{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:15:40Z","timestamp":1788383740006,"version":"build-2803163510"},"reference-count":50,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Omada Health, Inc"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study is to examine the long-term impact of a digital diabetes self-management education and support (DSMES) program on A1C among adults with type 2 diabetes (T2DM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data analyzed were from a retrospective cohort of commercially insured members with T2DM enrolled in the Omada for Diabetes program between January 1, 2019, and January 31, 2022 (n\u2009=\u20091,322). Linear mixed models measured changes in A1C and weight across 12\u2009months (collected at baseline and every 3\u2009months over 1 year) overall and stratified by A1C at baseline (\u22658% vs &lt;8%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      On average, members were 53.5 years old, 56.9% female, and 71.5% White, with a mean baseline body mass index (BMI) of 36.9 and A1C of 7.6%. Members with baseline A1C \u22658% demonstrated clinically and statistically significant adjusted mean reductions in A1C during follow-up, from 9.48% at baseline to 7.33%, 7.57%, 7.59%, and 7.47% at 3, 6, 9, and 12\u2009months, respectively. Those with A1C &lt;8% maintained glycemic stability (6.73%, 6.50%, 6.54%, 6.62%, and 6.51%, respectively). Collectively, members experienced a \u22121.17\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      mean reduction in BMI over 12\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study provides real-world evidence that members with elevated baseline A1C (\u22658%) enrolled in a digital DSMES program experienced clinically meaningful and statistically significant reductions in A1C. Those with baseline A1C within goal treatment range (&lt;8%) maintained glycemic stability over 1 year. The findings support existing evidence that scalable digital DSMES solutions can help individuals with T2DM manage their condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106231221456","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T08:01:05Z","timestamp":1705651265000},"page":"19-31","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Long-Term Results of a Digital Diabetes Self-Management and Education Support Program Among Adults With Type 2 Diabetes: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"50","author":[{"given":"Ashley","family":"Berthoumieux","sequence":"first","affiliation":[{"name":"Omada Health Inc, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Linke","sequence":"additional","affiliation":[{"name":"Omada Health Inc, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Merry","sequence":"additional","affiliation":[{"name":"Omada Health Inc, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Megliola","sequence":"additional","affiliation":[{"name":"Omada Health Inc, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessie","family":"Juusola","sequence":"additional","affiliation":[{"name":"Anchor Outcomes LLC, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0271-5937","authenticated-orcid":false,"given":"Jenna","family":"Napoleone","sequence":"additional","affiliation":[{"name":"Omada Health Inc, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"bibr1-26350106231221456","unstructured":"Centers for Disease Control and Prevention. National diabetes statistics report: estimates of diabetes and its burden in the United States. Last Reviewed November 29, 2023. Accessed December 20, 2023. https:\/\/www.cdc.gov\/diabetes\/data\/statistics-report\/index.html?ACSTrackingID=DM72996&ACSTrackingLabel=New%20Report%20Shares%20Latest%20Diabetes%20Stats%20&deliveryName=DM72996"},{"key":"bibr2-26350106231221456","unstructured":"National Diabetes Statistics Report 2020. 2020. 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