:English
Published: New Zealand Dove Medical Press Limited 01.01.2025
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects:
Blood sugar
Blood sugar monitoring
Cholesterol
Chronic illnesses
Clinical Trial Report
continuous glucose monitoring
Diabetes
diabetes self-management education
Diabetes therapy
Didacticism
Dietitians
Documentation
Energy intake
Epidemiology
Exercise
Food
Glucose monitoring
Glycosylated hemoglobin
Health education
Hospitals
Hypertension
Intervention
Meals
Medical personnel
Medical research
Metabolic disorders
Nurses
prediabetes
Prediabetic state
Public health
Strategic planning (Business)
Training
Type 2 diabetes
Uric acid
China
diabetes self-management education
glycosylated hemoglobin
continuous glucose monitoring
prediabetes
ISSN:1178-7007, 1178-7007
Online Access:Get full text
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Summary:While lifestyle modification remains fundamental for prediabetes management, the potential added value of real-time continuous glucose monitoring (RT-CGM) in diabetes health education programs warrants investigation. This study evaluated whether an individualized diabetes health education program using RT-CGM could improve glycemic control compared to general dietary guidance in prediabetic individuals. In this randomized controlled trial conducted at Guangdong Provincial People's Hospital (initiated September 2022), we enrolled 41 adults (>18 years) with prediabetes, randomly assigning them to either: (1) RT-CGM group (n=20) receiving meal adjustments based on continuous glucose data and energy balance, or (2) control group (n=21) receiving adjustments based solely on energy balance. The study comprised two intensive 14-day education sessions (baseline and 1-year follow-up) with metabolic assessments (HbA1c, fasting blood glucose, BMI, lipid profile, and uric acid) conducted at baseline, 1-year, and 2-year timepoints. The RT-CGM group demonstrated significantly greater improvements in HbA1c compared to controls at both 1-year (p=0.007) and 2-year (p=0.033) follow-ups. Our findings suggest that incorporating RT-CGM into diabetes health education program can enhance glycemic control in prediabetic individuals compared to general dietary guidance alone. These results support the potential clinical utility of RT-CGM in prediabetes management strategies.
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These authors contributed equally to this work
ISSN:1178-7007
1178-7007
DOI:10.2147/DMSO.S511187