Eficacia de la terapéutica digital móvil para mejorar el control glucémico en pacientes con diabetes mellitus tipo 2. Revisión sistemática

• Jesús Sánchez Lozano ^[1] ; Sandra Martínez Pizarro ^[2]
  1. [1] Centro de Fisioterapia Fisalde.
  2. [2] Servicio Andaluz de salud, Granada.
• Localización: Nuberos científica, ISSN-e 2173-822X, Vol. 7, Nº. 41, 2025, págs. 91-99
• Idioma: español
• DOI: 10.58798/NC.2025.42.54.010
• Títulos paralelos:
  • Effectiveness of mobile digital therapeutics to improve glycemic control in patients with type 2 diabetes mellitus. Systematic review
• Enlaces
  • Texto completo
• Resumen
  • español

    Introducción: La diabetes tipo 2 es un trastorno metabólico caracterizado por hiperglucemia en el contexto de resistencia a la insulina. Se estima que 415 millones de personas presentan diabetes a nivel mundial. Recientemente se ha desarrollado la terapéutica digital móvil con múltiples herramientas y aplicaciones para ayudar a los pacientes a elegir sabiamente y mejorar la adherencia al autocontrol de la enfermedad. El objetivo de este trabajo fue analizar la eficacia de la terapéutica digital móvil para mejorar el control glucémico en pacientes con diabetes mellitus tipo 2.

    Método: Se realizó una revisión sistemática de los últimos diez años (2014-2024) siguiendo la metodología PRISMA. Se consultaron las bases de datos de PubMed, CINAHL, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, Cochrane Library, SciELO, y Web Of Science (WOS).

    Resultados: Se obtuvieron 132 estudios de las bases de datos. Tras eliminar los duplicados y aplicar los criterios de inclusión quedaron 6 ensayos. La muestra fue de 1.527 pacientes. La duración del tratamiento osciló entre 12 y 52 semanas. Todos mostraron seguridad, tolerabilidad y no se produjeron importantes efectos secundarios.

    Conclusiones: La terapéutica digital móvil es eficaz para mejorar el control glucémico en pacientes con diabetes mellitus tipo 2 medido a través de los niveles de hemoglobina glicosilada. Además, también mejora la autoeficacia en diabetes, la depresión, la actividad física medida con el número diario de pasos, la calidad de vida, la presión arterial, la glucosa en ayunas, la satisfacción y la motivación para la adherencia a la medicación.

  • English

    Introduction: Type 2 diabetes is a metabolic disorder characterized by hyperglycemia in the context of insulin resistance. An estimated 415 million people worldwide have diabetes. Mobile digital therapeutics have recently been developed with multiple tools and applications to help patients choose wisely and improve adherence to self-management of the disease.

    The objective of this study was to analyze the effectiveness of mobile digital therapeutics in improving glycemic control in patients with type 2 diabetes mellitus.

    Method: A systematic review of the last ten years (2014-2024) was carried out following the PRISMA guidelines. The PubMed, CINAHL, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, Cochrane Library, SciELO, and Web Of Science (WOS) databases were consulted.

    Results: 132 studies were retrieved from the databases. After eliminating duplicates and applying the inclusion criteria, six trials remained. The sample consisted of 1,527 patients. Treatment duration ranged from 12 to 52 weeks. All trials demonstrated safety and tolerability, and there were no major side effects.

    Conclusions: Mobile digital therapeutics are effective in improving glycemic control in patients with type 2 diabetes mellitus, measured through glycated hemoglobin levels. Furthermore, they also improve diabetes self-efficacy, depression, physical activity measured by daily step count, quality of life, blood pressure, fasting glucose, satisfaction, and motivation for medication adherence.

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