Abstract
We read with interest the article by Feng et al, "The Effectiveness of an eHealth Family-Based Intervention Program in Patients With Uncontrolled Type 2 Diabetes Mellitus (T2DM) in the Community Via WeChat: Randomized Controlled Trial," published in this journal. The authors concluded that the eHealth family-based intervention improved glucose control and self-care activities among patients with T2DM by aiding the implementation of interventions to enhance T2DM risk perceptions among family members.
In our observational study focused on metabolic control in patients with type 1 and type 2 diabetes treated with insulin in the Czech Republic and the Slovak Republic, we found a high clinical inertia resulting in a minimal and clinically insignificant difference in the mean HbA1c within 3 years. Thus, we believe any new intervention targeting a long-term stabilized balance between the health carers' therapeutic approach and the corresponding patient response is essential and can lead to substantial positive results.