Adherence
Adults with type 2 diabetes and high baseline glycemic risk (HbA1c >9%) experience the greatest improvements in glycemic control, physical health, and mental health from a 12-week multichannel digital health coaching program compared to those with lower baseline risk.
If you have Type 2 Diabetes and your HbA1c is above 9%, a structured 12-week digital coaching program involving weekly phone calls and text-based goal tracking is likely to significantly lower your blood sugar and improve your physical and mental health. If your HbA1c is already well-controlled (below 7%), you may not see significant changes in blood sugar, though you might still benefit from reduced diabetes distress.
participants with a high HbA1c level at baseline saw the greatest improvement in glycemic control and overall physical and mental health.
Why this rating
The study is a real-world retrospective cohort with self-reported primary outcomes (HbA1c, BMI) and no control group, limiting causal inference and introducing measurement bias.
Source
The Influence of Baseline Hemoglobin A1c on Digital Health Coaching Outcomes in Adults With Type 2 Diabetes: Real-World Retrospective Cohort Study
Megan Martin et al. · JMIR Diabetes · 2021
DOI 10.2196/24981
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