The AH-HA! Project: Transforming Group Diabetes Self-Management Education Through the Addition of Flash Glucose Monitoring

Diabetes Technol TherPublished Single-arm pilot study

Authors' conclusion

These findings support a new approach to DSMES, a method that integrates FGM with a highly interactive and engaging patient-driven "discovery learning" approach to education.

Study context

Population
Adults with T2D duration 1–5 years, ages 21–75 years, not using insulin, HbA1c ≥8.0%
Participants
35 adults
Comparison
Discovery learning-based group diabetes self-management education and support (DSMES) with flash glucose monitoring (FGM), baseline vs month 3
  • FGM-based DSMESn = 35
Outcome
Glycemic change assessed by blinded FGM
Follow-up
Baseline and month 3

Main finding

As reported in the abstract

baseline to month 3

% TIR 70-180 mg/dL, baseline to month 3 (significant gain; Ps = 0.01)

55% to 74%

% time above range (TAR) >180 mg/dL, baseline to month 3 (parallel drop; Ps = 0.01)

44% to 25%

Secondary outcomes

Overall well-being

Overall well-being rose significantly
P = 0.04

Diabetes distress

Nonsignificant drop in diabetes distress

Healthy eating

Participant-reported improvement in healthy eating
P < 0.001

Physical activity

Participant-reported improvement in physical activity, not statistically significant

Original publication

The AH-HA! Project: Transforming Group Diabetes Self-Management Education Through the Addition of Flash Glucose Monitoring. Diabetes Technol Ther. Published 12 December 2022. doi:10.1089/dia.2022.0419

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