Bassam Bin Abbas
King Faisal Specialist Hospital
Saudi Arabia
Title: The impact of diabetes education on competency and diabetes control in type 1 Diabetes
Biography
Biography: Bassam Bin Abbas
Abstract
Several studies showed that mobile phone short message service (SMS) can improve glycemic control in diabetic patients. The aim of this study is to test the effect of mobilephone short messages on glycemic control in children and adolescents with type 1diabetes.Two hundred children with type 1 diabetes (11 years +5.5) were randomly selected at the Security Forces Hospital. Hemoglobin A1C level, frequency of hypoglycemic andhyperglycemic attacks, frequency of diabetic ketoacidosis, frequency of missing insulininjection, and compliance with blood glucose monitoring were monitored and recordedfor 6 months. Then the same group of children was provided with daily educational,interactive, reminding SMS messages for another 6 months. All previously mentionedparameters were monitored again while children receiving the SMS messages.At the end of the 6 months of SMS delivery, fasting blood glucose level improved from150.4mg/dl + 67.1 to 132.7mg/dl + 66.5, post prandial blood glucose level from191.1mg/dl + 79.4 to 180.8 mg/dl + 66.9, HbA1C from 10% + 2 to 9.5% + 1.8, frequencyof simple hypoglycemic attacks per week from 0.8 + 1.2 to 0.6 + 0.9, frequency of bloodglucose monitoring per day from 1.9 + 1.1 to 3.2 + 1.0. In addition to significantimprovement in parent's knowledge testing score.We concluded that mobile phone text messaging offered a means of contact betweenclinic visits and increased the adherence with diabetes therapy and improved the clinicaloutcome in children and adolescents with type 1 diabetes.