Last updated July 12, 2026
Key finding
The mean change between pre- and post-intervention TIR was an increase of 2.2 percentage points.
A values-guided self-management intervention showed potential to improve glucose control in emerging adults with type 1 diabetes.
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
Save research, organize studies, and quickly find important evidence again.
Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
A values-guided self-management intervention showed potential to improve glucose control in emerging adults with type 1 diabetes.
Improving glucose control is crucial for preventing long-term complications in individuals with type 1 diabetes. This intervention offers a promising approach to enhance self-management and overall health outcomes in emerging adults, a population often facing unique challenges in diabetes care.
Non-randomized design may introduce bias. Sample size and demographic details not specified. Effectiveness measures were unclear for some outcomes.
Published in
Publication details and source links for this paper.
Sara ES, Jillian JH, Zuzana O, et al. A brief values-guided self-management intervention shows promise to improve time in range among emerging adults with type 1 diabetes. Endocrinology, Diabetes & Metabolism. 2026;9(4):e70255. doi:10.1002/edm2.70255
Increased percentage of time in target glucose range by 2.2 percentage points.
Decreased percentage of time above target glucose range by 2.6 percentage points.
Standardized mean change in progress towards valued living was 0.72.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to DSMES and Diabetes-specific acceptance, Interstitial glucose level measured in mg/dL, Progress towards valued living, and 2 more.
This study contributes evidence to
Primary intervention
DSMES
Primary outcomes
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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.
2
Related topics
5
Evidence pairs
226
Related studies
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.
Primary evidence
Evidence relationship
Related evidence
Evidence topic
Save evidence
Evidence topic
Save evidence
Core evidence
The primary outcomes reported in this study.
DSMES → Diabetes-specific acceptance
DSMES → Diabetes-specific acceptance
DSMES → Interstitial glucose level measured in mg/dL
DSMES → Interstitial glucose level measured in mg/dL
DSMES → Progress towards valued living
DSMES → Progress towards valued living
Evidence Library
Save research, organize studies, and quickly find important evidence again.
Evidence Library
Save research, organize studies, and quickly find important evidence again.
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and CGM Time in Range, Diabetes Self-Management Education and Support (DSMES) Programs and CGM Time in Range.
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 CGM Time in Range
Measures CGM Time in Range as a key outcome.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
Latest published studies
Published within the last 2 years.
Jump to pre-filtered views in Evidence Explorer.
2 results
2 results
2 results
2 results
2 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve CGM Time in Range.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Time in range
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Mixed | 1 study
Time below range
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
DSMES appears to improve Progress towards valued living.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Progress towards valued living
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 Diabetes-specific acceptance.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes-specific acceptance
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 DSMES for Interstitial glucose level measured in mg/dL.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Interstitial glucose level measured in mg/dL
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Next steps
Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.
Follow the topics this study contributes to.
Open broader Evidence Explorer views for this relationship.
Read related research summaries.
Focused on evidence, not advertising.
Your data is always protected.
New studies added every day.
