Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes
Background. Connected health devices with lifestyle coaching can provide real-time support for people with type 2 diabetes (T2D). However, the intensity of lifestyle coaching needed to achieve outcomes is unknown. Methods. Livongo provides connected, two-way messaging glucose meters, unlimited blood...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2018/3961730 |
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| author | Jennifer B. Bollyky Dena Bravata Jason Yang Mark Williamson Jennifer Schneider |
| author_facet | Jennifer B. Bollyky Dena Bravata Jason Yang Mark Williamson Jennifer Schneider |
| author_sort | Jennifer B. Bollyky |
| collection | DOAJ |
| description | Background. Connected health devices with lifestyle coaching can provide real-time support for people with type 2 diabetes (T2D). However, the intensity of lifestyle coaching needed to achieve outcomes is unknown. Methods. Livongo provides connected, two-way messaging glucose meters, unlimited blood glucose (BG) test strips, and access to certified diabetes educators. We evaluated the incremental effects of adding lifestyle coaching on BG, estimated HbA1c, and weight. We randomized 330 eligible adults (T2D, HbA1c > 7.5%, BMI ≥ 25) to receive no further intervention (n=75), a connected scale (n=115), scale plus lightweight coaching (n=73), or scale plus intense coaching (n=67) for 12 weeks. We evaluated the change in outcomes using ANOVA. Results. Livongo participation alone resulted in improved BG control (mean HbA1c declined: 8.5% to 7.5%, p=0.01). Mean weight loss and additional BG decreases were higher in the intensive compared with the lightweight coaching and scale-only groups (weight change (lb): −6.4, −4.1, and −1.1, resp., p=0.01; BG change (mg/dL): −19.4, −11.3, and −2.9, resp., p=0.02). The estimated 12-week program costs were 5.5 times more for intensive than lightweight coaching. Conclusion. Livongo participation significantly improves BG control in people with T2D. Additional lifestyle coaching may be a cost-effective intervention to achieve further glucose control and weight loss. |
| format | Article |
| id | doaj-art-cc3b2d9702ed43d78c5dec21da728bf4 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-cc3b2d9702ed43d78c5dec21da728bf42025-02-03T06:08:06ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/39617303961730Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 DiabetesJennifer B. Bollyky0Dena Bravata1Jason Yang2Mark Williamson3Jennifer Schneider4Livongo Health, Mountain View, CA, USALivongo Health, Mountain View, CA, USABiomedical Informatics, Stanford University, Stanford, CA, USARestore Health, Palo Alto, CA, USALivongo Health, Mountain View, CA, USABackground. Connected health devices with lifestyle coaching can provide real-time support for people with type 2 diabetes (T2D). However, the intensity of lifestyle coaching needed to achieve outcomes is unknown. Methods. Livongo provides connected, two-way messaging glucose meters, unlimited blood glucose (BG) test strips, and access to certified diabetes educators. We evaluated the incremental effects of adding lifestyle coaching on BG, estimated HbA1c, and weight. We randomized 330 eligible adults (T2D, HbA1c > 7.5%, BMI ≥ 25) to receive no further intervention (n=75), a connected scale (n=115), scale plus lightweight coaching (n=73), or scale plus intense coaching (n=67) for 12 weeks. We evaluated the change in outcomes using ANOVA. Results. Livongo participation alone resulted in improved BG control (mean HbA1c declined: 8.5% to 7.5%, p=0.01). Mean weight loss and additional BG decreases were higher in the intensive compared with the lightweight coaching and scale-only groups (weight change (lb): −6.4, −4.1, and −1.1, resp., p=0.01; BG change (mg/dL): −19.4, −11.3, and −2.9, resp., p=0.02). The estimated 12-week program costs were 5.5 times more for intensive than lightweight coaching. Conclusion. Livongo participation significantly improves BG control in people with T2D. Additional lifestyle coaching may be a cost-effective intervention to achieve further glucose control and weight loss.http://dx.doi.org/10.1155/2018/3961730 |
| spellingShingle | Jennifer B. Bollyky Dena Bravata Jason Yang Mark Williamson Jennifer Schneider Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes Journal of Diabetes Research |
| title | Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes |
| title_full | Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes |
| title_fullStr | Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes |
| title_full_unstemmed | Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes |
| title_short | Remote Lifestyle Coaching Plus a Connected Glucose Meter with Certified Diabetes Educator Support Improves Glucose and Weight Loss for People with Type 2 Diabetes |
| title_sort | remote lifestyle coaching plus a connected glucose meter with certified diabetes educator support improves glucose and weight loss for people with type 2 diabetes |
| url | http://dx.doi.org/10.1155/2018/3961730 |
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