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Diabetes Medical Group Visits and Type 2 Diabetes Outcomes: Mediation Analysis of Diabetes Distress
It has been linked to poor glycemic control, self-management, and self-efficacy among adult patients [12-15]. DD is a treatable barrier to effective diabetes self-management that is gaining increasing attention in primary and specialty care. A 2017 position paper from the American Diabetes Association recommended routine screening and integration of psychosocial care, considering emotional status and presence of a social support network, to improve the treatment course of those living with T2 DM [9,16].
JMIR Diabetes 2025;10:e57526
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Reference 44: Association between mobile health app engagement and weight loss and glycemic control in Reference 56: Evaluating glycemic control in patients of South Asian origin with type 2 diabetes using Reference 63: Glycemic outcomes in adults with type 2 diabetes participating in a continuous glucose Reference 64: Improvements in glycemic control and depressive symptoms among adults with type 2 diabetes Reference 70: Effectiveness of internet-based interventions on glycemic control in patients with typeglycemicEffect of Multimodal App-Based Interventions on Glycemic Control in Patients With Type 2 Diabetes: Systematic
J Med Internet Res 2025;27:e54324
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These health issues are further compounded by the unsatisfactory glycemic control. Some of the cultural aspects applicable to the Middle East include perception on health and diabetes and family dynamics, which are the patterns of relationships and interactions within a family, including responsibilities, communication techniques, emotional bonding, and cultural influences, which may have an impact on glucose control.
JMIR Form Res 2024;8:e64463
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To reduce the risk of both microvascular and macrovascular complications, it is important to control blood glucose levels [3] (ie, glycemic control), blood pressure, and lipid levels [4]. For people with type 2 diabetes, a prerequisite for good glycemic control is regular and frequent self-monitoring and knowledge of how blood glucose levels respond to food and physical activity. Many patients have elevated levels of blood glucose, which suggests that self-management is often suboptimal [5].
JMIR Form Res 2024;8:e46222
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The GLP-1 RAs directly stimulate GLP-1 receptors in the pancreas and brain, leading to improved glycemic control and reduced appetite. Exenatide was the first GLP-1 RA to be approved by the US Food and Drug Administration as a treatment for T2 D in 2005. Subsequently, liraglutide became the first GLP-1 RA to be approved as a treatment for both T2 D (2010) and obesity (2014) [5]. The DPP-4 inhibitors prevent the breakdown and inactivation of GLP-1 and GIP, thus increasing their plasma half-lives.
JMIR Form Res 2023;7:e49115
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Therefore, this systematic review assessed the effectiveness of m Health interventions on blood pressure control among patients with hypertension and glycemic control among patients with diabetes in Africa. The findings of this paper will guide improvements to the adoption of m Health for the management of diabetes and hypertension in African countries.
JMIR Mhealth Uhealth 2023;11:e43742
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Along with this, a personalized treatment approach can help people with diabetes reach their glycemic targets [19] and reduce the risk of T2 DM-related complications [14]. Thus, there is an urgent need for a dynamic model of diabetes care delivery using patient-centered strategies based on multidisciplinary teams and shared decision-making, which can help in improving glycemic control by promoting long-term behavior changes in people with diabetes [20].
JMIR Diabetes 2023;8:e43292
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