Last updated August 29, 2026
Key finding
HbA1c level decreased from 8.6% at baseline to 7.4% at 24 weeks (P <.001).
This pilot study evaluated a web-based diabetes management platform with algorithm-driven insulin adjustments in patients with Type 2 Diabetes, showing significant improvements in HbA1c and fasting plasma glucose.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 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
This pilot study evaluated a web-based diabetes management platform with algorithm-driven insulin adjustments in patients with Type 2 Diabetes, showing significant improvements in HbA1c and fasting plasma glucose.
This study highlights the potential of digital health solutions in managing Type 2 Diabetes, particularly in improving glycemic control. With the increasing prevalence of diabetes, effective management strategies are crucial for reducing complications and improving patient outcomes. The findings suggest that technology-driven interventions can enhance patient engagement and adherence to treatment protocols.
Single-arm study limits generalizability High incidence of hypoglycemia may raise safety concerns Short follow-up duration may not capture long-term effects
Published in
Publication details and source links for this paper.
Nishanth T, Hong CT, Suresh RC, et al. Efficacy and Safety of a Web-Based Diabetes Management Platform with Algorithm-Driven Insulin Dose Adjustments in Patients with Type 2 Diabetes: A Pilot Study. JMIR Formative Research. 2025;9:e68914. doi:10.2196/68914
HbA1c decreased from 8.6% to 7.4% (P <.001)
Fasting plasma glucose decreased from 8.7 mmol/L to 7.1 mmol/L (P <.001)
Total daily insulin dose increased from 0.73 to 0.79 units/kg/day (P =.007)
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to ALRT telehealth solution and Adherence to self-monitoring of blood glucose (SMBG), BMI, Fasting Plasma Glucose (FPG), and 3 more.
This study contributes evidence to
Primary intervention
ALRT telehealth solution
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.
4
Related topics
6
Evidence pairs
1865
Related studies
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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 topic
matched_outcome
Related evidence
Evidence topic
Save evidence
Core evidence
The primary outcomes reported in this study.
ALRT telehealth solution → Adherence to self-monitoring of blood glucose (SMBG)
ALRT telehealth solution → Adherence to self-monitoring of blood glucose (SMBG)
ALRT telehealth solution → Fasting Plasma Glucose (FPG)
ALRT telehealth solution → Fasting Plasma Glucose (FPG)
ALRT telehealth solution → Incidence of hypoglycemia
ALRT telehealth solution → Incidence of hypoglycemia
ALRT telehealth solution → Total daily insulin dose
ALRT telehealth solution → Total daily insulin dose
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 ALRT telehealth solution and Body Mass Index, ALRT telehealth solution and Insulin Resistance.
This study contributes to the evidence on the following intervention-outcome relationships.
Devices & Technology
Devices & Technology
Curated evidence collections and hubs this study is part of.
All studies on ALRT telehealth solution
Contributes to ALRT telehealth solution evidence base.
All studies measuring Body Mass Index
Measures Body Mass Index as a key outcome.
All studies measuring Insulin Resistance
Measures Insulin Resistance as a key outcome.
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™.
ALRT telehealth solution appears to improve adherence to self-monitoring of blood glucose (SMBG).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Adherence to self-monitoring of blood glucose (SMBG)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
ALRT telehealth solution appears to improve fasting plasma glucose (FPG).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Fasting Plasma Glucose (FPG)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
ALRT telehealth solution 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 reduction in incidence of hypoglycemia with ALRT telehealth solution.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Incidence of hypoglycemia
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.
