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Enhancing the Impact of Individualized Nutrition Therapy with Real-Time Continuous Glucose Monitoring Feedback in Overweight and Obese Individuals with Prediabetes

Enhancing Nutrition Therapy with Glucose Monitoring for Prediabetes

Background and Objectives

Prediabetes increases the risk of serious health issues like type 2 diabetes and heart disease. Early detection and lifestyle education are essential to prevent these complications. This study explored how real-time feedback from continuous glucose monitoring (CGM) can improve individualized nutrition therapy (INT) for overweight or obese individuals with prediabetes.

Methods

Participants (average age: 55 years; average BMI: 31.1 kg/m²) were divided into two groups: a treatment group (15 participants) and a control group (15 participants). Both groups received INT and CGM, but the control group did not see their CGM data until the study ended. Participants were monitored for 30 days, visiting the lab every 10 days for CGM updates and dietary advice.

Results

The treatment group experienced:

  • More time in the target blood glucose range (p = 0.02)
  • Lower average blood glucose levels (p < 0.05)
  • Improved glucose management indicators (p = 0.02)
  • Less variation in blood glucose (p = 0.01)
  • Reduced time spent in high blood glucose ranges (p = 0.04)

These improvements were not seen in the control group.

Conclusions

Integrating CGM feedback with INT significantly improved blood glucose management for overweight or obese individuals with prediabetes.

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