Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes

Yuqi Ma,* Sisi Deng,* Wei Xie, Minfang Weng, Yeran Jia General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, People’s Republic...

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Main Authors: Ma Y, Deng S, Xie W, Weng M, Jia Y
Format: Article
Language:English
Published: Dove Medical Press 2025-06-01
Series:Diabetes, Metabolic Syndrome and Obesity
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Online Access:https://www.dovepress.com/effectiveness-of-an-individualized-diabetes-health-education-program-u-peer-reviewed-fulltext-article-DMSO
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author Ma Y
Deng S
Xie W
Weng M
Jia Y
author_facet Ma Y
Deng S
Xie W
Weng M
Jia Y
author_sort Ma Y
collection DOAJ
description Yuqi Ma,* Sisi Deng,* Wei Xie, Minfang Weng, Yeran Jia General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, People’s Republic of China*These authors contributed equally to this workCorrespondence: Minfang Weng, General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, No. 106, Zhongshan Second Road, Guangzhou, 510080, People’s Republic of China, Email wengminfang@gdph.org.cn Yeran Jia, General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, No. 106, Zhongshan Second Road, Guangzhou, 510080, People’s Republic of China, Email jiayeran@gdph.org.cnBackground: While lifestyle modification remains fundamental for prediabetes management, the potential added value of real-time continuous glucose monitoring (RT-CGM) in diabetes health education programs warrants investigation. This study evaluated whether an individualized diabetes health education program using RT-CGM could improve glycemic control compared to general dietary guidance in prediabetic individuals.Methods: In this randomized controlled trial conducted at Guangdong Provincial People’s Hospital (initiated September 2022), we enrolled 41 adults (> 18 years) with prediabetes, randomly assigning them to either: (1) RT-CGM group (n=20) receiving meal adjustments based on continuous glucose data and energy balance, or (2) control group (n=21) receiving adjustments based solely on energy balance. The study comprised two intensive 14-day education sessions (baseline and 1-year follow-up) with metabolic assessments (HbA1c, fasting blood glucose, BMI, lipid profile, and uric acid) conducted at baseline, 1-year, and 2-year timepoints.Results: The RT-CGM group demonstrated significantly greater improvements in HbA1c compared to controls at both 1-year (p=0.007) and 2-year (p=0.033) follow-ups.Conclusion: Our findings suggest that incorporating RT-CGM into diabetes health education program can enhance glycemic control in prediabetic individuals compared to general dietary guidance alone. These results support the potential clinical utility of RT-CGM in prediabetes management strategies.Keywords: diabetes self-management education, prediabetes, continuous glucose monitoring, glycosylated hemoglobin
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spelling doaj-art-c900dedac60c400cbacd23ff42fb82012025-08-20T02:24:13ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072025-06-01Volume 18Issue 119391948103919Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with PrediabetesMa Y0Deng S1Xie W2Weng M3Jia Y4General Section III, East Zone, Guangdong Provincial Geriatrics InstituteGeneral Section III, East Zone, Guangdong Provincial Geriatrics InstituteGeneral Section III, East Zone, Guangdong Provincial Geriatrics InstituteGeneral Section III, East Zone, Guangdong Provincial Geriatrics InstituteGeneral Section III, East Zone, Guangdong Provincial Geriatrics InstituteYuqi Ma,* Sisi Deng,* Wei Xie, Minfang Weng, Yeran Jia General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, People’s Republic of China*These authors contributed equally to this workCorrespondence: Minfang Weng, General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, No. 106, Zhongshan Second Road, Guangzhou, 510080, People’s Republic of China, Email wengminfang@gdph.org.cn Yeran Jia, General Section III, East Zone, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, No. 106, Zhongshan Second Road, Guangzhou, 510080, People’s Republic of China, Email jiayeran@gdph.org.cnBackground: While lifestyle modification remains fundamental for prediabetes management, the potential added value of real-time continuous glucose monitoring (RT-CGM) in diabetes health education programs warrants investigation. This study evaluated whether an individualized diabetes health education program using RT-CGM could improve glycemic control compared to general dietary guidance in prediabetic individuals.Methods: In this randomized controlled trial conducted at Guangdong Provincial People’s Hospital (initiated September 2022), we enrolled 41 adults (> 18 years) with prediabetes, randomly assigning them to either: (1) RT-CGM group (n=20) receiving meal adjustments based on continuous glucose data and energy balance, or (2) control group (n=21) receiving adjustments based solely on energy balance. The study comprised two intensive 14-day education sessions (baseline and 1-year follow-up) with metabolic assessments (HbA1c, fasting blood glucose, BMI, lipid profile, and uric acid) conducted at baseline, 1-year, and 2-year timepoints.Results: The RT-CGM group demonstrated significantly greater improvements in HbA1c compared to controls at both 1-year (p=0.007) and 2-year (p=0.033) follow-ups.Conclusion: Our findings suggest that incorporating RT-CGM into diabetes health education program can enhance glycemic control in prediabetic individuals compared to general dietary guidance alone. These results support the potential clinical utility of RT-CGM in prediabetes management strategies.Keywords: diabetes self-management education, prediabetes, continuous glucose monitoring, glycosylated hemoglobinhttps://www.dovepress.com/effectiveness-of-an-individualized-diabetes-health-education-program-u-peer-reviewed-fulltext-article-DMSOdiabetes self-management educationprediabetescontinuous glucose monitoringglycosylated hemoglobin
spellingShingle Ma Y
Deng S
Xie W
Weng M
Jia Y
Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes
Diabetes, Metabolic Syndrome and Obesity
diabetes self-management education
prediabetes
continuous glucose monitoring
glycosylated hemoglobin
title Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes
title_full Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes
title_fullStr Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes
title_full_unstemmed Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes
title_short Effectiveness of an Individualized Diabetes Health Education Program Using Real-Time Continuous Glucose Monitoring in Improving Blood Glucose: A Pilot Interventional Study on Subjects with Prediabetes
title_sort effectiveness of an individualized diabetes health education program using real time continuous glucose monitoring in improving blood glucose a pilot interventional study on subjects with prediabetes
topic diabetes self-management education
prediabetes
continuous glucose monitoring
glycosylated hemoglobin
url https://www.dovepress.com/effectiveness-of-an-individualized-diabetes-health-education-program-u-peer-reviewed-fulltext-article-DMSO
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