Virta results are fantastic, and have been replicated in RCTs and by others. I don't think you should say that. Its more about the mode of treatment than an app. It depends what treatment strategy the app supports mostly, but support is required because of need to reduce drugs.
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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I mean, Virta is an extremely expensive private example, but even your generic intensive lifestyle modification intervention is pretty pricey - you need intensive, ongoing support for patients from multiple clinicians as well as a whole heap of devices
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