LEAD THE WAY IN
TRANSFORMING diabetes CARE

Patient 1 is a 57-year old Chinese male patient who has had  type 2 diabetes for 17 years.  Prior to starting the Beta Test, he was "dissatisfied" with his diabetes management and felt he had "problems motivating myself and did not have enough support".

Weight has always been as issue for him (starting weight 90.4kg, BMI 31.2) and he was keen to try something different to help with weight loss and improve his diabetic management.   Prior to starting SugoSure he monitored blood glucose only occasionally.

Patient 1 started the Beta Test with HbA1c of 7.4% managed with Diamicron,  Janumet and Jardiance.  At the start his blood glucose readings were erratic with variability of more than 20%. Fasting blood glucose readings ranged from 5.7 to 7.7 mmol/L and pre-dinner readings from 7.3 to 11.8mmol/L. He managed less than 5000 steps daily and ate at hawker stalls for most meals.

With feedback through the SugoSure app, health coach advice and support he changed his lifestyle radically. He increased his daily steps to consistently above 10,000 with a two-week average at end Beta Test of  15,366.  Through a better understanding of portion sizes, more thoughtful food choices from hawker stalls and more home cooking he significantly improved his diet.  As a result of these changes he lost weight steadily with a total loss of 5.3kg after 3 months.

Blood glucose patterns also stabilized  with much reduced variability.  This was reflected in a significant HBA1c drop by 1.4% to 6.0% after 3 months.

In his formal interview and feedback survey, Patient 1 "strongly agreed" that he enjoyed using the app. He found his health coach key to SugoSure – "she gives a morale booster" and also felt that the insights provided by his health coach to his doctor "made a difference in my management."

‍"My doctor has encouraged me to actively manage my diabetes for many years but I didn’t know where to start. I am well aware of the complications of unmanaged diabetes and that is stressful. Now with SugoSure I have the tools and support to get things under control.  I am more conscious of what I need to do and make a concerted effort to try and reach my goals."

Patient 2 is a 39 year-old Indian male patient with a 3 year history of T2DM.  Prior to starting SugoSure his HbA1c had recently worsened from 7.8% to 8.3%.  Starting weight 83.0kg, BMI 30.9 Rx Glucophage XR 1000mg OM.  Prior to starting SugoSure he did not monitor blood glucose at all and did not own a glucometer.

In his 2-week Baseline Assessment, Patient 2 had persistently high fasting BG and pre-dinner readings (ranging from 7.1mmol/L to 9.5mmol/L and 5.9mmol/L to 9.6mmol/L respectively with 14% variability) which his physician subsequently tracked closely through regular Remote Reviews.

Patient 2 was moderately active with an average of 5121 steps daily at SugoSure start. Compliance with food logging at the start was poor so it was hard to evaluate his diet.  As a result of remote monitoring data and health coach input, his physician called the patient in early (in his 8th week of SugoSure use) to increase his dosage of Glucophage XR to 1500mg OM.

His health coach continued to work with him through the SugoSure Patient App to motivate and address poor compliance with food logging.  This gradually improved, allowing closer dietary advice and eventually referral to a dietician specialized in Indian diets.

After 3 months of SugoSure use Patient 2"s HbA1c dropped to 7.3%, his average daily steps increased to 7672 and his diet had improved somewhat due to increased patient focus through food logging.  He lost 0.8kg to reach 82.2kg (BMI 30.6) after 3 months.

Patient 2 has continued to use SugoSure and is now in his 8th month of SugoSure use.  He has sustained his gradual lifestyle changes and has reached his glycaemic control targets (latest HbA1c 6.7%).

On interview, patient 2 felt that SugoSure "has improved my health and diabetic control…my HBA1c has improved, my activity has increased, I am monitoring more and I have a healthier diet".

Additionally, he liked the blood glucose tracking enabled by SugoSure and found physician consultations to be more interactive "…we have more to discuss about my diabetes"

‍“My understanding has improved in all aspects…I try to walk 10,000 steps daily, think more about my food choices and check my weight frequently”.  

Patient 3 is a 37 year old Chinese male diagnosed with T2DM 6 months prior to SS Beta Test. His HbA1c was 11.7% on diagnosis which was rapidly controlled with Janumet XR 100mg/1000mg ON and Diamicron 60mg MR OM.

By November 2019 (start of the Beta Test) his HbA1c had dropped to 6.5%.  This value was also set by his physician as an ongoing target for Intensive glycaemic control in view of the patient’s age and recent diagnosis.  Start weight 55.2kg, BMI 21.0

Patient 3 had no structured patient education as a newly diagnosed diabetic other than from his doctor and his practice nurse.  Most of his understanding about diabetes was therefore gained through self-research through internet searches. He was already familiar with the principles of blood glucose monitoring and took BG readings once or twice a week.

Within the first 2 weeks of starting SugoSure, Patient 3 recorded 2 episodes of asymptomatic pre-dinner hypoglycaemia.  In all cases of hypoglycaemia logged, the patient’s physician and health coach are alerted when the log is received.  SugoSure’s protocols require the health coach to  call the patient soon after the alert to ensure correct treatment of the hypo and education.

Following a third hypo in his 3rd week using SugoSure (and relevant inputs from the health coach) his physician adjusted medication, reducing his Diamicron to 30mg MR OM.

The value of SugoSure in identifying a problem early, therefore allowing faster resolution, is clear from this case since the patient experienced no symptoms related to hypoglycaemia.  Following medication adjustment, Patient 3’s glycaemic control stabilized with a 3-month HbA1c of 6.4%.

His health coach continued to work with him primarily on diet, in addition to hypo management.  The patient found this very valuable in helping him gain the practical knowledge he needs.  He is now in his 8th month of SugoSure usage and his glycaemic control has remained excellent.  

‍“After a potentially high sugar lunch, I measure my pre-dinner BG to check the effects of my lunch on this BG reading. This helps me learn what to avoid in the future to keep things under control. It has been very helpful to understand this.”