Previously submitted to: JMIR Human Factors (no longer under consideration since Dec 09, 2025)
Date Submitted: Nov 26, 2024
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The influence of information platform based personalized self-management prescription on type 2 diabetes in China: A real-world cohort study
ABSTRACT
Background:
Diabetes self-management education programs have been shown to improve patients' health outcomes, and internet technology have provided more ways for management. However, it is difficult for patients to grasp all the information during a short period of consultation time.
Objective:
In this study, we implemented a fully integrated regional diabetes management model that information platform-based personalized prescription, and evaluated its feasibility and effectiveness among patients with T2DM.
Methods:
This was a 12-month long, multi-centered, prospective, and open-labeled cohort study. In this study, 1452 eligible participants with T2DM were enrolled and randomized to an intervention (n=726) or a control (n=726) group from April 2021 to April 2022. All patients underwent integrated management through an information platform. The intervention group was provided individualized self-management prescriptions, while the control group received routine care.
Results:
The intervention group showed significant HbA1c and PFG reduction (1.92% and 3.23mmol/L) at the first follow-up time, and 57% HbA1c (373) and 68% PFG (474) patients reached treatment target rate, compared with the control group (HbA1c =1.31%,26% (179) and FPG=2.31mmol/L, 39% (265). The co-primary outcomes were achieved by 119 people (18%) in the intervention group, and this was significantly higher than the control group (38 (6 %), P < 0.001). Moreover, the achieved co-primary outcomes rate is higher among middle-aged (19%) and female (19%) patients in the intervention group.
Conclusions:
The platform-based diabetes self-management prescriptions provided feasible and effective in the management of T2DM, justifying their integration into clinical practice, with cholesterol management needs to be improved.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.