Sarver Jordan, Khambatta Cyrus, Barbaro Robby, Chavan Bhakti, Drozek David
Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio (JS, DD).
Mastering Diabetes, Santa Monica, California (CK, RB).
Am J Lifestyle Med. 2019 Oct 15;15(4):466-474. doi: 10.1177/1559827619879106. eCollection 2021 Jul-Aug.
An estimated one third of American adults have prediabetes; over 30 million have type 2 diabetes mellitus. Health and wellness coaching is an emerging tool for preventing and treating chronic disease. Mastering Diabetes (MD) promotes a low-fat, plant-based, whole-food diet, utilizing online education, day-to-day accountability and support, and video conferencing. This pilot study provides a retrospective view of the effectiveness of MD to treat diabetes. Current and former clients of MD were invited to participate in a survey. On completion of the online consent, subjects were asked a series of questions in a REDCap-based survey: age, gender, enrollment date in MD, changes in weight, HbA1c, medication use, overall health, and current level of adherence to achieved changes. Overall, 253 (8.9%) participants responded to the survey; 80.6% were females, mean age was 56 years. Most of those responding (78.4%, < .001) reported weight loss; 68.8% ( < .001) reported decreased HbA1c; 52.4% reported decreased medication use; 86.8% reported continued health improvement since having participated in MD; and 83.5% found the online program very helpful. This study demonstrated improvement in HbA1c and weight in participants in an online health and wellness coaching. Study limitations prevent drawing generalizable conclusions; further prospective evaluation is needed.
据估计，三分之一的美国成年人患有糖尿病前期；超过3000万人患有2型糖尿病。健康与 Wellness 教练指导是预防和治疗慢性病的一种新兴工具。掌握糖尿病（MD）推广低脂肪、以植物为基础的全食物饮食，利用在线教育、日常问责制和支持以及视频会议。这项试点研究回顾了MD治疗糖尿病的有效性。MD的现任和前任客户被邀请参与一项调查。在完成在线同意书后，受试者在基于REDCap的调查中被问到一系列问题：年龄、性别、在MD的注册日期、体重变化、糖化血红蛋白（HbA1c）、药物使用情况、整体健康状况以及对已实现变化的当前坚持水平。总体而言，253名（8.9%）参与者回复了调查；80.6%为女性，平均年龄为56岁。大多数回复者（78.4%，P<0.001）报告体重减轻；68.8%（P<0.001）报告糖化血红蛋白降低；52.4%报告药物使用减少；86.8%报告自参与MD以来健康持续改善；83.5%认为在线项目非常有帮助。这项研究表明，在线健康与 Wellness 教练指导使参与者的糖化血红蛋白和体重有所改善。研究局限性妨碍得出可推广的结论；需要进一步进行前瞻性评估。
