Adherence
Telemedical lifestyle intervention (TeLIPro) significantly improves HbA1c, body weight, and BMI in Type 2 Diabetes patients with long-standing disease (≥5 years) compared to routine care, but effects are not sustained after coaching ends.
For long-standing Type 2 Diabetes, structured telemedical coaching with self-monitoring (glucose, weight, steps) significantly lowers HbA1c and weight compared to standard care. However, these benefits disappear if coaching stops, suggesting that ongoing support is necessary to maintain metabolic improvements.
The TeLIPro group demonstrated significantly stronger improvements in HbA1c (ETD −0.4% (−0.5; −0.2); p < 0.001), body weight, body-mass-index... especially in T2DM patients with diabetes duration ≥ 5 years (ETD −0.5% (−0.7; −0.3); p < 0.001)... However, they did not remain significant after the end of coaching (=6-month follow-up phase).
Why this rating
Randomized Controlled Trial with large sample size (n=1163) in a real-life setting, though with some missing data and lack of blinding for participants.
Source
Effectiveness of the Telemedical Lifestyle Intervention Program TeLIPro for Improvement of HbA1c in Type 2 Diabetes: A Randomized-Controlled Trial in a Real-Life Setting
Kerstin Kempf et al. · Nutrients · 2023
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