Efficacy of the Telemedical Lifestyle intervention Program TeLiPro in Advanced Stages of Type 2 Diabetes: A Randomized Controlled Trial

Diabetes Care
Kerstin KempfStephan Martin

Abstract

Lifestyle interventions are the foundation of treatment in newly diagnosed type 2 diabetes. However, their therapeutic potential in advanced disease stages is unknown. We evaluated the efficacy of the Telemedical Lifestyle intervention Program (TeLiPro) in improving metabolic control in advanced-stage type 2 diabetes. In this single-blind, active comparator, intervention study, patients with type 2 diabetes (with glycated hemoglobin [HbA1c] ≥7.5% [58.5 mmol/mol]), and BMI ≥27 kg/m2 and on ≥2 antidiabetes medications) were recruited in Germany and randomized 1:1 using an electronically generated random list and sealed envelopes into two parallel groups. The data analyst was blinded after assignment. The control group (n = 100) got weighing scales and step counters and remained in routine care. The TeLiPro group (n = 102) additionally received telemedical coaching including medical-mental motivation, a formula diet, and self-monitored blood glucose for 12 weeks. The primary end point was the estimated treatment difference in HbA1c reduction after 12 weeks. All available values per patient (n = 202) were analyzed. Analyses were also performed at 26 and 52 weeks of follow-up. HbA1c reduction was significantly higher in the TeLiPro ...Continue Reading

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Citations

Oct 20, 2018·Current Diabetes Reports·Yilin YoshidaEduardo J Simoes
Oct 28, 2019·Chronic Illness·Anastasia-Stefania AlexopoulosMatthew J Crowley
Sep 30, 2020·Journal of Telemedicine and Telecare·Ebenezer A NyenweJamie Tidwell
Dec 7, 2017·Acta Diabetologica·Federico BertuzziAntonino Mazzone
Sep 20, 2018·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Yabin Hao, Hong Xu
Oct 3, 2018·International Journal of Telemedicine and Applications·Kerstin KempfStephan Martin
Oct 4, 2020·Nutrients·Martin RöhlingKerstin Kempf
Nov 14, 2018·MMW Fortschritte der Medizin·Stephan Martin
Apr 29, 2019·Current Diabetes Reports·Yilin YoshidaEduardo J Simoes
May 26, 2018·Current Diabetes Reports·Marie E McDonnell
May 14, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Tzeyu L MichaudDejun Su
Aug 21, 2020·BMC Medicine·Hubert KolbStephan Martin
Feb 18, 2021·Journal of Medical Internet Research·Claudia Eberle, Stefanie Stichling
May 18, 2021·Journal of Medical Internet Research·Caroline RobertYin-Leng Theng

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