JMIR mHealth and uHealth

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We read the study by Chung et al [1], which evaluated the effectiveness of a mobile health (m Health) app based on traditional Chinese medicine (TCM) in patients with prediabetes. This randomized controlled trial showed that the TCM m Health app improved physical energy, fitness, and quality of life in patients with prediabetes. However, the small sample sizes, short follow-up time, and multiple comparisons might limit the generalizability of the findings.

Yongjian Lin

JMIR Mhealth Uhealth 2023;11:e50280

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Health Outcomes Following Engagement With a Digital Health Tool Among People With Prediabetes and Type 2 Diabetes: Prospective Evaluation Study

In this study, we assess the impact of engagement with a digital behavioral change app (Gro Health) that is certified by the National Health Service (NHS) on the self-reported health outcomes among people diagnosed with T2 D or prediabetes. The EQ-5 D questionnaire was used to capture outcomes as it is a widely recognized and validated tool.

Farah Abdelhameed, Eilish Pearson, Nick Parsons, Thomas M Barber, Arjun Panesar, Charlotte Summers, Michaela de la Fosse, Petra Hanson

JMIR Diabetes 2023;8:e47224

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Evaluation of a Web Platform to Record Lifestyle Habits in Subjects at Risk of Developing Type 2 Diabetes in a Middle-Income Population: Prospective Interventional Study

Target populations for prevention comprise people at high risk, such as those in the prediabetes state. Prediabetes is characterized by increased glucose concentrations without reaching T2 D levels [4]. The most effective therapy to decrease T2 D risk is lifestyle modification [5] and, in some cases, addition of pharmaceutical therapy [6]. Weight loss and improvements in body composition have been established as therapeutic targets in prediabetes management [6].

Magdalena Del Rocio Sevilla-Gonzalez, Brigette Bourguet-Ramirez, Laura Sofia Lazaro-Carrera, Alexandro J Martagon-Rosado, Donaji Veronica Gomez-Velasco, Tannia Leticia Viveros-Ruiz

JMIR Diabetes 2022;7(1):e25105

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Mobile Delivery of the Diabetes Prevention Program in People With Prediabetes: Randomized Controlled Trial

In the United States, 84.1 million people are living with prediabetes, and 2 million people are diagnosed with diabetes annually [1]. According to the World Health Organization, an estimated 422 million people worldwide had diabetes in 2014, and the prevalence continues to rise [2]. By 2050, the Centers for Disease Control and Prevention (CDC) estimates that 1 in every 3 people globally will have diabetes [3].

Tatiana Toro-Ramos, Andreas Michaelides, Maria Anton, Zulekha Karim, Leah Kang-Oh, Charalambos Argyrou, Elisavet Loukaidou, Marina M Charitou, Wilson Sze, Joshua D Miller

JMIR Mhealth Uhealth 2020;8(7):e17842

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Supplemental Text Message Support With the National Diabetes Prevention Program: Pragmatic Comparative Effectiveness Trial

Per CDC criteria, eligible participants included adults with a BMI≥24 (≥22 if Asian) and with prediabetes (ie, hemoglobin A1c 5.7-6.4), a former diagnosis of gestational diabetes, or a positive score on a diabetes risk questionnaire [15]. Lifestyle coaches then conducted outreach calls to verify eligibility, preference, and availability to enroll in upcoming NDPP classes, SMS4 Pre DM, or both.

Natalie D Ritchie, Silvia Gutiérrez-Raghunath, Michael Josh Durfee, Henry Fischer

JMIR Mhealth Uhealth 2020;8(6):e15478

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Usefulness of a Novel Mobile Diabetes Prevention Program Delivery Platform With Human Coaching: 65-Week Observational Follow-Up

It is widely recognized that the prevalence of obesity and comorbidities such as prediabetes and type 2 diabetes continue to increase worldwide [1,2]. In the United States, 84.1 million persons have prediabetes while 30.3 million have diabetes [3]. Recent reports show 35% of men and 40% of women with obesity [4].

Andreas Michaelides, Jennifer Major, Edmund Pienkosz Jr, Meghan Wood, Youngin Kim, Tatiana Toro-Ramos

JMIR Mhealth Uhealth 2018;6(5):e93

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Inequalities in the Ability for People With Type 2 Diabetes and Prediabetes to Adapt to the Reduction in In-Person Health Support and Increased Use of Digital Support During the COVID-19 Pandemic and Beyond: Qualitative Study

In the United Kingdom, 1 in 10 people older than 40 years now has T2 D and around a third of adults living in England have prediabetes [1]. Prediabetes puts individuals at high risk of developing T2 D and the associated health complications [2], including cardiovascular pathologies, kidney disease, eye problems, and foot ulcers [3]. The COVID-19 pandemic created unprecedented challenges for people with T2 D and prediabetes to access in-person health care and self-care support in the United Kingdom [4,5].

Sophie Turnbull, Christie Cabral

JMIR Diabetes 2024;9:e55201

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Machine Learning for Predicting Micro- and Macrovascular Complications in Individuals With Prediabetes or Diabetes: Retrospective Cohort Study

We built our prediction models for 2 different target populations, consisting of individuals with either prediabetes or diabetes. Definitions of prediabetes and diabetes were based on laboratory measurements of glycated hemoglobin (Hb A1c), recorded disease codes (using the International Classification of Diseases, Ninth Revision [ICD‑9]), and medications.

Simon Schallmoser, Thomas Zueger, Mathias Kraus, Maytal Saar-Tsechansky, Christoph Stettler, Stefan Feuerriegel

J Med Internet Res 2023;25:e42181

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Exploring the Constituent Elements of a Successful Mobile Health Intervention for Prediabetic Patients in King Saud University Medical City Hospitals in Saudi Arabia: Cross-sectional Study

In the meantime, the number of patients with prediabetes was approximately 1.7 million in 2019 in Saudi Arabia with a prevalence of 39% [4]. Prediabetes refers to a person who a higher than normal blood sugar level that is not high enough to be considered diabetic yet. However, without lifestyle changes, individuals with prediabetes are more likely to develop the disease. This indicates that prediabetic patients are at relatively high risk for developing diabetes in the future [6].

Fayz Alshehri, Fahdah Alshaikh

JMIR Form Res 2021;5(7):e22968

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Continuous Glucose Monitoring With Low-Carbohydrate Diet Coaching in Adults With Prediabetes: Mixed Methods Pilot Study

Type 2 diabetes mellitus (T2 DM) is a preventable disease; however, most of the 84 million adults in the United States who have prediabetes do not participate in evidence-based prevention programs [1-3]. Although the Diabetes Prevention Program (DPP) study found that people with prediabetes can reduce their risk of developing T2 DM by 58% through participation in an intensive lifestyle modification program [1], personal and logistical barriers limit participation.

Olivia Yost, Melissa DeJonckheere, Spring Stonebraker, Grace Ling, Lorraine Buis, Rodica Pop-Busui, Noa Kim, Kara Mizokami-Stout, Caroline Richardson

JMIR Diabetes 2020;5(4):e21551

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