We've got a similar app in development at the moment, although I would say their evaluations are, to put it mildly, somewhat overly generous
I guess the point I'd make is that no one is arguing that spending many thousands of dollars a year on each individual with diabetes can be effective in making them lose weight/improve HbA1c, but to do so we'd either have to shut down hospitals or enormously increase health spend
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It ~might~ be cost-effective, but probably only for people who are already quite sick. We're currently designing a similar intervention, but it's only going to be for people who meet fairly stringent eligibility criteria
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I find it hard to believe that reversing diabetes in 50% of the patients would be more expensive than supplying them with ongoing care and medications. The intervention in its basic form is not expensive at all.
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