JMIR Diabetes
Emerging technologies, medical devices, apps, sensors, and informatics to help people with diabetes
Editor-in-Chief:
Ricardo Correa, MD, EdD (Co-Editor-in-Chief), Cleveland Clinic, United States
Sheyu Li, MD (Co-Editor-in-Chief), West China Hospital, Sichuan University, China
CiteScore 4
Recent Articles
![Inequalities in the Ability for People With Type 2 Diabetes and Prediabetes to Adapt to the Reduction in In-Person Health Support and Increased Use of Digital Support During the COVID-19 Pandemic and Beyond: Qualitative Study Article Thumbnail](https://asset.jmir.pub/assets/360c268f4f9e03e26a6caaf180344612.png 480w,https://asset.jmir.pub/assets/360c268f4f9e03e26a6caaf180344612.png 960w,https://asset.jmir.pub/assets/360c268f4f9e03e26a6caaf180344612.png 1920w,https://asset.jmir.pub/assets/360c268f4f9e03e26a6caaf180344612.png 2500w)
The COVID-19 pandemic created unprecedented challenges for people with type 2 diabetes (T2D) and prediabetes to access in-person health care support. Primary care teams accelerated plans to implement digital health technologies (DHTs), such as remote consultations and digital self-management. There is limited evidence about whether there were inequalities in how people with T2D and prediabetes adjusted to these changes.
![Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/58658217bbb831ead8410129cec1fef0.png 480w,https://asset.jmir.pub/assets/58658217bbb831ead8410129cec1fef0.png 960w,https://asset.jmir.pub/assets/58658217bbb831ead8410129cec1fef0.png 1920w,https://asset.jmir.pub/assets/58658217bbb831ead8410129cec1fef0.png 2500w)
Black adolescents with type 1 diabetes (T1D) are at increased risk for suboptimal diabetes health outcomes; however, evidence-based interventions for this population are lacking. Depression affects a high percentage of youth with T1D and increases the likelihood of health problems associated with diabetes.
![New Approach to Equitable Intervention Planning to Improve Engagement and Outcomes in a Digital Health Program: Simulation Study Article Thumbnail](https://asset.jmir.pub/assets/9826fe063ddbf44407177e2e95f93305.png 480w,https://asset.jmir.pub/assets/9826fe063ddbf44407177e2e95f93305.png 960w,https://asset.jmir.pub/assets/9826fe063ddbf44407177e2e95f93305.png 1920w,https://asset.jmir.pub/assets/9826fe063ddbf44407177e2e95f93305.png 2500w)
Digital health programs provide individualized support to patients with chronic diseases and their effectiveness is measured by the extent to which patients achieve target individual clinical outcomes and the program’s ability to sustain patient engagement. However, patient dropout and inequitable intervention delivery strategies, which may unintentionally penalize certain patient subgroups, represent challenges to maximizing effectiveness. Therefore, methodologies that optimize the balance between success factors (achievement of target clinical outcomes and sustained engagement) equitably would be desirable, particularly when there are resource constraints.
![Outcomes of an Asynchronous Care Model for Chronic Conditions in a Diverse Population: 12-Month Retrospective Chart Review Study Article Thumbnail](https://asset.jmir.pub/assets/0cb9429257211caf9452ebccfe7fe93c.png 480w,https://asset.jmir.pub/assets/0cb9429257211caf9452ebccfe7fe93c.png 960w,https://asset.jmir.pub/assets/0cb9429257211caf9452ebccfe7fe93c.png 1920w,https://asset.jmir.pub/assets/0cb9429257211caf9452ebccfe7fe93c.png 2500w)
Diabetes and hypertension are some of the most prevalent and costly chronic conditions in the United States. However, outcomes continue to lag behind targets, creating further risk of long-term complications, morbidity, and mortality for people living with these conditions. Furthermore, racial and ethnic disparities in glycemic and hypertension control persist. Flexible telehealth programs leveraging asynchronous care allow for increased provider access and more convenient follow-up, ultimately improving critical health outcomes across demographic groups.
![Acceptability of Mobile App–Based Motivational Interviewing and Preferences for App Features to Support Self-Management in Patients With Type 2 Diabetes: Qualitative Study Article Thumbnail](https://asset.jmir.pub/assets/a2c5e11c487900a5fbf1a7ef7e02b471.png 480w,https://asset.jmir.pub/assets/a2c5e11c487900a5fbf1a7ef7e02b471.png 960w,https://asset.jmir.pub/assets/a2c5e11c487900a5fbf1a7ef7e02b471.png 1920w,https://asset.jmir.pub/assets/a2c5e11c487900a5fbf1a7ef7e02b471.png 2500w)
Patients with type 2 diabetes mellitus (T2DM) experience multiple barriers to improving self-management. Evidence suggests that motivational interviewing (MI), a patient-centered communication method, can address patient barriers and promote healthy behavior. Despite the value of MI, existing MI studies predominantly used face-to-face or phone-based interventions. With the growing adoption of smartphones, automated MI techniques powered by artificial intelligence on mobile devices may offer effective motivational support to patients with T2DM.
![COVID-19 Vaccination Reactions and Risk of Breakthrough Infections Among People With Diabetes: Cohort Study Derived From Community Reporters Article Thumbnail](https://asset.jmir.pub/assets/505808f422a20a456a421eda4794df12.png 480w,https://asset.jmir.pub/assets/505808f422a20a456a421eda4794df12.png 960w,https://asset.jmir.pub/assets/505808f422a20a456a421eda4794df12.png 1920w,https://asset.jmir.pub/assets/505808f422a20a456a421eda4794df12.png 2500w)
![Care Partner Engagement in Secure Messaging Between Patients With Diabetes and Their Clinicians: Cohort Study Article Thumbnail](https://asset.jmir.pub/assets/73f2dd3c44892142a1275f052155921a.png 480w,https://asset.jmir.pub/assets/73f2dd3c44892142a1275f052155921a.png 960w,https://asset.jmir.pub/assets/73f2dd3c44892142a1275f052155921a.png 1920w,https://asset.jmir.pub/assets/73f2dd3c44892142a1275f052155921a.png 2500w)
Patient engagement with secure messaging (SM) via digital patient portals has been associated with improved diabetes outcomes, including increased patient satisfaction and better glycemic control. Yet, disparities in SM uptake exist among older patients and racial and ethnic underserved groups. Care partners (family members or friends) may provide a means for mitigating these disparities; however, it remains unclear whether and to what extent care partners might enhance SM use.
![Effectiveness of a Continuous Remote Temperature Monitoring Program to Reduce Foot Ulcers and Amputations: Multicenter Postmarket Registry Study Article Thumbnail](https://asset.jmir.pub/assets/aa29e4ed5eef0d30cf2aa382d6e35eb9.png 480w,https://asset.jmir.pub/assets/aa29e4ed5eef0d30cf2aa382d6e35eb9.png 960w,https://asset.jmir.pub/assets/aa29e4ed5eef0d30cf2aa382d6e35eb9.png 1920w,https://asset.jmir.pub/assets/aa29e4ed5eef0d30cf2aa382d6e35eb9.png 2500w)
Neuropathic foot ulcers are the leading cause of nontraumatic foot amputations, particularly among patients with diabetes. Traditional methods of monitoring and managing these patients are periodic in-person clinic visits, which are passive and may be insufficient for preventing neuropathic foot ulcers and amputations. Continuous remote temperature monitoring has the potential to capture the critical period before the foot ulcers develop and to improve outcomes by providing real-time data and early interventions. For the first time, the effectiveness of such a strategy to prevent neuropathic foot ulcers and related complications among high-risk patients in a real-world commercial setting is reported.
![The Potential of a Digital Weight Management Program to Support Specialist Weight Management Services in the UK National Health Service: Retrospective Analysis Article Thumbnail](https://asset.jmir.pub/assets/a15882cbc5cebbc28f381905423c74c8.png 480w,https://asset.jmir.pub/assets/a15882cbc5cebbc28f381905423c74c8.png 960w,https://asset.jmir.pub/assets/a15882cbc5cebbc28f381905423c74c8.png 1920w,https://asset.jmir.pub/assets/a15882cbc5cebbc28f381905423c74c8.png 2500w)
Digital weight management interventions (DWMIs) have the potential to support existing specialist weight management services (SWMS) in the National Health Service (NHS) to increase access to treatment for people living with obesity and type 2 diabetes. At present, there is limited real-world evidence and long-term outcomes on the potential effectiveness of DWMIs to support such services.
![Effects of Digitization of Self-Monitoring of Blood Glucose Records Using a Mobile App and the Cloud System on Outpatient Management of Diabetes: Single-Armed Prospective Study Article Thumbnail](https://asset.jmir.pub/assets/7e618a9130a7ed6caf4a7649953f89ac.png 480w,https://asset.jmir.pub/assets/7e618a9130a7ed6caf4a7649953f89ac.png 960w,https://asset.jmir.pub/assets/7e618a9130a7ed6caf4a7649953f89ac.png 1920w,https://asset.jmir.pub/assets/7e618a9130a7ed6caf4a7649953f89ac.png 2500w)
In recent years, technologies promoting the digitization of self-monitoring of blood glucose (SMBG) records including app-cloud cooperation systems have emerged. Studies combining these technological interventions with support from remote health care professionals have reported improvements in glycemic control.
![Health Outcomes Following Engagement With a Digital Health Tool Among People With Prediabetes and Type 2 Diabetes: Prospective Evaluation Study Article Thumbnail](https://asset.jmir.pub/assets/9e973096db268330f79aa10589113fbc.png 480w,https://asset.jmir.pub/assets/9e973096db268330f79aa10589113fbc.png 960w,https://asset.jmir.pub/assets/9e973096db268330f79aa10589113fbc.png 1920w,https://asset.jmir.pub/assets/9e973096db268330f79aa10589113fbc.png 2500w)
Diabetes is a worldwide chronic condition causing morbidity and mortality, with a growing economic burden on health care systems. Complications from poorly controlled diabetes are associated with increased socioeconomic costs and reduced quality of life. Smartphones have become an influential platform, providing feasible tools such as health apps to deliver tailored support to enhance the ability of patients with diabetes for self-management. Gro Health is a National Health Service division X–certified digital health tool used to deliver educational and monitoring support to facilitate the development of skills and practices for maintaining good health.