Marina Epriliawati, Dicky L Tahapary, Indah Suci Widyahening, Anitawati Seman, Diana Gunawan, Lyra Puspa, Sukamto Koesnoe, Lilik Fauziyah, Sudarsono, Cut Neubi Getha, Ida Ayu Kshanti, Em Yunir, Tri Juli Edi Tarigan, Pradana Soewondo
{"title":"The impact of health coaching on glycemic control among uncontrolled type 2 diabetes mellitus patients: a randomized controlled trial.","authors":"Marina Epriliawati, Dicky L Tahapary, Indah Suci Widyahening, Anitawati Seman, Diana Gunawan, Lyra Puspa, Sukamto Koesnoe, Lilik Fauziyah, Sudarsono, Cut Neubi Getha, Ida Ayu Kshanti, Em Yunir, Tri Juli Edi Tarigan, Pradana Soewondo","doi":"10.1007/s00592-025-02470-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Health coaching is a potential approach to increase glycemic control by improving diabetes patients' lifestyles. Our study aims to evaluate the impact of health coaching on glycemic control and patients' lifestyle among uncontrolled diabetes patients in Indonesia.</p><p><strong>Methods: </strong>Our study involved 60 uncontrolled T2DM (type 2 diabetes mellitus) patients with HbA1c > 7.5% from two referral hospitals in Jakarta, Indonesia. The control group received T2DM treatment and 12 standardized diabetes education, while the intervention group received an additional 12 personal health coaching sessions. The primary outcome of this study was glycemic control, which was evaluated at baseline, 3rd month, and 6th months after the intervention. Secondary outcomes included diet and physical activities as lifestyle parameters.</p><p><strong>Results: </strong>Our study showed fasting plasma glucose was significantly lower in the intervention group than in the control group (135.46 [38.61] mg/dL vs. 176.59 [62.45] mg/dL, p = 0.006). Moreover, 2-hours Post Prandial Glucose (2hPPG) was also significantly lower in the intervention group (141.42 [53.06] mg/dL vs. 242.11 [117.24] mg/dL, p < 0.001). HbA1c levels had lower values in the intervention group, although it was not significant (7.83% [2.18] vs. 8.87% [2.10], p = 0.054). No significant differences were observed for dietary control and physical activity.</p><p><strong>Conclusions: </strong>At the six-month follow-up, the health coaching program significantly improved the participants' glycemic control (FPG and 2hPPG). In addition to current diabetes care standards, the health coaching method can raise patient awareness, encourage self-care, and improve their ideal glycemic levels.</p>","PeriodicalId":6921,"journal":{"name":"Acta Diabetologica","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Diabetologica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00592-025-02470-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Health coaching is a potential approach to increase glycemic control by improving diabetes patients' lifestyles. Our study aims to evaluate the impact of health coaching on glycemic control and patients' lifestyle among uncontrolled diabetes patients in Indonesia.
Methods: Our study involved 60 uncontrolled T2DM (type 2 diabetes mellitus) patients with HbA1c > 7.5% from two referral hospitals in Jakarta, Indonesia. The control group received T2DM treatment and 12 standardized diabetes education, while the intervention group received an additional 12 personal health coaching sessions. The primary outcome of this study was glycemic control, which was evaluated at baseline, 3rd month, and 6th months after the intervention. Secondary outcomes included diet and physical activities as lifestyle parameters.
Results: Our study showed fasting plasma glucose was significantly lower in the intervention group than in the control group (135.46 [38.61] mg/dL vs. 176.59 [62.45] mg/dL, p = 0.006). Moreover, 2-hours Post Prandial Glucose (2hPPG) was also significantly lower in the intervention group (141.42 [53.06] mg/dL vs. 242.11 [117.24] mg/dL, p < 0.001). HbA1c levels had lower values in the intervention group, although it was not significant (7.83% [2.18] vs. 8.87% [2.10], p = 0.054). No significant differences were observed for dietary control and physical activity.
Conclusions: At the six-month follow-up, the health coaching program significantly improved the participants' glycemic control (FPG and 2hPPG). In addition to current diabetes care standards, the health coaching method can raise patient awareness, encourage self-care, and improve their ideal glycemic levels.
期刊介绍：
Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.
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