Clinical evidence dossier
DSMES
HbA1c
Evidence signal
Evidence signal
Strong
This is an authoritative evidence signal supplied by Clinical Reference. It is not a formal clinical grade, treatment recommendation, or pooled effect estimate.
Evidence snapshot
- Authoritative support records
- 11
- Supporting studies available for review
- 11
- Randomized trials
- 11
- Reported effects
- 14
Clinical conclusion
DSMES shows a moderate positive evidence signal for improving HbA1c across the studied comparisons.
The conclusion and evidence-signal classification are distinct authoritative fields and are reproduced as published.
Observed effects
Observed study estimates; not a pooled treatment effect.
Change from baseline
Absolute change
−0.84% to −0.76%
Change from baseline
Mean difference
−0.77% to −0.2%
Between-group effect
Mean difference
−0.1% to −0.1%
Change from baseline
Mean difference
−0.84 mmol/mol to −0.84 mmol/mol
Evidence composition
- Non-randomized studies
- 0
- Other designs
- 0
- Unresolved designs
- 0
- Magnitude-eligible effects
- 13
Consistency
Consistency classification
Mostly consistent
- Positive
- 7
- No effect
- 3
- Mixed
- 0
- Negative
- 1
Population and applicability
Structured population data were available for 11 of 11 supporting studies. Diabetes type was heterogeneous: 8 studies with type 2 diabetes, 1 studies with type 1 diabetes. Age groups were heterogeneous: 9 studies with adult participants, 1 studies with youth participants.
This population information refers to the materialized supporting studies available for review. Omitted support records remain part of the authoritative support accounting and are available through the audit experience.
View reported population descriptions
These descriptions are reported across the supporting studies; they are not a single synthesized population.
- Latino adults aged 18 and older with uncontrolled type 2 diabetes.
- Individuals seeking culturally relevant diabetes education and support.
- Adults aged 18 and older with type 2 diabetes.
- Individuals seeking improved diabetes self-management strategies.
- Adults with diabetes seeking improved management strategies.
- Patients interested in digital health solutions for chronic conditions.
- Individuals with diabetes seeking better management strategies.
- Families of patients with diabetes involved in care.
- Adults with type 2 diabetes
- Adults with prediabetes
- Rural populations
- Adults diagnosed with type 2 diabetes.
Limitations
- 2 supporting studies do not have a displayable topic-matched quantitative effect.
- Evidence uses heterogeneous comparison contexts: active_comparator, baseline_within_group, unknown_unresolved, usual_care.
Supporting evidence
Inspect the authoritative studies and omitted support records for this dossier.