Five-Year Glycemic Trends in a Remote Diabetes Management Program (RDMP): Contributions of Program Engagement and Evolving Pharmacotherapy Adoption and Adherence

Background: Digital diabetes programs have expanded quickly, but evidence of durable long-term benefit remains limited. In addition, as diabetes treatment guidelines changed to include cardiorenal-protective antihyperglycemics as first-line therapy, the effects of their adoption on glycemic control and program engagement within these programs remain poorly understood. Objective: To characterize longitudinal trends in glycemic control and estimate the extent to which these trends are associated with time-invariant and time-varying domains, among adults with T2D participating in Teladoc Health R

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