Diabetes Case Reports

Abstract

A Retrospective Evaluation of the Combined Effectiveness of using a Coach Led,Technology Enabled, Habit based Approach, with Precise Nutrition, Progressive Fitness and Behavioral Interventions on Improving Glycemic Levels and reducing hba1c Levels in Adults with Type-2 Diabetes

Chhavi Mehra*, Annie Mattilda and Rekha Prabhu

Background: Type-2 Diabetes is a chronic progressive lifestyle condition that has emerged as one of the most rapidly growing health challenges of the 21st-century. But until quite recently it was believed that Diabetes is irreversible and a lifelong affliction. There have been several trials and studies published on the effectiveness of bariatric surgery, intensive glucose-lowering pharmacotherapy and aggressive insulin therapy in improving glycemic control and achieving remission of type 2 diabetes. However, there aren't many studies about Type 2 diabetic individuals being able to sustain this remission in the long term without depending on medications.
This manuscript reviews the use of multifaceted and holistic interventions personalized for each participant and delivered one-on-one by diabetes coaches and educators over 90 days of the study, and its effectiveness in reducing glycemic levels, body weight and their overall quality of life.
Methods: A total of 32 participants matching the ADA specified criteria for type 2 diabetes diagnosis (HbA1c of 6.5% or over) were enrolled into the 3-month Sugar. Fit programed through a self-signup process. The study aimed to retrospectively evaluate the Sugar. Fit approach; a selection of lifestyle interventions, education and self-monitoring with or without involvement of pharmacological therapy. The manuscript focuses on evaluating the combined impact of the approach on HbA1c, fasting glucose, body weight and quality of life post 90 days from enrolment.
Results: The findings on completion of the study showed that the Sugar. Fit approach led to significant improvements in glycemic control with 67.8% of the users normalizing their Fasting Blood Sugar Levels, average reduction in HbA1c by 1.5 points and an average weight loss of 4.2 kgs in overweight participants over a 90 day period.
Conclusion: Personalized diet, fitness and mental wellness interventions, along with educating and motivating an individual to make small changes to their routines resulted in a significantly improving both clinical and emotional parameters. It also shows the direct relationship between intervention adherence and outcomes, thus highlighting the potential of non-pharmacologic interventions in influencing positive clinical outcomes.

Published Date: 2021-10-13; Received Date: 2021-09-22