Evidence map›Paper›PMID 39461977›Full record

Observational studyScientific reports2024

One-year outcomes of a digital twin intervention for type 2 diabetes: a retrospective real-world study.

Paramesh Shamanna, Ravi Sankar Erukulapati, Ashutosh Shukla, Lisa Shah, Bree Willis, Mohamed Thajudeen, Rajiv Kovil, Rahul Baxi, Mohsin Wali, Suresh Damodharan and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Digital Twins and Health Care: an Umbrella Review.Journal of medical systems · 2025
    Pooled it
  2. Trial
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  6. Article
  7. Article
  8. Article
  9. Review
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  12. Article
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  14. Article
  15. Multi-scale digital twins for personalized medicine.Frontiers in digital health · 2026
    Review
  16. Article
  17. Article
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Paramesh ShamannaBangalore Diabetes Centre, Bangalore, Karnataka, 560043, India. drparamesh2@gmail.com.
Ravi Sankar ErukulapatiApollo Hospital, Jubilee Hills, Hyderabad, India.
Ashutosh ShuklaMax Hospital & Prana Centre of Integrative Medicine, Gurgaon, Haryana, India.
Lisa ShahTwin Health, Mountain View, CA, USA.
Bree WillisTwin Health, Mountain View, CA, USA.
Mohamed ThajudeenTwin Health, Mohamed Thajudeen, Research Doctor, Chennai, India.
Rajiv KovilDr. Kovil's Diabetes Care Centre, Mumbai, Maharashtra, India.
Rahul BaxiBombay Hospital and Medical Research Centre, Mumbai, India.
Mohsin WaliSir Ganga Ram Hospital, New Delhi, Delhi, India.
Suresh DamodharanHospital and Harvey Speciality Clinic, Coimbatore, India.
Shashank JoshiDepartment of Diabetology and Endocrinology, Lilavati Hospital and Research center, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective observational study, building on prior research that demonstrated the efficacy of the Digital Twin (DT) Precision Treatment Program over shorter follow-up periods​​, aimed to examine glycemic control and reduced anti-diabetic medication use after one-year in a DT commercial program. T2D patients enrolled had adequate hepatic and renal function and no recent cardiovascular events. DT intervention powered by artificial intelligence utilizes precision nutrition, activity, sleep, and deep breathing exercises. Outcome measures included HbA1c change, medication reduction, anthropometrics, insulin markers, and continuous glucose monitoring (CGM) metrics. Of 1985 enrollees, 132 (6.6%) were lost to follow-up, leaving 1853 participants who completed one-year. At one-year, participants exhibited significant reductions in HbA1c [mean change: -1.8% (SD 1.7%), p < 0.001], with 1650 (89.0%) achieving HbA1c below 7%. At baseline, participants were on mean 1.9 (SD 1.4) anti-diabetic medications, which decreased to 0.5 (SD 0.7) at one-year [change: -1.5 (SD 1.3), p < 0.001]. Significant reductions in weight [mean change: -4.8 kg (SD 6.0 kg), p < 0.001], insulin resistance [HOMA2-IR: -0.1 (SD 1.2), p < 0.001], and improvements in β-cell function [HOMA2-B: +21.6 (SD 47.7), p < 0.001] were observed, along with better CGM metrics. These findings suggest that DT intervention could play a vital role in the future of T2D care.

Indexed as

Diabetes Mellitus, Type 2Glycated HemoglobinHypoglycemic AgentsAdultAgedBlood GlucoseBlood Glucose Self-MonitoringFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsArtificial intelligenceDiabetes managementDigital twinInsulin resistanceType 2 diabetes

Identifiers

PMID39461977
PMCPMC11513986

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.