Last updated July 12, 2026
Key finding
Initial results showed benefit from DSMES with greater A1c reduction in those randomized to RT-CGM.
This study evaluated culturally tailored diabetes self-management education and support with real-time continuous glucose monitoring in Latino adults with uncontrolled type 2 diabetes, finding potential benefits in HbA1c reduction.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Short-Term (≤3 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated culturally tailored diabetes self-management education and support with real-time continuous glucose monitoring in Latino adults with uncontrolled type 2 diabetes, finding potential benefits in HbA1c reduction.
This study highlights the importance of culturally tailored interventions in managing diabetes, particularly among Latino populations who may face unique challenges. Improved HbA1c levels can significantly reduce the risk of diabetes-related complications, making effective education and support vital for this community.
Effectiveness of interventions remains unclear due to mixed results. Sample size and demographic limitations may affect generalizability. Potential biases in self-reported outcomes could influence findings.
Published in
Publication details and source links for this paper.
Nicole ME, Bryan C, Gabriela V, Darinka GIM, Evelin J, Lorena ACW. Culturally tailored diabetes self-management education and support with real-time continuous glucose monitoring in Latino adults with uncontrolled type 2 diabetes. Journal of the Endocrine Society. 2025;9(Suppl 1):bvaf149.1030. doi:10.1210/jendso/bvaf149.1030
HbA1c reduction was greater in the RT-CGM group compared to education only.
Nutrition questionnaire scores improved slightly in both groups, with RT-CGM showing a score of -1.64.
Vigorous physical activity days increased by 1.08 in the RT-CGM group.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to DSMES and Days of walking for at least 10 minutes, HbA1c, Nutrition questionnaire summary score, and 2 more.
This study contributes evidence to
Primary intervention
DSMES
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
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Related topics
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Evidence pairs
328
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Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence relationship
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Evidence topic
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Core evidence
The primary outcomes reported in this study.
DSMES → Days of walking for at least 10 minutes
DSMES → Days of walking for at least 10 minutes
DSMES → Nutrition questionnaire summary score
DSMES → Nutrition questionnaire summary score
DSMES → Perception of CGM on behavior
DSMES → Perception of CGM on behavior
DSMES → Physical activity level (MET-minutes per week)
DSMES → Physical activity level (MET-minutes per week)
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Days of walking for at least 10 minutes.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies measuring Days of walking for at least 10 minutes
Measures Days of walking for at least 10 minutes as a key outcome.
Latest published studies
Published within the last 2 years.
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6 results
1 results
6 results
6 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 83.7 | moderate positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 30 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs may improve Physical Activity Levels.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
Physical activity level (MET-minutes per week)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 6 supporting studies with generally consistent results and a positive effect signal.
Limitations
DSMES appears to improve Perception of CGM on behavior.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Perception of CGM on behavior
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of DSMES for Days of walking for at least 10 minutes.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Days of walking for at least 10 minutes
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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