ECE2023 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (159 abstracts)
Reduction in Diabetes Distress and Improvement in Sleep Quality correlating with Better Glycemic Control Within 90 Days on Fitterfly Diabetes Program
Tejal Lathia 1 , Neha Verma 2 , Nishul Gupta 3 , Priyadarshini Rajawat 3 , Ankita Srivastava 3 , Ritika Verma 4 , Gaurav Chhaya 5 , Nitin Ghaisas 6 , Ila Samar 7 , Bharat Agarwal 8 & Arbinder Singal 9
1Apollo Hospital, Department of Endocrinology and Diabetology, Navi Mumbai, India; 2Fitterfly HealthTech Pvt Ltd, Department of psychology and wellbeing, Navi Mumbai, India; 3Fitterfly Healthtech Pvt Ltd, Department of psychology and Wellbeing, Navi Mumbai, India; 4Fitterfly Healthtech Pvt Ltd, Scientific Writing and Research, Navi Mumbai, India; 5Shivam Clinic, Department of Endocrinology and Diabetology, Ahmedabad, India; 6Siddhi Hospital, Department of Cardiology, NASHIK, India; 7Ila Samar Clinic, Department of Internal Medicine, Gurgaon, India; 8Apollo Hospitals, Department of Diabetology, Navi Mumbai, India; 9Fitterfly HealthTech Pvt Ltd, Chief Executive Officer, Navi Mumbai, India
Background: Managing the relentless requirements of diabetes management can lead to an increase in distress among people with diabetes. There is a need for feasibility studies to understand the effectiveness of multi-disciplinary care delivered using digital therapeutics interventions to provide effective glycemic control along with improved overall well-being of individuals. The study aims to evaluate the feasibility and effectiveness of the Fitterfly diabetes program to improve diabetes distress and sleep quality during the 90 days period of lifestyle change.
Methods: 175 participants with T2DM enrolled in Fitterfly diabetes program for 90 days across India (74 females and 101 males with mean age = 49.79 ± 12.2 years) were analyzed. Virtual consultations with psychologists were provided to each participant along with expert-led care including nutritionists and physiotherapists. Diabetes Distress Scale (DDS) and Pittsburgh Sleep Quality Index (PSQI) were used to assess diabetes distress and sleep quality respectively. All the outcomes were assessed at the beginning and end of the program. Data was analyzed on SPSS. Unadjusted correlation analysis was done using the spearman method.
Results: Diabetes distress was reported in 46.28% (81/175) of participants. Sleep quality was poor among 80.00% (140/175). Towards the end of the program, a significant median reduction was seen in DDS score by 0.50 (0.20, 1.20) from a baseline score of 1.90 (1.40, 2.60) (P<0.01). PSQI score significantly reduced by 3.00 (1.00, 6.00) from a baseline score of 5.00 (3.00, 8.00) (P<0.01). HbA1c levels significantly reduced by 1.20 % (0.50, 2.30) from 8.00% (7.20, 9.70) (P<0.01). Fasting blood sugar levels also significantly reduced by 25.00 (7.00, 55.00) mg/dl from a baseline score of 142.00 (121.00, 177.00) mg/dl (P<0.01). Reduction in DDS score was found to be significantly correlated with reduction in HbA1c (r=0.193, P= 0.01) and reduction in fasting blood sugar (r=0.238, P=0.001). After completion of the program, improvement in PSQI score was found to be correlated with reduction in fasting blood sugar (r=0.178, P=0.01).
Conclusion: Significant reduction in diabetes related distress and improvement in glycemic control and sleep quality was observed after completion of the Fitterfly diabetes program. Reduction in DDS might play a role in improvement of glycemic control. The study showed that holistic management using a multidisciplinary team through digital therapeutics can help in improved health outcomes in people with diabetes.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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