India Diabetes Research Foundation and Dr. A. Ramachandran's Diabetes Hospitals, Chennai, India.
India Diabetes Research Foundation and Dr. A. Ramachandran's Diabetes Hospitals, Chennai, India.
Diabetes Res Clin Pract. 2019 Dec;158:107919. doi: 10.1016/j.diabres.2019.107919. Epub 2019 Nov 8.
The aim of the study was to evaluate the effect of text messaging as a tool to improve glycaemic control among newly diagnosed T2D patients in a 2 year period.
This is a multicentric, randomised controlled trial conducted in 2 states of India. The primary outcome was improvement in glycaemia measured by an HbA1c value of ≤7% (53 mmol/mol) with intervention. The secondary outcomes were changes in biochemical, dietary parameters and physical activity. Acceptability of text messages was assessed. Persons having HbA1c value of ≥6.5% (48 mmol/mol) at diagnosis were enrolled. A total of 248 participants with a mean age of 43.3 ± 8.7 years were recruited. Participants in the control group (n = 122) received standard care, the intervention group (n = 126) received customized text messages thrice a week. Both groups received personal advice at the beginning of the study.
Baseline characteristics were similar in both groups. At 24 months, both groups showed significant reduction in blood pressure and glycaemic variables in comparison to the baseline values. The intervention group showed significant lowering of LDLc also. Multivariate analysis showed that reduction in HbA1c was associated with intervention.
Text messaging can lead to improvement in glycaemic control through personal empowerment and sustained behavioural changes.
本研究旨在评估在 2 年内通过短信作为工具改善新诊断 2 型糖尿病患者血糖控制的效果。
这是一项在印度两个邦进行的多中心、随机对照试验。主要结局是通过干预使糖化血红蛋白（HbA1c）值≤7%（53mmol/mol）来改善血糖。次要结局是生化、饮食参数和体力活动的变化。评估短信的可接受性。在诊断时 HbA1c 值≥6.5%（48mmol/mol）的患者被纳入。共招募了 248 名平均年龄为 43.3±8.7 岁的参与者。对照组（n=122）接受标准护理，干预组（n=126）接受每周 3 次的定制短信。两组均在研究开始时接受个人建议。
两组的基线特征相似。在 24 个月时，与基线值相比，两组的血压和血糖变量均显著降低。干预组的 LDLc 也显著降低。多变量分析显示，HbA1c 的降低与干预有关。
短信可以通过个人赋权和持续的行为改变来改善血糖控制。
