Individualized Automatic Coaching Message for Glycemic Management and Depressive Symptom

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSamsung Medical Center

About this trial

This is a single-center, randomized, prospective, confirmatory study of efficacy of individualized automatic coaching message for glycemic management and depressive symptom in patients with type 1 diabetes. The study will enroll patients with type 1 diabetes who are applying continuous glucose monitoring (CGM) and receiving twice-monthly non-face-to-face management by a dedicated education nurse through the Type 1 Diabetes Home Care Project and Educational Consultation program. For 12 weeks, the intervention group will receive weekly personalized coaching messages for glycemic management based on data from continuous glucose monitoring and bi-weekly personalized coaching messages for depression symptoms based on depression questionnaires, instead of non-face-to-face diabetes management. The control group will continue their current treatment and non-face-to-face diabetes management. The aim of this study is to evaluate whether the efficacy of automated, personalized coaching messages for glycemic management and depressive symptoms is non-inferior to the current non-face-to-face management approach in people with type 1 diabetes.

Eligibility criteria

Qualifiers

Patients with type 1 diabetes, age 18-75 years old

Patients who have used continuous glucose monitoring at least three months and have enrolled in Type 1 Diabetes Home Care Project and Educational Consultation program.

Patients with at least 70% of 14 days of continuous glucose monitor data within the past month

Glycated hemoglobin 7% or higher, or Glycated hemoglobin 6% or higher but less than 7% and failing to meet 1 of the continuous glucose monitor blood glucose target values: time in range (70-180 mg/L) 70% or less, or time below range (<70 mg/L) 4% or more, or time above range (>180 mg/L) 25% or more, or glucose management indicator (GMI) 7% or more, or coefficient of variation (CV%) 36% or more.

Disqualifiers

Steroid and immunosuppressant users. But it can be included if patients continuously maintain same drug dose at least three months.

Breastfeeding or pregnant patients

Patients who do not voluntarily consent to the study

Anyone deemed unsuitable by the investigator to participate in the study

Trial design

Treatments tested in this trial

  • individualized automatic coaching message for glycemic management and depressive symptom

Treatment groups

140 Participants
are divided into 2 treatment groups

Sponsors and collaborators