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Feature Articles

Impact of Participation in a Virtual Diabetes Clinic on Diabetes-Related Distress in Individuals With Type 2 Diabetes

  1. William H. Polonsky1,2,
  2. Jennifer E. Layne3,
  3. Christopher G. Parkin4,
  4. Coco M. Kusiak5,
  5. Nathan A. Barleen3,
  6. David P. Miller5,
  7. Howard Zisser5 and
  8. Ronald F. Dixon3
  1. 1Behavioral Diabetes Institute, San Diego, CA
  2. 2University of California, San Diego, San Diego, CA
  3. 3Onduo LLC, Newton, MA
  4. 4CGParkin Communications, Inc., Henderson, NV
  5. 5Verily Life Sciences, South San Francisco, CA
  1. Corresponding author: William H. Polonsky, whp{at}behavioraldiabetes.org
Clinical Diabetes 2020 Oct; 38(4): 357-362. https://doi.org/10.2337/cd19-0105
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Abstract

The Onduo Virtual Diabetes Clinic is a telehealth program for people with type 2 diabetes that combines mobile app technology, remote personalized lifestyle coaching, connected blood glucose meters, real-time continuous glucose monitoring (rtCGM) devices, and clinical support from board-certified endocrinologists. This analysis evaluated change in diabetes distress among 228 program participants who reported moderate distress (score 2.0–2.9) or high distress (score ≥3.0) on the 17-item Diabetes Distress Scale (DDS17) at enrollment. Participants reported significant reductions in overall distress from 3.0 ± 0.8 at baseline to 2.5 ± 0.9 (P <0.001) at an average of 6 months of follow-up. Significant reductions in all DDS17 subscale scores were observed; most notable were reductions in the regimen-related and emotional distress subscales (−0.9 and −0.4, respectively; both P <0.001). Significantly greater reductions in overall distress (P = 0.012) and regimen-related distress (P <0.001) were reported by participants who were prescribed and used intermittent rtCGM (n = 77) versus nonusers (n = 151). Although the generalizability of these findings may be limited by the study’s small sample size and potential for self-selection bias, these results do suggest that telemedicine programs such as the Onduo VDC could be a valuable tool for addressing the problem of diabetes-related distress.

  • © 2020 by the American Diabetes Association
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Clinical Diabetes: 38 (4)

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October 2020, 38(4)
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Impact of Participation in a Virtual Diabetes Clinic on Diabetes-Related Distress in Individuals With Type 2 Diabetes
William H. Polonsky, Jennifer E. Layne, Christopher G. Parkin, Coco M. Kusiak, Nathan A. Barleen, David P. Miller, Howard Zisser, Ronald F. Dixon
Clinical Diabetes Oct 2020, 38 (4) 357-362; DOI: 10.2337/cd19-0105

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Impact of Participation in a Virtual Diabetes Clinic on Diabetes-Related Distress in Individuals With Type 2 Diabetes
William H. Polonsky, Jennifer E. Layne, Christopher G. Parkin, Coco M. Kusiak, Nathan A. Barleen, David P. Miller, Howard Zisser, Ronald F. Dixon
Clinical Diabetes Oct 2020, 38 (4) 357-362; DOI: 10.2337/cd19-0105
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  • “Counting Carbs to Be in Charge”: A Comparison of an Internet-Based Education Module With In-Class Education in Adolescents With Type 1 Diabetes
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© 2021 by the American Diabetes Association. Clinical Diabetes Print ISSN: 0891-8929, Online ISSN: 1945-4953.