Efficacy of a Digital Diabetes Logbook for People With Type 1, Type 2, and Gestational Diabetes: Results From a Multicenter, Open-Label, Parallel-Group, Randomized Controlled Trial.

Journal: Journal of diabetes science and technology

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Affiliated Institutions:  Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany. mySugr GmbH, Vienna, Austria. Roche Diabetes Care Deutschland GmbH, Mannheim, Germany. Diabetes Clinic Mergentheim, Bad Mergentheim, Germany. Diabetes Clinic for Children and Adolescents, Muenster, Germany. Science Consulting in Diabetes GmbH, Kaarst, Germany. Roche Diabetes Care GmbH, Mannheim, Germany.

Abstract summary 

In a randomized controlled trial, the efficacy of a digital diabetes diary regarding a reduction of diabetes distress was evaluated.A randomized controlled trial with a 12-week follow-up was conducted in 41 study sites across Germany. Key eligibility criteria were a diagnosis of type 1, type 2, or gestational diabetes and regular self-monitoring of blood glucose. Participants were randomly assigned (2:1 ratio) to either use the digital diabetes logbook (mySugr PRO), or to the control group without app use. The primary outcome was the reduction in diabetes distress at the 12-week follow-up. All analyses were based on the intention-to-treat population with all randomized participants. The trial was registered at the German Register for Clinical Studies (DRKS00022923).Between February 11, 2021, and June 24, 2022, 424 participants (50% female, 50% male) were included, with 282 being randomized to the intervention group (66.5%) and 142 to the control group (33.5%). A total of 397 participants completed the trial (drop-out rate: 6.4%). The median reduction in diabetes distress was 2.41 (interquartile range [IQR]: -2.50 to 8.11) in the intervention group and 1.25 (IQR: -5.00 to 7.50) in the control group. The model-based adjusted between-group difference was significant (-2.20, IQR: -4.02 to -0.38, = .0182) favoring the intervention group. There were 27 adverse events, 17 (6.0%) in the intervention group, and 10 (7.0%) in the control group.The efficacy of the digital diabetes logbook was demonstrated regarding improvements in mental health in people with type 1, type 2, and gestational diabetes.

Authors & Co-authors:  Ehrmann Hermanns Finke-Gröne Roos Kober Schäfer Krichbaum Haak Ziegler Heinemann Rieger Bingol Kulzer Silbermann

Study Outcome 

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Citations : 
Authors :  14
Identifiers
Doi : 10.1177/19322968241239870
SSN : 1932-2968
Study Population
Male,Female
Mesh Terms
Other Terms
diabetes distress;digital health application;gestational diabetes;randomized controlled trial;type 1 diabetes;type 2 diabetes
Study Design
Study Approach
Country of Study
Publication Country
United States