Mobile Diabetes Intervention for Glycemic Control in 45- to 64-Year-Old Persons With Type 2 Diabetes.

Abstract
The purpose of this study was to assess effects of a mobile coaching system on glycated hemoglobin HbA1c levels in younger versus older patients over 1 year Participants n 118 included adult patients with Type 2 diabetes cared for by community physicians Intervention patients received mobile phone coaching and individualized web portal Control patients received usual care Patients were stratified into two age groups younger Under55 years and older 55 years The intervention resulted in greater 12 month declines in HbA1c compared with usual care for patients in both age groups p Under 0001 Among older patients HbA1c changed by 1 8 95 confidence interval CI 2 4 1 1 in the intervention group and 0 3 95 CI 0 9 0 3 in the control group Among younger patients HbA1c changed by 2 0 95 CI 2 5 1 5 in the intervention group and 1 0 95 CI 1 6 0 4 in the control group The mobile health intervention was as effective at managing Type 2 diabetes in older adults as younger persons
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