{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:39:23Z","timestamp":1792024763551,"version":"4.4.0"},"reference-count":22,"publisher":"American Diabetes Association","issue":"10","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"name":"Daewoong Pharmaceuticals Co., Ltd."}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To investigate the effects of patient-driven lifestyle modification using intermittently scanned continuous glucose monitoring (isCGM) in patients with type 2 diabetes (T2D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>We conducted a 12-week, open-label, randomized controlled trial. A total of 126 participants were 1:1 randomized to either the intervention group (structured education + isCGM) or the control group (standard care with blood glucose monitoring). The Self-Evaluation Of Unhealthy foods by Looking at postprandial glucose (SEOUL) algorithm was developed and applied to aid structured education in guiding patients to follow healthy eating behavior depending on the postprandial glycemic response. The primary end point was the change in HbA1c level from baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Implementation of the SEOUL algorithm with isCGM was associated with greater improvement in HbA1c than with standard care (risk-adjusted difference \u22120.50%, 95% CI \u22120.74 to \u22120.26, P &amp;lt; 0.001). Participants in the intervention group had a greater reduction in fasting blood glucose and body weight (\u221216.5 mg\/dL, 95% CI \u221230.0 to \u22123.0, P = 0.017; \u22121.5 kg, 95% CI \u22122.7 to \u22120.3, P = 0.013, respectively). The score sum for the Korean version of the revised Summary of Diabetes Self-Care Activities Questionnaire increased in both groups but to a greater extent in the intervention group (mean difference 4.8, 95% CI 1.7\u20138.0, P = 0.003). No severe hyperglycemia or hypoglycemia was reported in either group of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Patient-driven lifestyle modification primarily focused on eating behavior using isCGM effectively lowered HbA1c levels in patients with T2D.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc22-0764","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T11:17:05Z","timestamp":1660907825000},"page":"2224-2230","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":50,"title":["Effects of Patient-Driven Lifestyle Modification Using Intermittently Scanned Continuous Glucose Monitoring in Patients With Type 2 Diabetes: Results From the Randomized Open-label PDF Study"],"prefix":"10.2337","volume":"45","author":[{"given":"Hun Jee","family":"Choe","sequence":"first","affiliation":[{"name":"1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea"},{"name":"2Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun-Jung","family":"Rhee","sequence":"additional","affiliation":[{"name":"3Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Chul","family":"Won","sequence":"additional","affiliation":[{"name":"4Division of Endocrinology and Metabolism, Department of Internal Medicine, Sanggye Paik Hospital, Inje University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3597-342X","authenticated-orcid":false,"given":"Kyong Soo","family":"Park","sequence":"additional","affiliation":[{"name":"1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea"},{"name":"2Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1082-7592","authenticated-orcid":false,"given":"Won-Young","family":"Lee","sequence":"additional","affiliation":[{"name":"3Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2331-6126","authenticated-orcid":false,"given":"Young Min","family":"Cho","sequence":"additional","affiliation":[{"name":"1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea"},{"name":"2Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"2023053115511521400_B1","doi-asserted-by":"crossref","first-page":"S60","DOI":"10.2337\/dc22-S005","article-title":"5. 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Diabetes education, 2022. Accessed 3 November 2021. 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