A Virtual Type 2 Diabetes Clinic Using Continuous Glucose Monitoring and Endocrinology Visits

• Published in: Journal of diabetes science and technology Vol. 14; no. 5; pp. 908 - 911
• Main Authors: Dixon, Ronald F., Zisser, Howard, Layne, Jennifer E., Barleen, Nathan A., Miller, David P., Moloney, Daniel P., Majithia, Amit R., Gabbay, Robert A., Riff, Josh
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.09.2020
• Subjects: Technology Reports; telemedicine; connected care; A1c; digital health; type 2 diabetes; mobile health
• ISSN: 1932-2968; 1932-2968; 1932-3107
• DOI: 10.1177/1932296819888662

The Onduo Virtual Diabetes Clinic (VDC) telehealth technology/care model for adults with type 2 diabetes (T2D) combines connected devices, remote lifestyle coaching, and clinical support with a mobile App. Key differentiating program features are the availability of live video consultations with board-certified endocrinologists for medication management and real-time continuous glucose monitor use for higher-risk participants. Preliminary data (n = 740) suggest that participation was associated with a significant improvement in HbA1c with up to 6 months follow-up in those not meeting treatment targets. HbA1c decreased by 2.3% ± 1.9%, 0.7% ± 1.0%, and 0.2% ± 0.8% across baseline categories of >9.0%, 8.0%-9.0% and 7.0% to <8.0%, respectively (all P < .001). These findings suggest that the VDC has potential to support individuals with T2D and their clinicians in diabetes management between office visits.