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ORIGINAL ARTICLES
Year : 2021  |  Volume : 12  |  Issue : 2  |  Page : 176-181

Utility of an Internet-based short message service in the care of children and adolescents with type 1 diabetes mellitus


1 Department of Pediatrics, Mehta Multispeciality Hospitals India Private Limited, Chennai, Tamil Nadu, India
2 Department of Pediatric Endocrinology and Diabetes, Mehta Multispeciality Hospitals India Private Limited, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Hemchand Krishna Prasad
Department of Pediatric Endocrinology, Consultant Pediatrician, No 2, Mc Nichols Road, Chetpet, Mehta Multispeciality Hospitals India Pvt Ltd, Chennai 600031, Tamil Nadu.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jod.jod_65_20

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Objective: To evaluate the impact of an internet-based intervention system and a short message service (SMS) using cellular phones on the diabetes care and glycemic control in children and adolescents with type 1 diabetes mellitus (DM). Materials and Methods: Observational study in children with type 1 DM on basal bolus regimen. After administering diabetes care education children were divided in 2 groups, group I received timely SMS on diabetes care and group II did not. At the end of 3 months detailed data of diabetes care was recorded. Analysis was done using Statistical Package for the Social Sciences. Results: In a total of 42 children, group I (21) who received the SMS and group II (21), completed the follow-up period of 3 months were included in the study. There was marginal improvement in glycosylated hemoglobin in group I (from 9.2 ± 1.7 to 8.8 ± 1.2); and a minimal increase observed in group II (from 8.8 ± 1.8 to 9.4 ± 1.9) (P > 0.05). The percentage of capillary blood glucose (CBG) values below and above the target range, mean CBG, frequency of self-monitoring blood glucose, significantly improved compared to the control group (P < 0.05). Conclusion: SMS-based education program lead to a significant improvement in self-monitoring blood glucose frequency, diabetes self-care and marginal increase in glycemic control.


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