Summary:
In adults in China with uncontrolled type 2 diabetes (T2D) and comorbid cardiovascular disease (CVD) risk factors, a mobile message-based intervention (6 texts per week for 12 months) significantly improved glycemic control (HbA1c) and modestly lowered systolic blood pressure (SBP) compared to usual care alone, though it was associated with only modest net differences and no major side effects reported.
| PICO | Description |
|---|---|
| Population | Adults with uncontrolled type 2 diabetes (mean HbA1c 10.2%) and cardiovascular risk factors, recruited from 5 clinical centers in China. |
| Intervention | Mobile message-based intervention involving 6 motivational and behavioral reminder texts per week over a period of 12 months. |
| Comparison | Usual care without mobile message-based support. |
| Outcome | Net improvement in HbA1c (-0.3%, 95% CI -0.5% to -0.0%), SBP (-2.4 mm Hg, 95% CI -4.3 to -0.4 mm Hg); no meaningful difference in LDL-C. More participants achieved controlled HbA1c at 12 months in the intervention group (54.0%) vs control (46.1%, P = .04). |
Source: Pei-Zhen Zhang, et al. “Mobile App-Based Intervention and Cardiovascular Risk Factors in Patients With Uncontrolled Type 2 Diabetes: A Randomized Clinical Trial.” Read article here.
