Impact on diabetes-related health outcomes using a digitally-enabled diabetes self-management platform in Somerset, UK: An interrupted time-series analysis.
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Authors
Baxter, Mats
Conway, Nicholas
Bickerton, Alex
Cunningham, Scott
MacKenzie, Scott C
Dickson, Jane
Brodie, Doogie
Sainsbury, Christopher
Wake, Deborah J
Issue Date
2025-05-14
Type
Journal Article
Language
en
Keywords
Diabetes mellitus , Digital health , Interrupted timeseries analysis , Self-care , mHealth
Alternative Title
Abstract
Background: The MyWay Diabetes (MWD) digital platform aims to improve diabetes management through personalised access to health records, structured education, and other self-management features.
Purpose: We aimed to assess health outcomes in MWD users with type 1 diabetes (T1DM) and type 2 diabetes (T2DM) over 6 years of use.
Methods: An interrupted time-series analysis in MWD users with T1DM or T2DM in Somerset, UK, compared pre- and post-MWD registration trends to estimate differences in health outcomes (HbA1c, blood pressure, lipids, BMI, weight). Generalised estimating equations modelling adjusted for participant baseline characteristics and identified significant predictors.
Results: A total of 7207 people (T1DM: n = 750 (52.3 % female, mean age 51.2 (SD15.8)), T2DM: n = 6457 (58.1 % male, mean age 64.7 (SD12.0))) were included in the analysis. The study showed some health outcomes improved significantly for T2DM between pre- and post-MWD registration. HbA1c reduced by 8.6 mmol/mol at 24 months post-MWD registration, with greatest improvements observed in users who were younger, had shorter diabetes durations and who were frequent MWD users. All health outcomes for T1DM were unchanged.
Conclusion: The large HbA1c reduction for T2DM is notable for a scalable digitally-enabled self-management intervention and adds to the evidence base for digital interventions for diabetes self-management.
Description
© 2025 The Authors. Published by Elsevier Ltd on behalf of Primary Care Diabetes Europe. This is an open access article under the CC BY license
(http://creativecommons.org/licenses/by/4.0/)
Citation
Baxter, M. et al. (2025) 'Impact on diabetes-related health outcomes using a digitally-enabled diabetes self-management platform in Somerset, UK: An interrupted time-series analysis', Primary Care Diabetes 19(4) pp. 360-367 Available At: https://doi.org/10.1016/j.pcd.2025.05.003
Publisher
Elsevier
License
Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.
Journal
Primary care diabetes
Volume
19
Issue
4
PubMed ID
ISSN
1878-0210