Conference abstracts
The study examined the effects of the Fitterfly Diabetes Prime program on lipid profiles in 945 individuals with type 2 diabetes. After 90 days of digital lifestyle interventions, including personalized diet, exercise, and behavioral coaching, participants experienced significant reductions in total cholesterol, triglycerides, and LDL levels, along with a slight increase in HDL. The program showed notable benefits, especially for those with elevated baseline lipid levels, underscoring the potential of personalized digital interventions in lowering cardiovascular risk in type 2 diabetes.
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Conference abstracts
The study assessed the impact of the Fitterfly digital program on glycemic control in 39 individuals with type 1 diabetes. Participants completed a 90-day program featuring digital tracking, personalized exercise, diet plans, and behavioral therapy. HbA1c levels were significantly reduced overall, with the largest improvements in participants under 25 years and those weighing up to 75 kg. The findings underscore the value of personalized digital coaching and continuous monitoring in managing type 1 diabetes and achieving sustainable lifestyle changes.
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Conference abstracts
The study evaluated the effects of the Fitterfly Diabetes Program on glycemic control and weight management in 204 individuals with newly diagnosed type 2 diabetes. Over 90 days, participants accessed personalized digital lifestyle support, including diet and exercise plans and behavioral therapy. Results showed significant reductions in HbA1c, weight, and BMI, with the most notable improvements in those with higher baseline HbA1c. The findings highlight the program's potential in promoting sustainable lifestyle changes to manage early-stage diabetes effectively.
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Conference abstracts
The study assessed the impact of Klik, an AI-powered meal recognition tool within the Fitterfly wellness app, on food logging efficiency and user retention. Over 30 days, Klik users logged meals 27 seconds faster than those using traditional search-based methods, with 60.4% of entries requiring no edits, highlighting Klik’s high accuracy in recognizing food items and nutritional content. Despite slightly lower retention, Klik’s intuitive photo-based interface supports efficient, consistent meal tracking, helping individuals manage type 2 diabetes and dietary habits effectively.
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White Papers
This study evaluates the practical impact of the Fitterfly Diabetes Digital Therapeutics Program on reducing diabetes distress and enhancing glycemic control in real-world settings.
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Conference abstracts
This study evaluated the effectiveness of the Fitterfly Diabetes DTx program in alleviating anxiety and depression symptoms along with improvements in HbA1c levels among people with type 2 diabetes. Virtual sessions led by psychologists incorporated cognitive behavioral therapy and mindfulness interventions. Results from 376 participants showed a 1.4% reduction in HbA1c along with a significant decline in anxiety (45%) and depression (64%) scores. The results indicate that Fitterfly DTx program has potential to improve diabetes care by effectively tackling mental health issues.
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Conference abstracts
A digital mood-tracking tool for type 2 diabetes patients, offering personalized interventions for mood management is developed at Fitterfly. Over four months, 1372 participants engaged with the tool, primarily selecting positive moods and utilizing interventions like meditation and mindfulness. Results indicate significant assistance in mood management, suggesting the potential for improved emotional awareness and self-care in diabetes management. Further research is needed to explore its impact on glycemic control.
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Conference abstracts
The study assessed the effectiveness of the Fitterfly diabetes program in managing lean diabetes (BMI <23 kg/m²) over 90 days. Deidentified data of 126 participants showed significant improvements in HbA1c levels, weight, BMI, and waist-to-hip ratio among participants. Higher baseline HbA1c levels correlated with greater reductions post-program. A notable percentage achieved recommended HbA1c values (≤7%), highlighting improved glycaemic control. The findings emphasize the importance of lifestyle interventions, including personalized diet plans and remote coaching, in managing diabetes regardless of BMI.
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Conference abstracts
The study aimed to evaluate diabetes management through lifestyle modifications in treatment-naive individuals with prediabetes and diabetes. Deidentified data from 94 participants showed significant average reductions in HbA1c (0.9%), weight (2.9 kg), and BMI (1.1 kg/m²) after the 90-day program. Participants with higher baseline HbA1c levels showed greater reductions. Post-program, 74.5% achieved recommended HbA1c values (≤7%), with 48.0% reaching ≤6.5 %. These findings underscore the efficacy of lifestyle interventions as an initial approach for diabetes management, emphasizing the importance of holistic strategies.
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Conference abstracts
Digital therapeutics (DTx) program of Fitterfly for diabetes management introduced innovative features like PGR-score and virtual Continuous Glucose Monitoring (vCGM), alongside a community led by diabetes educators. The study evaluated the efficacy of PGR Score and vCGM features in encouraging healthier eating habits and lowering HbA1c levels. Additionally, a community survey assessed patient satisfaction, self-efficacy, clinical impact on blood glucose levels, and potential adherence to the remote health coaching app. Findings revealed a trend towards healthier meal choices, decreased carbohydrate intake, and positive participant satisfaction.
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Conference abstracts
A pilot study examined the impact of AI-driven virtual CGM (vCGM) on dietary choices for Type 2 Diabetes patients. Over 14 days, 100 participants used vCGM via the Fitterfly app, tracking CGM data, meals, activity, and medication. Post-activation, 51 respondents reported insights: 80% observed impact of vCGM on blood glucose appropriate food selection, leading to reductions in rice/cereal (67%) and sugary drinks (88%). Increased attention to fibre content and elimination of high-calorie snacks were common. vCGM may offer valuable support for dietary management in Type 2 Diabetes patients, potentially aiding in better food selection and glucose control.
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Conference abstracts
Fitterfly's innovation, virtual CGM (vCGM), integrates real-time glucose monitoring with lifestyle data, predicting postprandial blood sugar levels up to 3 hours in advance. By analyzing food, activity, and medication effects, vCGM offers personalized insights, empowering users to make informed decisions for better diabetes management. It optimizes meal choices, fosters balanced lifestyles, and enhances understanding of lifestyle-glucose interactions, facilitating improved patient behavior and outcomes.
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Conference abstracts
The Fitterfly Diabetes Prime program adopts Intensive Behavioral Therapy (IBT) principles over a 90-day period, focusing on 12 modules covering nutrition, fitness, sleep, and stress management. Accessed through the Fitterfly wellness app, the program offers comprehensive education and guidance, aligning with professional intervention plans from nutritionists, physiotherapists, and psychologists. Through interactive formats like videos and quizzes, participants gain practical insights for diabetes self-management. Pre and post-program questionnaires tailor interventions to individual habits and behaviors, while a survey assesses knowledge gain and behavior modification. This holistic approach, endorsed by ADA and CDC, empowers individuals in navigating the complexities of diabetes management, promoting self-management and self-efficacy.
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Conference abstracts
The study evaluated outcomes of the Fitterfly weight-loss program in individuals with prediabetes, emphasizing the importance of tailored lifestyle interventions given the high conversion rate to diabetes in India. Ninety-two participants received personalized nutrition and behavioral support via the Fitterfly app for 90 days, resulting in notable reductions in calorie intake and carbohydrate-derived energy, alongside increases in protein-derived energy. Significant improvements in weight, BMI, and waist and hip circumference were observed. The program's success highlights its potential in prediabetes management, showcasing enhanced macronutrient balance, calorie control, and anthropometric outcomes through personalized support.
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Conference abstracts
In a bid to enhance diabetes self-management in type 2 diabetes, a study evaluated the efficacy of a digital therapeutics program. Utilizing a mobile app and WhatsApp, patients received remote health coaching and engagement with educators. Surveying 62 participants after 3 months revealed high satisfaction and engagement rates, with over 90% finding coaching helpful and access convenient. Notably, 70% reported improved blood sugar control and medication adherence. The program bolstered self-confidence in self-management for 83% of respondents. While longer-term studies are warranted, these findings underscore the potential of remote health coaching in fostering self-care among type 2 diabetes patients, offering a scalable solution for healthcare providers.
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Conference abstracts
A predictive model was developed to estimate HbA1c reduction after a 3-month digital lifestyle program for adults with type 2 diabetes in India. Analysis of data from 267 participants revealed significant associations between baseline HbA1c, body mass index, triglyceride-glucose (TyG) index , and younger age with HbA1c reductions. The final model demonstrated a reasonable predictive capability (R²=0.72), offering a formula to estimate HbA1c reduction based on baseline parameters. This model, leveraging readily available clinical variables, enables personalized targets and optimal intervention selection for diabetes management, potentially improving outcomes in T2D care.
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Conference abstracts
A digital mood tracking tool has been developed to address psychological aspects in diabetes management. With 1372 monthly users, representing 43% of Fitterfly app users, the tool incorporates 10 moods and 100 expert-curated interventions. Popular moods include happy and confident, with guided meditation and mindfulness as preferred interventions, rated as extremely helpful by 80% of users. The tool enhances emotional awareness, offering timely psychological support and data-driven insights for holistic diabetes management.
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Conference abstracts
This study aimed to evaluate a digital weight loss program's impact on Indian females with PCOS. It analyzed data from 99 participants who engaged in Fitterfly's 90-day weight loss program, involving personalized dietary plans, remote coaching, and multidisciplinary expert care. Significant reductions in weight, BMI, waist, and hip circumference were observed, indicating the program's efficacy in managing PCOS-related weight concerns. These findings underscore lifestyle interventions' potential to address weight issues in females with PCOS.
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Conference abstracts
The study aimed to evaluate the real-world impact of the Fitterfly program on glycemic control and weight management in newly diagnosed Type 2 Diabetes patients. Data from 147 participants were analyzed, with a focus on HbA1c levels, weight, and BMI. The program led to significant improvements, with reductions of 1.2% in HbA1c, 3 kg in weight, and 1.10 kg/m² in BMI. Participants with varying baseline HbA1c levels also saw substantial reductions. A majority achieved recommended HbA1c values, and BMI reductions were observed across normal, overweight, and obese categories. The findings emphasize Fitterfly's role in comprehensive diabetes management through sustained lifestyle support.
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Conference abstracts
This study examined the impact of two different durations of the Fitterfly Diabetes Prime lifestyle management program (3 months and 6 months) on glycemic control in 198 participants with diabetes. Those in the 90-day program experienced a 1.1% reduction in HbA1c levels, with 57.55% achieving recommended HbA1c levels of ≤7% and 41.86% reaching ≤6.5%. In contrast, those in the 180-day program achieved a more substantial 1.7% reduction in HbA1c levels, with 73.07% meeting the ≤7% target and 53.84% ≤6.5%. Longer program engagement proved more effective, underscoring the importance of extended support in achieving better glycemic control in individuals with diabetes.
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White Papers
Understanding doctors' perspectives on DTx in India is crucial as they are pivotal in shaping patient adoption and adherence. Fitterfly’s survey on the advocacy of DTx among Indian doctors was conducted by scrutinizing 2877 prescriptions from 1897 members and analyzing the responses of 232 doctors across 99 cities. It supported the growing preference for DTx in metabolic disease management among Indian clinicians.
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Conference abstracts
A study assessed the effectiveness of the Fitterfly Diabetes CGM program in reducing glycemic variability (GV) among individuals with type 2 diabetes. De-identified data from 220 participants was analyzed. After 7 days, the program resulted in significant reductions in mean blood glucose and time above range (TAR) by 4.3% , and a significant increase of 1.7% in time in range (TIR). Glucose management indicator (GMI) and coefficient of variation for glucose (CV) also showed improvement. However, there was no significant change in time below range (TBR). The study concluded that the PGR-based guidance on the program led to improved glycemic control and reduced GV in just 7 days.
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Conference abstracts
The study evaluated the effectiveness of the Fitterfly Diabetes program in managing weight in individuals with diabetes using antidiabetic medications associated with weight gain or weight loss. Deidentified data from 79 participants with type 2 diabetes was analyzed. After 90 days, participants using medications associated with weight loss experienced reductions in HbA1c (0.5%), weight (3.5kg), and waist circumference (5cm). Similarly, participants using medications associated with weight gain also showed reductions in these parameters. The study concluded that the program resulted in significant weight loss and improved glycemic control regardless of the effect of antidiabetic medications on weight. Individuals with diabetes looking to lose weight may benefit from such programs.
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Conference abstracts
This study aimed to assess the effectiveness of the Fitterfly Diabetes CGM program, which is based on personalized glycemic response (PGR), in improving dietary practices, glycemic control, and weight among individuals with poorly controlled type 2 diabetes. De-identified data from 120 participants were analyzed. After 7 days on the program, there was a significant increase in time in range (TIR)by 10.1% and a significant decrease in time above range (TAR) by 10.3%. After completing the program, there were significant reductions in calorie and fat intake, as well as weight loss. Participants with higher baseline HbA1c levels showed greater reductions in HbA1c. The study concluded that the Fitterfly program can lead to improved diabetes management in individuals with poorly controlled diabetes.
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Conference abstracts
A study on 303 participants with poorly controlled type 2 diabetes (T2DM) utilized a digital therapeutics program, resulting in a significant decrease in HbA1c by 1.9% and weight by 2 kg after 90 days. Participants had virtual access to multidisciplinary support and improved dietary habits, showcasing potential benefits for glycemic control and weight management.
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Conference abstracts
The study analyzed de-identified data of 102 participants with T2DM who completed the 90 days Fitterfly diabetes program. Post program, significant reduction in HbA1c, weight, and BMI was observed by -0.75 (-2.30, -0.20) %, -3.00 (-5.00, -1.00) kg, and -1.00 (-1.88, -0.39) kg/m2 respectively. After completion of the program, 70.59 % (72/102) participants had achieved the recommended HbA1c value ≤ 6.5 %.
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Conference abstracts
At Fitterfly,we analyzed de-identified data of 175 participants with T2DM who were enrolled in the 90 days Fitterfly diabetes program. At baseline,diabetes distress was reported in 46.28% members and poor sleep quality was also evident in 80% members. Post program,a significant reduction in diabetes distress along with HbA1C was observed. Sleep quality was also improved in members in addition to reducing fasting blood sugar level.
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Journal
Deidentified data of 109 participants from the Fitterfly Diabetes CGM program were analyzed. At the end of the 90-day program, about 85.3% of all participants had significantly reduced HbA1c levels by an average of 1.2%, an important indicator of glycemic control. These participants also lost 2.05 kg mean weight and their BMI reduced by 0.74 kg/m2. For the participants who started the program with a HbA1c of more than 9%, had an average reduction of 2.6%. The study also showed higher engagement with the Fitterfly wellness app in terms of entries of meal, physical activity and body composition, which led to better outcomes in participants particularly with respect to weight reduction.
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Conference abstracts
Regular exercise positively influences the established risk factors for cardiovascular disease. Fifty participants with diabetes and hypertension were analyzed for fitness scores before and after the completion of the Fitterfly diabetes program which provided personalized exercise regimens by physiotherapists along with multidisciplinary support from nutritionists and psychologists. At baseline 76% had poor total fitness scores (≤20). Post-program, we recorded a significant rise of 42.85% in median fitness scores [Pre-program-14(-3,28) and Post-program -20(-3,34);p<0.0001]. A modified 6-minute walk test (6MWT),used for cardiac fitness, also showed an improvement by 12.30%. The study demonstrated the effectiveness of digital fitness assessments and personalized exercise regimens to improve physical fitness and cardiorespiratory fitness in people with diabetes and hypertension.
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Conference abstracts
This study analyzed data of 112 Fitterfly Diabetes program participants with diabetes and hypertension for the effectiveness of digital therapeutics to manage diabetes distress and increase motivation to adapt to a healthy lifestyle. At baseline, all members had high scores of diabetes distress particularly members under 60 years of age had higher total DDS and subcomponent scores. (p< 0.05) Post-program, the median score for overall distress reduced by 25% (p< 0.0001). A substantial reduction in median scores for DDS subscales including emotional burden, physician related, regimen-related, and interpersonal distress was also observed (p< 0.0001). After the program, the median MATCH score showed a significant improvement by 16.7% (p<0.0001). The results suggest that the Fitterfly digital therapeutics program can help improve DDS and motivation score to manage the cardiovascular comorbidities such as hypertension.
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Conference abstracts
Recently the American Heart association (AHA) added sleep to life’s eight essentials. The study analyzed pre and post program data of sleep quality from 90 individuals with diabetes and hypertension participated in the Fitterfly Digital Therapeutics program. At baseline, poor sleep quality was noted in 55% of total study participants along with higher sleep medication in females. Digital therapeutics based Fitterfly Diabetes program improved sleep quality among all study participants by 70%. The program additionally assisted with diminishing medication use.
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Conference abstracts
This study used a multiple linear regression model to examine the influences of baseline HbA1c level on CGM based FBS reading and PPBS reading among 237 enrolled in Fitterfly Diabetes program. CGM-FBS reading was found to be significantly associated with HbA1c. CGM-PPBG reading was found to be significantly associated with HbA1c. HbA1c values along with baseline parameters can help in prediction of FBS and PPBS readings on a CGM device, thus helping in more informed use of CGM sensors.
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Conference abstracts
This study analyzed the Fitterfly Diabetes CGM digital therapeutics program for improving glycemic control and metabolic parameters among 145 people with T2DM BMI ≥25.0 kg/m2. In week-2, a median reduction in average blood glucose and TAR was observed by -8.00 mg/dl and -5.40 % from week-1. TIR increased by 6.00 %. After the program, median reduction in HbA1c, weight and BMI was observed by -1.00 %, -2.30 kg, and -0.80 kg/m2. The Fitterfly Diabetes CGM program can help in improved diabetes management, as significant improvement in glycemic control and metabolic parameters was observed.
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Conference abstracts
This study evaluated the effectiveness of the Diabefly® program in changing dietary behavior, weight and glycemic outcomes among 71 people with type 2 diabetes. Post-program, median reduction in daily calorie , carbohydrate , and fat intake by 14.24 %, 19.34 %, 15.71 % was observed respectively. A significant reduction was observed in weight and HbA1c by 3.0 kg and 1.30 % respectively. Thus, the personalized lifestyle modification plan based on PGR data in the Diabefly® program can help in effective diabetes management.
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Conference abstracts
This study explored the effectiveness of the Diabefly® program for changes in glycemic control and weight among 146 people with T2DM. A Significant reduction in HbA1c by 1.2 % was observed. Among all participants, 91.8% (134/146) showed a reduction in their HbA1c, out of which 56.7 % (76/134) showed a HbA1c reduction of more than 1%. Similarly, weight was reduced by 2.6 kg. Among all the participants, 74.0 % (108/146) reduced their weight, out of which 36.1 % (39/108) showed at least 5 kg weight loss. Thus, Diabefly program can help as a useful adjunct to a doctor's prescription
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Journal
Based on estimates in 2021, 74.2 million people with diabetes resided in India which is expected to rise to 124.9 million by 2045. There is an urgent need to strengthen diabetes infrastructure and to ensure access to high-quality, affordable, and appropriate diabetes care at primary, secondary, and tertiary levels. As of October 2022, the labor force in India is close to 429.8 million. Approximately 75% of this huge workforce is estimated to be at higher risk of developing diabetes. Diabetes has been reported to result in lost labor productivity due to absenteeism and presenteeism, and loss of laborers from the workforce due to hospitalizations and complications of DM. DTx has the potential to help in developing a healthier lifestyle among employees while reducing the effect on absenteeism, presenteeism, and loss of employees from the workforce, as well as boosting employee productivity.
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Conference abstracts
This study highlights the significance of evaluating diabetes distress through a digital therapeutics platform and the association of diabetes distress with HbA1c among 1600 people with Type 2 Diabetes Mellitus. The Diabetes distress was high among 21%, moderate among 25%, and low among 54% of participants. High-moderate level of emotional distress, regimen distress, physician distress, interpersonal distress was present in 60.37 %, 58.68 %, 32.56 %, and 30.43 % respectively. Pre-program HbA1c level showed significant correlation with overall distress and subscale distress scores. Fitterfly Diabetes digital therapeutics program can help in providing easy access to multidisciplinary teams including trained clinical psychologists for reducing diabetes distress
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Conference abstracts
This study analysed the effect of supervised exercise prescription delivered as part of Fitterfly diabetes digital therapeutics program in 150 people with diabetes (PWD) after completion of the program. Median improvement in 6-minute walk test and total fitness score by 5.35 % and 46.86% respectively was observed. Post-program, median HbA1c, weight and waist circumference reduced by -0.8%,-2.5 kg, -4.00 cm respectively. Median exercise duration per week in these participants improved by 180 min, 70 min and 60 min respectively. Thus, Virtual supervised exercise guidance as a part of Fitterfly diabetes digital therapeutics program can help in improving safety and adherence to physical activity among people with T2DM for effective diabetes management
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Conference abstracts
This study evaluated the real-world data obtained from the Fitterfly Diabetes Program among 287 people with T2DM. A significant median reduction in HbA1c, weight, waist circumference, fasting blood glucose (FBS), and postprandial blood glucose (PPBS) by -1.00 % , -3.00 kg, -3.00 cm, -25.00 mg/dL and -52.00 mg/dL was observed respectively. Hence, Fitterfly Diabetes Program can be an effective tool as an add-on to the doctor’s prescription in addressing the care gaps in T2DM management.
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Conference abstracts
This study explored the effectiveness of the Fitterfly Weight loss digital therapeutics program among 135 individuals in overweight and obese categories. Reduction in weight, body mass index (BMI), and waist circumference was observed by 4.00 kg, 1.50 kg/m2, and 6.00 cm respectively. At the end of the program, median reduction in intake of calories, carbohydrates, proteins, and fats by 427.00 kcal, 56.00 gm, 6.40 gm, and 18.40 gm was observed respectively. Thus, Fitterfly weight loss program can help in clinically significant weight loss among individual in obese or overweight category.
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Conference abstracts
PCOS is closely linked to obesity and weight management has been recommended as the first line of treatment. The current study analyzed the effectiveness of the Reset23 program for weight management among 44 PCOS patients. Significant mean reduction in weight, BMI, and waist circumference was observed by 3.03 ± 2.96 kg, 1.22 ± 1.22 kg/m2 and 2.71 ± 4.41 cm from a baseline of 81.04 ± 14.86 kg, 31.87 ± 5.27 kg/m2 and 97.79 ± 14.20 cm respectively. The Reset23 program was effective in weight management among PCOS patients.
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Journal
Lifestyle management and behavioral modification is an integral aspect for the effective prevention and management of type 2 diabetes mellitus (T2D). Current study analysed the effectiveness of personalized glycemic response based Diabefly-Pro digital therapeutics program among 64 participants with T2D for better glycemic control. Out of all the participants, mean blood glucose, and time-above-range was significantly reduced by 17.5 mg/dL, 11% respectively, while the time in range significantly improved by 4.5%. Personalized glycemic response-based Diabefly-Pro digital therapeutics program was effective in achieving better glycemic control in people with T2D
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Conference abstracts
Understanding personalized glycemic response (PGR) among 108 participants through the Diabefly® program, which led to significant reduction in mean calorie, carbohydrate and fat intake by 9.34%, 10.44%, and 7.95% respectively. Mean energy attributed from protein significantly increased by 10.36%. 66 participants reduced their weight, BMI, and HbA1c by 3.41kg, 1.16kg/m2,and 2.02% respectively, while 42 participants reduced their waist circumference by 4.85cm. These results suggests the potential of understanding PGR in an effective manner through the Diabefly® program for improved outcomes.
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Journal
A prediabetes risk test questionnaire was completed by 1722 people and the scoring was done for three groups including high risk (score >5), medium risk (score 3-5), and low risk (score <3) for developing prediabetes and eventually diabetes among Indian population. The risk of prediabetes was low, medium, and high in 21 %, 65 % and, 12 % of participants respectively. Out of all the participants, 44 % had age ≥ 40 years, 71% were male, 96 % were asian, 74 % had BMI ≥ 23 kg/m2, 59 % have a family history of diabetes, 17 % had high blood pressure, and 44 % were performing physical activity below 150 mins/week. The odds ratio for score in high or medium range for people with BMI ≥ 23 kg/m2 and age ≥ 40 years was 38.51 and 78.89 respectively. The study highlights the importance of using a prediabetes risk calculator as a tool for improving awareness about the risk of developing prediabetes.
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Journal
Understanding personalized glycemic response (PGR) among 108 participants through the Diabefly® program, led to significant reduction in mean calorie, carbohydrate and fat intake by 9.34%, 10.44%, and 7.95% respectively. Mean energy attributed from protein significantly increased by 10.36%. 66 participants reduced their weight, BMI, and HbA1c by 3.41kg, 1.16kg/m2, and 2.02% respectively, while 42 participants reduced their waist circumference by 4.85cm. These results suggests the potential of understanding PGR in an effective manner through the Diabefly® program for improved outcomes.
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Journal
This study analysed the effectiveness of digital therapeutics programs as remote behavioral intervention in better management of diabetes among 100 participants diagnosed with Type 2 DM. Motivation levels improved significantly by 9.39%, while distress levels decreased significantly by 24.21%. Participants from joint families have higher interpersonal distress, while participants having diabetes for > 5 years showed higher physician, and interpersonal distress as compared to newly diagnosed ones. In conclusion, remote behavioral interventions via Diabefly® has been proven to be effective in managing diabetes adequately
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Journal
This study explored effectiveness of the Diabefly® program for improving glycemic control among 172 participants with T2D. Significant reduction in HbA1c, weight, BMI, FBS and PPBS by 1.69%, 2.59kg, 0.92 kg/m2, 51.44mg/dL, and 90.90 mg/dLwas observed respectively. 93.02% participants reduced their HbA1c levels and among them 56.25% showed a reduction of more than 1% in HbA1c. Similarly, 70.34% participants reduced their weight. Effective glycemic control and significant weight reduction was achieved at the end of the program.
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Conference abstracts
A prediabetes risk test questionnaire was completed by 1722 people and the scoring was done for three groups including high risk (score >5), medium risk (score 3-5), and low risk (score <3) for developing prediabetes and eventually diabetes among Indian population. The risk of prediabetes was low, medium, and high in 21 %, 65 % and, 12 % of participants respectively. Out of all the participants, 44 % had age ≥ 40 years, 71% were male, 96 % were asian, 74 % had BMI ≥ 23 kg/m2, 59 % have a family history of diabetes, 17 % had high blood pressure, and 44 % were performing physical activity below 150 mins/week. The odds ratio for score in high or medium range for people with BMI ≥ 23 kg/m2 and age ≥ 40 years was 38.51 and 78.89 respectively. The study highlights the importance of using a prediabetes risk calculator as a tool for improving awareness about the risk of developing prediabetes.
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Conference abstracts
This study explored effectiveness of the Diabefly® program for improving glycemic control among 172 participants with T2D. Significant reduction in HbA1c, weight, BMI, FBS and PPBS by 1.69%, 2.59kg, 0.92 kg/m2, 51.44mg/dL, and 90.90 mg/dLwas observed respectively. 93.02% participants reduced their HbA1c levels and among them 56.25% showed a reduction of more than 1% in HbA1c. Similarly, 70.34% participants reduced their weight. Effective glycemic control and significant weight reduction was achieved at the end of the program.
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Conference abstracts
This study analysed the effectiveness of digital therapeutics programs as remote behavioral intervention in better management of diabetes among 100 participants diagnosed with Type 2 DM. Motivation levels improved significantly by 9.39%, while distress levels decreased significantly by 24.21%. Participants from joint families have higher interpersonal distress, while participants having diabetes for > 5 years showed higher physician, and interpersonal distress as compared to newly diagnosed ones. In conclusion, remote behavioral interventions via Diabefly® has been proven to be effective in managing diabetes adequately
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Conference abstracts
In this study, we conducted videocall based assessment of physical fitness among 470 participants of Diabefly® program with diabetes. Among these 470 participants, 69.4% were in the obese category with 42.1% being non-exercisers. 42.1% were aerobic exercisers while only 15.7% were exercisers. Mild to moderate pain was reported by 36.1% participants. Cardiorespiratory fitness, upper limb strength, core strength and flexibility were significantly lower among non-exercisers as compared to exercisers. The assessment along with consideration of pain and current exercise pattern will help in development of personalized exercise prescription for PWD.
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Journal
In this study, we conducted videocall based assessment of physical fitness among 470 participants of Diabefly® program with diabetes. Among these 470 participants, 69.4% were in the obese category with 42.1% being non-exercisers. 42.1% were aerobic exercisers while only 15.7% were exercisers. Mild to moderate pain was reported by 36.1% participants. Cardiorespiratory fitness, upper limb strength, core strength and flexibility were significantly lower among non-exercisers as compared to exercisers. The assessment along with consideration of pain and current exercise pattern will help in development of personalized exercise prescription for PWD.
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Journal
This study explored the real-world effectiveness of the Diabefly® DTx program in improving glycemic control and reducing weight among 205 participants with T2D. At the end of the 90 days program, a significant mean reduction in HbA1c, weight, BMI and waist circumference by 1.6%, 2.4kg, 0.8 kg/m2, and 3.5cm was observed respectively. 87.8% participants reduced their HbA1c levls by >1%, while 68.29% reduced weight by > 5kg. In conclusion, a significant improvement in glycemic control and reduction in weight and BMI was observed after participation in Diabefly® program.
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Journal
108 individuals participated in personalised glycemic response based Diabefly pro program. After week 2 of the program, participants showed a significant reduction in AUC, iAUC-post breakfast, and TAR by 44.7%, 42.3%,and 5% respectively. The intake of calories, and carbohydrate was also significantly reduced. TIR showed significant improvement by 2.7%. In conclusion, Diabefly-Pro® program led to significant reduction in postprandial hyperglycemia while improving TIR and dietary behaviour in people with diabetes.
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Conference abstracts
This study explored the real-world effectiveness of the Diabefly® DTx program in improving glycemic control and reducing weight among 205 participants with T2D. At the end of the 90 days program, a significant mean reduction in HbA1c, weight, BMI and waist circumference by 1.6%, 2.4kg, 0.8 kg/m2, and 3.5cm was observed respectively. 87.8% participants reduced their HbA1c levls by >1%, while 68.29% reduced weight by > 5kg. In conclusion, a significant improvement in glycemic control and reduction in weight and BMI was observed after participation in Diabefly® program.
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Conference abstracts
108 individuals participated in personalised glycemic response based Diabefly pro program. After week 2 of the program, participants showed a significant reduction in AUC, iAUC-post breakfast, and TAR by 44.7%, 42.3%,and 5% respectively. The intake of calories, and carbohydrate was also significantly reduced. TIR showed significant improvement by 2.7%. In conclusion, Diabefly-Pro® program led to significant reduction in postprandial hyperglycemia while improving TIR and dietary behaviour in people with diabetes.
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Journal
A fitness assessment by qualified physiotherapist helps in understanding the baseline fitness of individuals and thus generating appropriate exercise prescriptions. The current study assessed and showed safety and feasibility of conducting video call-based assessment of physical fitness among one hundred participants with type II diabetes by physiotherapists. Out of all the participants, a good range score was achieved by 52% in 6MWT, 17% in push-up test, 1% in wall sit test, 6% in sit-up test, and 9% in V-sit and reach test while current physical activity did not show any association with performance in fitness tests. The study also highlighted the poor glycemic control, high cardiovascular risk, and poor level of physical fitness in people with diabetes in India and these insights can help in developing personalized exercise plans for people with diabetes.
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Conference abstracts
This study has evaluated the effectiveness of remote behavioural interventions leading to increasing motivation levels of 60 participants with type 2 diabetes. At the end of the program, the total motivation score improved by 7.31%. The overall motivation scores, score for ableness ,and worthwhileness increased from 32.55 to 34.93, 11.45to 12.05, and from 8.93 to 10.63 respectively. It can be concluded that remotely executed behavioural interventional techniques & psychotherapies leads to increase in overall motivation despite there being a difference in the initial motivation levels of individuals based on age and gender.
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Conference abstracts
The need for individualized meal-planning becomes a challenge for effective nutritional management in people with diabetes and in this study the variation in dietary behaviour and glycemic control was analysed in 69 participants of the Diabefly® program. Results revealed that the mean daily calorie, carbohydrate and fat intake was reduced by 16.28 %,18.49 %, and 16.05 % respectively. Similarly, mean reduction in HbA1c, weight and BMI was observed by 1.86 %, 3.17 kg , and 1.11 kg/m2 . In conclusion, after 90 days on the program, impactful changes in dietary behavior and improvement in glycemic control were observed in people with diabetes.
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Conference abstracts
Continuous glucose monitoring (CGM) can provide insights into glycemic response of an individual and this personalized glycemic response (PGR) of individuals can help in more effective glycemic control. This study analysed the variation in time in range (TIR) after participation in PGR-based Diabefly-ProTM program in people with type 2 diabetes (T2D). The results revealed that mean blood glucose was reduced from 154.56 mg/dl to 141.60 mg/dl. The TIR significantly improved from 56.56 % to 61.88 % and TAR significantly reduced from 37.68 % to 30.76. These results concludes that significant improvement in glycemic control and subsequent reduction in glycemic excursions was observed after 7 days of modified lifestyle plan.
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Conference abstracts
Higher diabetes distress is associated with poor glycemic control and compromised diabetes self-care. Hence, this study investigated the real-world effectiveness of virtual psychotherapy on the distress levels and HbA1c of 43 patients with Type 2 diabetes and revealed that post intervention, distress scores decreased by 22.0 % from baseline 1.55 and HbA1c levels reduced by 1.74 % from baseline 1.72. Thus, the study showed that the Diabefly® DTx program can help in better management of diabetes
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Conference abstracts
This study aimed at analysis of changes in physical fitness after introducing customized exercise intervention in people with T2DM. Total five hundred participants completed the baseline fitness assessment and among them Seventy-five participants completed the 3 months program and their fitness levels were reassessed. There was improvement observed in total fitness scores and cardiorespiratory fitness post exercise intervention.
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Conference abstracts
Total 81 individuals participated in Diabefly-ProTM and fter 7 days, a significant improvement in TIR and a subsequent reduction in TAR along with significant changes in dietary behavior was observed. After completion of the program, the CGM-driven Diabefly-Pro program led to clinically significant improvement in glycemic control and reduction in weight and BMI.
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Conference abstracts
Aim of this study was to analyze the effectiveness of Diabefly® Digital therapeutics program among 85 participants in providing evidence-based care that can help in better management of diabetes through long-term behavior change. The study concluded that Remote behavioral interventions when combined with fitness and dietary interventions can be very effective in reducing diabetes distress and improving motivation of people to manage diabetes.
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Conference abstracts
Management of T2D is challenging for clinicians in India. This study evaluated and demonstrated the effectiveness of the Diabefly® program for glycemic control among people with T2D, which is evident from the results of 144 participants showing a remarkable reduction in HbA1C, weight, and BMI by 1.56%, 2.39 kg and 0.84 Kg/m2 from the baseline respectively. Similarly, in users with complete blood sugar readings, a mean reduction in FBS and PPBS was observed by 53.93 mg/dL and 99.25 mg/dl from the baseline respectively.
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Conference abstracts
Compliance with digital therapeutics programs may result in better outcomes and diabetes management through long-term behavior change. This study analyzed and showed the effectiveness of higher compliance to Diabefly® program being associated with higher reduction in HbA1c levels, significant improvement in glycemic control and motivation for self-management of diabetes. This is evident from the results of 56 individuals showing an effective reduction in HbA1c levels by 1.94% from the baseline and compliance score was positively correlated with this reduction. Further, a remarkable improvement in motivational score from a baseline score of 33.43±4.29 to 36.93±4.83 was observed.
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Conference abstracts
Improvement in exercise adherence and reduction in risk of injury leads to better diabetes management. This study included 45 participants and demonstrated the effectiveness of video-call based exercise prescription in significantly improving post-program performance scores of 1-minute push-up test, wall sit test, 1-minute sit-up test, V-Sit and reach test and 6MWT by 40.17%, 36.61 % , 70.04% , 37.86 %, 249.25 % and 7.24 % from the baseline respectively and concluded that overall physical and cardiorespiratory fitness in patients with diabetes were momentously improved.
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Conference abstracts
Long-term hyperglycemia is a potential risk factor for both macro and microvascular complications. This study demonstrated the effectiveness of the Diabefly® program in participants with poorly controlled Type 2 diabetes, which is evident from the results of 49 participants showing an effective reduction in HbA1C, body weight and BMI by 3.34%, 2.41 kg and 0.82 kg/m2 from the baseline respectively. Similarly, a crucial mean reduction in waist circumference, carbohydrate and total calorie intake was observed among participants with respective complete data from the baseline.
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Conference abstracts
It is important to assess an individual’s stress levels so that a highly customized diabetes management program can be designed. This study has evaluated the level of distress among Indians diagnosed with Type 2 DM through the Diabefly platform. 130 participants were analyzed using Diabetes Distress Scale and found that 55% had high diabetes distress, 60% had high emotional burden of diabetes, 58% had high regimen distress, 23% had high interpersonal distress and 31% had high physician distress. Therefore, in order to manage the diabetes effectively it is important to equally consider emotional and mental well-being as compared to physical health of people with diabetes.
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Continuous glucose monitoring (CGM) can help in retrospective evaluation of glycemic response which further aids in diabetes management. This study has analyzed the effectiveness of personalized glycemic response from the Diabefly-Pro program on diet and nutritional habits of 58 people with T2D in India. Among them a momentous reduction in daily mean calorie intake, amount of carbohydrate and fat intake by 6.97% , 8.36%, and 8.89 % was observed respectively. This indicates the potential of the Diabefly-Pro program to support suitable changes in nutritional habits and to improve glycemic control thus reducing complications associated with diabetes.
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Conference abstracts
Lockdown due to the COVID-19 pandemic had led to the disruptions in the management of diabetes. This study has 72 participants and has examined the effectiveness of the Diabefly program on people with type 2 diabetes (T2D). An effective reduction in HbA1c,weight and BMI by 1.96%, 2.62kg, and 0.88 kg/m2 was observed respectively. Group with higher than median interactions showed remarkably higher reduction in HbA1c. Thus, Diabefly program proved to be an effective tool for diabetes self-management, education, support, and continuity-of-care during the COVID-19 pandemic.
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Conference abstracts
Postprandial hyperglycemia has been associated with the development of various complications among people with type 2 diabetes (T2D). In order to have better control over postprandial glycemic response (PPGR), personalized coaching based on the insights from continuous glucose monitoring report is helpful. This study has analyzed the effectiveness of Diabefly®-pro program for better management of glycemic response through personalized coaching and showed a remarkable improvement in PPGR by leading to a decrease of both AUC and iAUC post dinner.
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Conference abstracts
In developing countries, poor glycemic control among their diabetic population remains a major challenge. This study explored the potential of 90 days Diabefly® program towards improving glycemic control in people with type 2 diabetes and demonstrated an effective mean reduction of HbA1c, body weight and BMI by 1.63%, 2.38 kg, and 0.83 kg/m2 respectively. Thus, Diabefly® program aids in improving glycemic control and subsequently reduces the risk of diabetes-related complications.
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Conference abstracts
Detailed analysis of factors like an individual's physical activity status and presence of musculoskeletal pain enables the creation of a personalized exercise plan. A fitness assessment was performed in 160 patients and 69% among them were exercisers while 31% were non-exercisers. Among exercisers 83.8% achieved poor fitness scores and 16.2% showed excellent scores. Similarly, among non-exercisers 87.8% achieved a poor fitness score and 12.2% had excellent scores. The analysis of strength test scores among patients having upper, lower, and spinal pain showed lower strength in those respective areas along with poor flexibility in patients with lower and spinal pain. Hence this study showed the feasibility of video call-based analysis of physical activity status thus leading to generation of a personalized exercise plan for people with T2D
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Conference abstracts
Diabetes related distress (DRD) has been associated with compromised diabetes self-care behavior and poor glycemic control. Managing DRD is immensely important and this study explored the potential of a virtual psychological consult for participants and further analyzed DRD among them before and after the program. Post-program assessment using Diabetes Distress Scale showed the levels of emotional burden and regimen distress were reduced by 25% and 18% respectively while physician distress and interpersonal distress were mildly reduced by 9% and 3% respectively. Therefore, this study safely concluded that remotely executed behavioral interventions were effective in managing diabetes adequately.
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White Papers
Digital therapeutics startups, payers, and other stakeholders are getting on board for transforming the treatment standards. Nowadays, digital therapeutics has expanded its horizons to evidence-based wellness, chronic diseases such as diabetes, and sleep disorder apps. For digital therapeutics companies investing in novel products, the lack of public health insurance coverage is a major limiting factor.
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Journal
An article that explores existing definitions and simplifies the current knowledge of diabetes remission and proposes a contemporary and comprehensive framework to help define the clinical state as well as suggest a pragmatic approach to counsel patients.
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Journal
Interventional study evaluating benefits of using personalised Glycemic response based coaching with Ambulatory glucose monitoring (AGM) in correlation with dietary intake to improve awareness about dietary and lifestyle changes and thereby reducing HbA1c and BMI in Type 2 Diabetic patients.
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Conference abstracts
Interventional study evaluating benefits of using Personalised Glycemic response based coaching with Ambulatory glucose monitoring (AGM) in correlation with dietary intake to improve awareness about dietary and lifestyle changes and thereby reducing HbA1c and BMI in Type 2 Diabetic patients.
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Journal
Calcium is crucial for childhood bone development and intake may vary depending on food consumed across socio-economic backgrounds. Thus a comparative study helps understands the relationship between dietary calcium intake in school-going children belonging to low and middle socio-economic backgrounds.
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Journal
A comparative study to understand link between protein intake and diet preference across Body Mass Index (BMI) categories in female adolescents belonging to low socio economic group.
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Conference abstracts
In people with Type 2 diabetes mellitus little is known on the existing micronutrient imbalances. A deficiency in magnesium, calcium and zinc levels, insulin resistance is increased, and oral magnesium, calcium and zinc supplementation has been found to improve insulin sensitivity and metabolic control.
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Journal
A digital flowcharts for managing diabetes was developed, which can help patients identify their symptoms. 45 symptoms were found linked to nine basic casual categories like Hyperglycaemia, Hypoglycemia etc. and then secondarily linked to eleven more casual factors like OSA, Obesity or Malnutrition. Having access to easy-to-understand information may help clinicians guide the patients and patients seeking explanation on their own for their symptoms. Further, this becomes a personalised decision tree for patient care
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Journal
Patient-Reported Outcomes evaluates the emotional and social impact of PCOS and its treatments. Along with traditional clinical treatment, a digital therapeutic program can help doctors overcome problems of low motivation in PCOS, provide lifestyle as well as psycho-social support, and answer patient queries without investing time.
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Journal
Diabefly’s personalised content strategy uses incremental, positive and personalised reinforcements. It is aimed at making sustainable long-term behavioural changes to improve patient behaviour, thus improving diabetes and health outcomes.
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Journal
In people with Type 2 diabetes mellitus little is known on the existing micronutrient imbalances. A deficiency in magnesium, calcium and zinc levels, insulin resistance is increased, and oral magnesium, calcium and zinc supplementation has been found to improve insulin sensitivity and metabolic control.
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Journal
Self-monitoring of diet is one of the core aspects of behavioral weight-loss interventions.Fitterfly Reset23 weight management Program, using Fitterfly food database for real-time, app-based food tracking, diet and exercise guidance using personalized reinforcements is capable of making sustainable, long-lasting behavioural changes to manage weight.
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Conference abstracts
An experimental study comparing the fat content in Vegetarian and Non vegetarian soups in order to evaluate the accuracy of the assumption that vegetarian soups are always fat free and non-veg soups have higher fat content.
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Conference abstracts
An experimental study showing the effect of soaking at four different time intervals with respect to the role of imbibition of water on hydration and rate of sprouting of whole green gram.
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Conference abstracts
An observational study to determine the effect of an interactive lifestyle coaching program on calorie and macronutrient intake in people with type 2 diabetes mellitus.
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Conference abstracts
Fitterfly food database is the largest (over 9000 items) and deepest (all macro & micronutrients) dataset. Reset23 weight management program, using this database for real-time, app-based food tracking, diet, and exercise guidance using personalized reinforcements is capable of making sustainable, long-lasting behavioural changes to manage weight.
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Conference abstracts
Poor adherence towards physical activity, medications and nutritional recommendations is one of the major challenges among people with diabetes leading to poor glycemic control. This study showed the beneficial impact of continuous glucose monitoring system (CGMs) based nutritional coaching for improving glycemic control by leading to a decrease in HbA1c by 1% after completing 90 days on the program
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Conference abstracts
An approach to build a prototype to give predictive and precise nutrition diet plan using machine learning (ML) algorithm with the intent to bridge the gap between Paediatric nutrition and technology.
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Conference abstracts
An observational study to evaluate imbalance in protein and fibre intake among people with type 2 diabetes.
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Conference abstracts
Experimental study using Personalised Glucose Monitoring System (CGMS) based nutrition coaching on Type 2 Diabetic Patients showing positive correlation in Time in Range (TIR) and Glycosylated Hemoglobin within 2 weeks to reduce diabetes related complications.
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Conference abstracts
Patient-Reported Outcomes evaluate the emotional and social impact of PCOS and its treatments. Along with traditional clinical treatment, a digital therapeutic program can help doctors overcome problems of low motivation in PCOS, provide lifestyle as well as psycho-social support, and answer patient queries without investing time.
Read Conference abstracts
Conference abstracts
Diabefly’s personalised content strategy uses incremental, positive and personalised reinforcements. It is aimed at making sustainable long-term behavioural changes to improve patient behaviour, thus improving diabetes and health outcomes.
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Conference abstracts
Among digital flowcharts for managing diabetes, we found a striking lack of any linkages or easy to follow depictions. The twofold aim was to create a map for patients to identify their symptoms and use it as a reference tool for coders to develop into a software. Having access to easy-to-understand information may help clinicians guide the patients and patients seeking explanation on their own for their symptoms
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Conference abstracts
Observational study comparing recent standards of estimation (EAR and RDA 2020 values) of the risk of deficiency and the dietary iron intake in women, keeping in mind the severity of iron deficiency anaemia in India.
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Journal
Technology can be a crucial asset in nutrition care if utilised to practice effectively. Thus the development of Ntuitive software brings perfect combination of nutrition and technology by simplifying the work of multi-tasking nutritionists.
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Conference abstracts
Alpha Linolenic Acid (ALA) aids in developing cognition and behavior in early childhood. This observational study thus helps to understand consumption pattern of this essential nutrient in regular diet of children (1-6 years) with respect to their gender and BMI.
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Conference abstracts
An explanatory research on Ntuitive calculator, a path-breaking, ready-reckoner mobile application with high end technology created by nutritionists and technology developers. It provides quick and authentic nutrient values of raw ingredients and cooked recipes.
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Conference abstracts
Balancing energy intake with energy expenditure is crucial to prevent an energy deficit or excess. This interventional study thus derives total calorific requirement for a young athlete depending on their age, gender, body weight, type and duration/day of sport.
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Conference abstracts
Calcium is crucial for childhood bone development and intake may vary depending on food consumed across socio-economic backgrounds. Thus a comparative study helps understands the relationship between dietary calcium intake in school-going children belonging to low and middle socio-economic backgrounds.
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Conference abstracts
A comparative study to understand link between protein intake and diet preference across Body Mass Index (BMI) categories in female adolescents belonging to low socio economic group.
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Conference abstracts
An observational retrospective study to understand the co-relation of protein consumption of children aged 7-9 years with respect to their Gender and BMI as childhood malnutrition is known to be associated with non-communicable diseases in later stages of life.
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Conference abstracts
An explanatory study on the doctor friendly interface (Fitterfly doctor’s app). It is a mobile compatible application created for better communication, easier referencing and tracking of patient outcomes.
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Conference abstracts
An observational study assessing the nutrients whose deficit can impair post-surgical healing in children to prevent muscle loss, malnutrition, infection and decreased wound healing.
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Conference abstracts
An observation study to understand Carbohydrate and Fiber consumption among obese and overweight children (5 - 18 years) in order to spread awareness and encourage healthy food choices to prevent the risk of obesity.
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Conference abstracts
An observational study to correlate protein consumption of children (1-17 years) with respect to their BMI according to Indian Academy of Paediatrics growth charts and understand the severity of deficiency.
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Conference abstracts
A survey on school children to provide knowledge regarding the BMI values and classification on gender using Indian Academy of Paediatrics (IAP) Standards and understand the association of health risks at a young age.
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Conference abstracts
A case study on the effect of nutritional management of a rare autosomal disorder (Pyridoxine Dependent Epilepsy)
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Conference abstracts
A comparative study on macro- and micro-nutrient intake among girls and boys aged 1-17 years in order to create awareness about importance of essential nutrients and their role in child’s growth and development.
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Conference abstracts
Technology can be a crucial asset in nutrition care if utilised to practice effectively. Thus the development of Ntuitive software brings perfect combination of nutrition and technology by simplifying the work of multi-tasking nutritionists.
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