Intensive Lifestyle (e)Support to Reverse Diabetes-2

Luuk P.A. Simons, Hanno Pijl, John Verhoef, Hildo J. Lamb, Ben van Ommen, Bas Gerritsen, Maurice B. Bizino, Marieke Snel, Ralph Feenstra, Catholijn M. Jonker

Research output: Chapter in Book/Conference proceedings/Edited volumeConference contributionScientificpeer-review


Advanced diabetes-type-2 patients often have high insulin resistance. Over the years their insulin medication rises, which further increases their insulin resistance and glucose management problems. A HINTc (High Intensity Nutrition, Training & coaching) pilot study was conducted with 11 insulin-dependent patients. Hybrid eHealth support was given, with electronic support plus a multi-disciplinary health support team. Based on preliminary 12 week results, attractiveness and feasibility of the intervention were high: recommendation 9,0 out of 10 and satisfaction 9,1 out of 10. TAM (Technology Acceptance Model) surveys showed high usefulness, feasibility and intentions for future use. Acceptance and health behaviours were also reinforced by the rapid results (average 9% weight loss, 20% lower fasting glucose and 71% lower insulin medication, plus a 46% increase on the Quality of Life Physical Health dimension). Our analysis supports three types of conclusions. First, patients’ health literacy and quality of life improved strongly, both supporting healthier behaviours. Second, a virtuous cycle was started, helping patients reverse diabetes-2 progression. Third, a design analysis was conducted regarding service mix efficacy in relation to key requirements for designing ICT-enabled lifestyle interventions.
Original languageEnglish
Title of host publicationBled 2016 Proceedings
Place of PublicationBled
PublisherAIS Electronic Library
Number of pages14
Publication statusPublished - 28 Oct 2016
EventThe 29th Bled eConference "Digital economy" - Hotel Golf, Bled, Slovenia
Duration: 19 Jun 201622 Jun 2016
Conference number: 29


ConferenceThe 29th Bled eConference "Digital economy"
Internet address


  • Diabetes-2
  • eHealth
  • Lifestyle
  • Monitoring
  • Coaching
  • Blended Care
  • Service design

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