Diabetogia: Using mobile technology to promote sustainable lifestyle change seisped to prevent type 2 diabetes in India and the UK

The randomized controlled trial, conducted in India and the UK, looked at whether SMS could be used to stimulate and educate people to change their lifestyle to prevent type 2 diabetesthe subjects were prediabetes patients (n s 2062; control: n s 1031; intervention: n s 1031) HbA1c s.42 and s.47 mmol/mol (?6.0% and s.6.4%)Participants came from the public and private sectors in India (men and women aged 35-55) and the UK's NHS health screening programme (aged 40-74 with no pre-existing diabetes, cardiovascular or kidney disease)In India, the team was assigned using computer-generated sequences (1:1), while in the Ukemberi, by arranged chunksInvestigators from both countries remained blind throughout the studyAll participants were given advice on a basic healthy lifestyleThe intervention group receives supportive text messages 2-3 times a week via SMSParticipants were assessed at baseline, 6, 12 and 24 monthsThe main results were translated into type 2 diabetes, with secondary results including anthrocometrics, biochemistry, changes in diet and physical activity, blood pressure and quality of lifefollow-up for 2 years (n s 2062; control: n s 1031; intervention: n s 1031), in the intended treatment population, the HR of type 2 diabetes developed using the discrete time scale risk model was 0.89 (95% CI 0.74, 1.07; p s 0.22)There was no significant difference in secondary resultsthe trial, conducted in two countries of different ethnic and cultural backgrounds, showed that lifestyle changes through text messages did not significantly reduce the progression of diabetes within two years