Mobile Health in Diabetes: Efficacy & Cost-Effectiveness
Diabetes mellitus is a chronic metabolic disorder with high global prevalence and considerable risk of long-term complications if glucose levels remain uncontrolled. Mobile health (mHealth) interventions—leveraging smartphones, SMS messaging, and telehealth technologies—offer scalable tools for diabetes self-management, patient engagement, and clinical monitoring. This systematic review and meta-analysis aimed to comprehensively evaluate both the clinical efficacy and cost-effectiveness of mHealth interventions in diabetes care.
Postprandial RFR Predicts Empagliflozin GFR Dip: RENALIS & RACELINES
Glomerular hyperfiltration at the single-nephron level often precedes detectable whole-kidney GFR decline in type 2 diabetes (T2D). Renal functional reserve (RFR), measured as the postprandial GFR increase, may unmask this hidden hyperfiltration. Sodium-glucose co-transporter-2 inhibitors (SGLT2i) like empagliflozin reduce intraglomerular pressure via tubuloglomerular feedback, often causing an initial GFR dip. We hypothesized that lower baseline postprandial RFR predicts greater empagliflozin-induced GFR reduction, but not responses to dipeptidyl-peptidase-4 inhibitor (linagliptin) or sulfonylurea.
Oral Semaglutide and Heart Failure Outcomes in Type 2 Diabetes: Secondary Analysis of the SOUL Trial
Heart failure (HF) represents a prevalent and prognostically important complication in individuals with type 2 diabetes (T2D), contributing substantially to morbidity and mortality. Although glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have shown cardiovascular benefit in T2D, the impact of the once-daily oral semaglutide formulation on HF outcomes has not been fully characterized. The SOUL trial was a multinational, randomized, double-blind, placebo-controlled cardiovascular outcomes study in adults with T2D and atherosclerotic cardiovascular disease (ASCVD) and/or chronic kidney disease (CKD), originally designed to assess major adverse cardiovascular events (MACE). This secondary analysis evaluates the effect of oral semaglutide on HF outcomes according to HF status at baseline.
Prof GIUSEPPE MANCIA
Prof. Enrico Agabiti Rosei at ESH 2019 Milan part 1
Prof. Enrico Agabiti Rosei at ESH 2019 Milan part 2
Professor Dame Anna Dominiczak at ESH 2019 Milan
