Global perspectives on diabetes

Young woman using smartphone on park bench with CGM device on arm

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Managing glucose levels requires more than occasional advice or isolated interventions. For a person living with insulin resistance, prediabetes, or type 2 diabetes, long-term support is essential. Over the past two years, Mexico has implemented a digital lifestyle programme called “Journey to Healthy Glucose,” offering insights into how care can be delivered in a more continuous, personalised and accessible way. People with diabetes are supported through a combination of education, monitoring, low-glycaemic-impact meal planning, strength training, and ongoing communication.

About the programme

The Journey to Healthy Glucose programme was developed as a person-centred, education-based model that reflects real-life clinical practice. It focuses on integrating care into daily routines rather than limiting support to clinic visits. People with diabetes receive support through a combination of education, monitoring, and ongoing communication, allowing care to extend beyond traditional healthcare settings.

A key principle of the programme is that monitoring should support understanding rather than enforce control. As described, “monitoring is used as an educational tool, not as a control,” helping people make informed decisions about their glucose levels in everyday life.

How the digital care model works

The programme integrates multiple features into a single app, streamlining access to education, tracking, feedback, monitoring, and communication. It also features a nutrition plan, a strength-training plan, physical activity guidance, educational videos, glucose monitoring, and comprehensive health tracking, with weekly check-ins. Healthcare professionals and certified diabetes educators can access the data to track progress and identify challenges. This flexible approach allows quarterly updates and personalised recommendations, helping reduce fragmentation and maintain consistent care as participant needs change.

Monitoring is used as an educational tool, not as a control, helping people make informed decisions about their glucose levels in everyday life.

Key lessons from real-world implementation

After two years of implementation, several important lessons emerged. One of the most significant is the need to adapt education to each person’s daily reality. While data contributes immensely to guiding decisions, meaningful change often depends on human connection and understanding individual circumstances.

Sustained improvement in glucose management requires consistent engagement. Close follow-up and personalised support are more effective than isolated interventions, with individuals more likely to make long-term changes when care feels supportive and respectful.

This is reflected in the principle that “people change when they feel support, not control… when they feel safe, not judged.” Such an approach encourages trust and promotes lasting behavioural change.

Why integration matters in glucose care

The success of this programme does not depend on a single tool or platform. Instead, it reflects the combined effect of multiple elements working together. Education, technology, structured follow-up, and person-centred care all contribute to improved outcomes.

When these components are integrated, care becomes more practical and easier to sustain. Individuals can apply what they learn in real-life situations, while healthcare professionals can provide more targeted and timely support.

What this means for people living with glucose-related conditions

For a person living with insulin resistance, prediabetes and diabetes, this approach offers a more supportive and realistic model of care. It emphasises continuous guidance rather than episodic intervention, helping individuals build confidence in managing their health.

This model also highlights the importance of feeling supported within care systems. When individuals are engaged, informed, and respected, they are more likely to adopt and maintain healthier behaviours over time.

Digital lifestyle programmes such as “Journey to Healthy Glucose” show how glucose care can be improved through integration, education, and ongoing support. By combining technology with human connection, it is possible to create care models that are both effective and sustainable.

As digital health continues to evolve, approaches that prioritise person-centred care and practical application will become more central in supporting people living with glucose-related conditions.

 

Justine Evans is Content Editor at the International Diabetes Federation

 

Tere Cárdenas is a nutritionist and diabetes educator from Mexico. She is a Fellow of the International Diabetes Federation.


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