Hybrid diabetes education with CGM modestly improved HbA1c and well-being in adults
Key takeaway:
In adults with type 1 diabetes, a multidisciplinary hybrid education program integrated with continuous glucose monitoring was associated with a modest HbA1c reduction and small improvements in treatment satisfaction and hypoglycemia-related awareness over 9 months.
Study at a glance
What was studied
A multidisciplinary hybrid education program with CGM support in adults with type 1 diabetes.
Study type
non-randomized clinical trial (non-RCT or NRCT)
duration
Medium-Term (3–12 mo)
Intervention
Remote Educational Program, Continuous glucose monitoring
Outcomes
HbA1c, Treatment satisfaction, Quality of life, Hypoglycemia symptom score, Time in range, Time above range, Time below range, Glucose variability
Funding
Non-industry sponsored
Main effects
↓ HbA1c decreased from 7.70% to 7.45%
↑ Treatment satisfaction score increased (DTSQ)
≈ Most CGM pattern metrics showed no clear change
Evidence Suggest
- Hybrid multidisciplinary diabetes education with CGM can support modest glycemic improvement in routine practice
- Psychosocial and treatment-experience outcomes may improve even when CGM pattern metrics remain stable
- Higher baseline HbA1c appears linked to greater absolute HbA1c improvement
Who this applies to
Adults with type 1 diabetes using insulin therapy and initiating intermittent-scanning CGM in routine specialist care.
Keep in Mind
The study suggests benefit, but cause-and-effect is uncertain without a comparator group. Results reflect one hospital program and may differ in other systems, staffing models, or patient populations.
Between the Lines
- No control group and no randomization
- Single-center design may limit generalizability
- Potential confounding from concurrent routine care changes
- Mixed endpoint pattern with modest effect size for glycemia
Unlock Full Analysis
Create a free account to unlock the bias score, detailed effectiveness analysis, and clinical outcomes for this study.
Journal Reference
Ruiz-Trillo CA, Pérez-Morales A, Cortés-Lerena A, et al. Emotional Well-Being and Glycemic Control in People with Diabetes After a Multidisciplinary Hybrid Education. Healthcare (Basel). 2026;14(2):198. doi:10.3390/healthcare14020198
Sources
Ranked by clinical relevance and evidence quality.
Key References
Most relevant evidence and guidance related to this research.
Rapid Recap for Advanced Diabetes Technology – Conversations and Collaborations | American Association of Clinical Endocrinology
Episode 59: Early Detection of Type 1 Diabetes | American Association of Clinical Endocrinology
Supporting Evidence
Supporting evidence and related resources.
2021 Clinical Practice Guideline for the Use of Advanced Technology in the Management of Persons with Diabetes Mellitus | American Association of Clinical Endocrinology
Standards of Care in Diabetes—2024
2015 Consensus Statement on Midgut Carcinoids | American Association of Clinical Endocrinology
NIDDK: Continuous Glucose Monitoring
International Society for Pediatric and Adolescent Diabetes (ISPAD) guidance on psychosocial care and diabetes education
Extended Use of Automated Insulin Delivery in Young People with Type 1 Diabetes and Elevated HbA1c: 52-Week Outcomes of the CO-PILOT Trial.
13 total sources in this category
No ads. No tracking.
Focused on evidence, not advertising.
Secure & private
Your data is always protected.
Always up to date
New studies added every day.