Last updated September 12, 2026
Key finding
HbA1c decreased significantly within the intervention group (median 73.0 to median 64.5 mmol/mol; P = 0.007).
This pilot randomized controlled trial evaluated the effects of SugarVita, a serious game for diabetes self-management, compared to standard care. The intervention group showed a significant reduction in HbA1c levels.
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 pilot randomized controlled trial evaluated the effects of SugarVita, a serious game for diabetes self-management, compared to standard care. The intervention group showed a significant reduction in HbA1c levels.
The findings highlight the potential of using serious games like SugarVita as a complementary tool for diabetes management. With a significant reduction in HbA1c, such interventions may improve clinical outcomes for patients, although further research is needed to confirm these benefits across broader populations.
Small sample size limits generalizability. No significant changes in knowledge, self-confidence, or self-management. Results may not apply to all diabetes populations.
Published in
Publication details and source links for this paper.
Edouard R, Elma C-VDM, Ryan DV, et al. Effects of SugarVita, a Serious Game for Diabetes Self-Management: A Pilot Randomized Controlled Trial. JMIR Diabetes. 2026;11:e99345. doi:10.2196/99345
HbA1c decreased significantly in the intervention group (median 73.0 to 64.5 mmol/mol; P = 0.007).
No significant differences were found in diabetes knowledge between the groups.
No significant differences were found in self-confidence between the groups.
No significant differences were found in self-management between the groups.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to SugarVita plus standard care and Diabetes knowledge, HbA1c, Self-confidence, and 1 more.
This study contributes evidence to
Primary intervention
SugarVita plus standard care
Primary outcomes
Evidence topics
Primary intervention
Primary outcomes
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.
1
Related topics
4
Evidence pairs
603
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Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Core evidence
The primary outcomes reported in this study.
SugarVita plus standard care → Diabetes knowledge
SugarVita plus standard care → Diabetes knowledge
SugarVita plus standard care → Self-confidence
SugarVita plus standard care → Self-confidence
SugarVita plus standard care → Self-management scores
SugarVita plus standard care → Self-management scores
Evidence Library
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Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on SugarVita plus standard care and Activities of Daily Living, SugarVita plus standard care and HbA1c.
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 measuring Activities of Daily Living
Measures Activities of Daily Living as a key outcome.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies on SugarVita plus standard care
Contributes to SugarVita plus standard care evidence base.
Latest published studies
Published within the last 2 years.
Jump to pre-filtered views in Evidence Explorer.
1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
SugarVita plus standard care appears to lower HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
HbA1c
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 SugarVita plus standard care for diabetes knowledge.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes knowledge
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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 SugarVita plus standard care for self-confidence.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Self-confidence
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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 SugarVita plus standard care for self-management scores.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Self-management scores
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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