{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:29:49Z","timestamp":1777984189695,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Integrating a diabetes management system (DMS) and personal coaching in patient care may reduce the burden of type 2 diabetes (T2DM) on patients and help address the multifaceted challenges associated with diabetes management. This study aims to assess the impact of the DMS with online coaching in patients with T2DM on changes in HbA1c levels, quality of life, and usability over 26\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>In a multicentre, randomised, controlled trial, adults with T2DM were randomised 1:1 to either 52\u2009weeks of DMS with remote coaching or to usual care by their diabetologist. The DMS enabled a digital diary of blood pressure, blood glucose, and other health parameters, while coaching sessions included structured assessments of individual patient needs. The primary endpoint was changes in the HbA1c level from baseline to 26\u2009weeks. Secondary endpoints included health\u2010related quality of life (SF\u201012), diabetes\u2010related problems (PAID), and DMS usability (System Usability Scale) at 26\u2010week follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and fourteen participants (49 females, 58\u2009\u00b1\u200911\u2009years old [mean\u2009\u00b1\u2009standard deviation], HbA1c: 8.3%\u2009\u00b1\u20090.7%, body mass index [BMI]: 35.3\u2009\u00b1\u20097.9\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , diabetes duration: 13.6\u2009\u00b1\u20097.7\u2009years) were randomised and completed baseline. Ninety participants (39 female, age: 58\u2009\u00b1\u200911\u2009years old, HbA1c: 8.3%\u2009\u00b1\u20090.7%, BMI: 35.2\u2009\u00b1\u20097.6\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , diabetes duration: 14\u2009\u00b1\u20098\u2009years) completed 26\u2010week follow\u2010up. The HbA1c levels improved significantly in the intervention group in comparison to the control group (\u22120.9%\u2009\u00b1\u20091.0% vs. \u22120.5%\u2009\u00b1\u20091.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044). No significant differences were observed in SF\u201012 and PAID scores at 26\u2010week follow\u2010up. Thirty\u2010two of forty\u2010three participants who used DMS completed the SUS questionnaire with an average score of 55.4\u2009\u00b1\u200927.9.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>DMS with coaching improved glycaemic control compared to usual care in patients with T2DM at 26\u2010week follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70534","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T09:09:30Z","timestamp":1770628170000},"page":"3377-3385","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of coaching with data management system intervention or usual care on glycemic control in patients with type 2 diabetes: A multicentre, randomised controlled trial"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3361-3722","authenticated-orcid":false,"given":"Marlo","family":"Verket","sequence":"first","affiliation":[{"name":"Department of Internal Medicine I RWTH University Hospital Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa F.","family":"Buitkamp","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine I RWTH University Hospital Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niveditha Daneeza Dinesh","family":"Kanna","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine I RWTH University Hospital Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6549-2793","authenticated-orcid":false,"given":"Andreas","family":"Thomas","sequence":"additional","affiliation":[{"name":"Scientific Consulting  Pirna Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf","family":"Denger","sequence":"additional","affiliation":[{"name":"Gemeinschaftspraxis Dr. med. Ralf Denger und Dr. med. Thomas Pfitzner  Friedrichsthal Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Petry","sequence":"additional","affiliation":[{"name":"Internistische Gemeinschaftspraxis  Wetzlar Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Schubert\u2010Olesen","sequence":"additional","affiliation":[{"name":"Diabeteszentrum Hamburg City  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"St\u00fctz","sequence":"additional","affiliation":[{"name":"MVZ haus\u00e4rztliche Medizin und Diabetologie  Bretten Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Simon","sequence":"additional","affiliation":[{"name":"MVZ im Altstadt\u2010Carree Fulda GmbH  Fulda Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Pihusch","sequence":"additional","affiliation":[{"name":"MVZ Praxis Pihusch Rosenheim  Rosenheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"D\u00f6tsch","sequence":"additional","affiliation":[{"name":"Diabetologische Schwerpunktpraxis am Kurf\u00fcrstendamm  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Krob","sequence":"additional","affiliation":[{"name":"Diabeteszentrum Murnau  Murnau am Staffelsee Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dietrich","family":"Tews","sequence":"additional","affiliation":[{"name":"MVZ Diabeteszentrum Dr. Tews GmbH  Geinhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Stolz","sequence":"additional","affiliation":[{"name":"Diabetes Freiburg  Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4030-5744","authenticated-orcid":false,"given":"Dominik","family":"Bergis","sequence":"additional","affiliation":[{"name":"Diabetes Clinic  Bad Mergentheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Lenthe","sequence":"additional","affiliation":[{"name":"Praxis Lenthe &amp; Rietz  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Schmidt\u2010Mergenthaler","sequence":"additional","affiliation":[{"name":"Gemeinschaftspraxis Renningen  Renningen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elke","family":"Dahlmann","sequence":"additional","affiliation":[{"name":"Praxis Dr. Dahlmann  Pr\u00fcm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathrin","family":"Boehm","sequence":"additional","affiliation":[{"name":"Association of Diabetes 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