Digital Self-Management and Health Coaching for Type 2 Diabetes - Impact on Diabetes Clinical and Wellness Indicators

This study is designed to assess the effect of digital self-monitoring platform used with the remote support of a Health coach on clinical outcomes and Diabetes quality of life.

Study design will be an open-label randomized trial of adults with Type 2. Patients are recruited through the Diabetes and Endocrinology Consultants center setting. Upon randomization to the intervention group, study participants will receive three months diabetes health coaching comprising of:

• Two scheduled phone sessions with a Diabetes health coach a month;
• Ongoing dual communication with the coach using digital communication channels such as chat, SMS and emails
• Diabetes education, behavior modification, goal setting and reinforcement. The Dario App will record participant's glucose measurements and additional information captured by the patient such as medication intake, food and physical activity results.

The coach will get access to the patients' App captured information and will intervene ad necessary in the context of the clinical information.

Inclusion criteria

To be eligible to participate in this study, a subject must meet all the following criteria:

• Adults 35 years of age or older
• Diagnosed type 2 Diabetes
• HbA1C test taken less than 2 months ago and is equal to or above 8.5%
• Able to read, write and understand English
• Have supported smartphone (see appendix C for the full smartphone list) with internet package for their service provider
• The subject is able and agrees to sign the informed consent form

Exclusion criteria

• Adults with impaired cognition
• Cohabiting with a participant in the study
• Have an underlying medical condition (such as kidney disease, hemoglobin variants, anemia) that may provide misleading A1C levels
• Subject is critically ill
• Subject has an impairment that prevents him/her from following the study procedures
• Subject is not using medication that may interfere with the blood glucose measurement
• HCT level which are outside Dario BGMS declared range (20%-60%)