NoneNo Change
BMI
Lifestyle intervention for prediabetes → BMI
Lifestyle intervention for prediabetes → BMI
Evidence profile
NoneNo ChangeWeight & Anthropometrics
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Research Summary
Analyzed using Evidence Intelligence™
Telemedicine support improves diabetes control
Key finding
The intervention group showed significantly better HbA1c values compared to the control group at both 12 and 24 months (12 M: -0.52 (-0.73; -0.32), p < .000).
A study found that combining telephone coaching with telemedicine support significantly improved long-term glycemic control in individuals with type 2 diabetes.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Some Concerns bias
Last updated July 7, 2026Quick read
Study at a glance
The essential study design details in one scan.
Population
Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes
Intervention
Lifestyle intervention combining telemedically support and individual needs-based telephone coaching
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Primary outcome
HbA1c
Comparator
Care as usual
Plain-language summary
What this paper says
A plain-language read of the study's main message and where it applies.
Study focus
A study found that combining telephone coaching with telemedicine support significantly improved long-term glycemic control in individuals with type 2 diabetes.
Clinical relevance
Improving glycemic control is crucial for managing type 2 diabetes and preventing complications. This study suggests that integrating telemedicine with personalized coaching can be an effective strategy for enhancing patient outcomes, potentially leading to better long-term health and reduced healthcare costs.
Keep in mind
The effectiveness of the intervention remains unclear due to limited evidence. Sample size and demographic diversity may affect generalizability. Potential confounding factors were not fully controlled.
Published in
Journal Reference
Publication details and source links for this paper.
Annalena D, Katja VS, Martin H, Susanne Z, M. CP, Christiane W. Combined telephone coaching with telemedicine support improves long-term glycemic control in type 2 diabetes. Journal of Diabetes and Metabolic Disorders. 2023;23(1):519-532. doi:10.1007/s40200-023-01290-6
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Main Effects
The intervention group demonstrated a significant reduction in HbA1c at 12 months (-0.52%, p < .000).
At 24 months, the intervention group continued to show better HbA1c levels (-0.38%, p = .001).
No significant change in BMI was observed in the intervention group at 12 months.
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Lifestyle intervention for prediabetes and BMI, HbA1c.
This study contributes evidence to
Primary intervention
Lifestyle intervention for prediabetes
Primary outcomes
- BMI
- HbA1c
Evidence topics
Primary intervention
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
2
Evidence pairs
2
Relationships
2
Evidence topics
contributes_evidence
Editorial context
Why this study matters
See why this paper is useful beyond its individual results.
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.
Moderate contributionModerate confidenceNetwork score: 56
2
Related topics
2
Evidence pairs
249
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 2 evidence relationships
- Includes primary outcome data
- Linked to 2 direct semantic evidence topics
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
Study findings
The primary outcomes reported in this study.
StrongDecrease
HbA1c
Lifestyle intervention for prediabetes → HbA1c
Lifestyle intervention for prediabetes → HbA1c
Evidence profile
StrongDecreaseGlycemic Control
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Evidence Suggest
- The intervention group had a 0.52% decrease in HbA1c at 12 months.
- HbA1c levels remained significantly lower at 24 months with a 0.38% decrease.
- No significant BMI changes were reported in the intervention group.
Who this applies to
- Adults diagnosed with type 2 diabetes.
- Individuals seeking to improve their glycemic control through lifestyle changes.
Keep in Mind
- Results may not apply to all populations due to sample characteristics.
- The study did not measure long-term sustainability of the intervention effects.
- Further research is needed to confirm findings and explore effectiveness in diverse settings.
Between the Lines
- The effectiveness of the intervention remains unclear due to limited evidence.
- Sample size and demographic diversity may affect generalizability.
- Potential confounding factors were not fully controlled.
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Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Lifestyle intervention for prediabetes and HbA1c.
Related evidence relationships
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
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All studies on Lifestyle intervention for prediabetes and HbA1c
Intervention: Lifestyle intervention for prediabetesOutcome: HbA1c
4 results
All studies on Lifestyle intervention for prediabetes
Intervention: Lifestyle intervention for prediabetes
4 results
All studies measuring HbA1c
Outcome: HbA1c
4 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Lifestyle intervention for prediabetes improve HbA1c?
Emerging Evidence
Lifestyle intervention for prediabetes appears to improve HbA1c.
ConsensusScore™: Results are consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 58.4 | strong positive | ConsensusScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
Does Lifestyle intervention for prediabetes affect bmi?
Limited Evidence
Current evidence does not show a clear benefit of Lifestyle intervention for prediabetes for BMI.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
BMI
EvidenceScore™ Limited | EvidenceScore™ 35.4 | neutral | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Consistency cannot yet be determined.
- Population details are unavailable.
Next steps
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