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