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Clinical impact of an integrated e‑health system for diabetes self‑management support and shared decision making (POWER2DM): a randomised controlled trial – published online 29/09/2023

Ruissen graphical abstract

Merel M. Ruissen, José D. Torres‑Pena, Bas S. Uitbeijerse, Antonio P. Arenas de Larriva, Sasja D. Huisman, Tuncay Namli, Eckhard Salzsieder, Lutz Vogt, Manuela Ploessnig, Bob van der Putte, Armelle Merle, Gustavo Serra, Gustavo Rodríguez, Albert A. de Graaf, Eelco J. P. de Koning, Javier Delgado‑Lista, Jacob K. Sont, POWER2DM Consortium

Diabetes self-management is complex and poses a large burden on individuals. E-health and mobile-health/wireless technologies can be helpful tools to support individuals in their daily diabetes self-management, aiming to reduce this burden. In this issue, Ruissen et al (https://doi.org/10.1007/s00125-023-06006-2) report on the results of a novel e-health support system (POWER2DM) that provides personalised, bidirectional support for both individuals with diabetes and clinicians. The authors describe how POWER2DM integrates biomedical, psychological and behavioural aspects. They show that it is a safe and effective tool that enables both individuals with type 1 diabetes and those with type 2 diabetes to improve glycaemic control, quality of life and diabetes self-management. The authors conclude that e-health and mobile-health support systems that acknowledge the complexity of diabetes care and provide personalised support are helpful tools for improving quality of care and quality of life.

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