• 1. College of Public Health of Lanzhou University, Lanzhou, 73000, P.R.China;
  • 2. Evidence Based Medicine Center of Lanzhou University, Lanzhou, 73000, P.R.China;
  • 3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, 73000, P.R.China;
HAN Xuemei, Email: xmhan@lzu.edu.cn
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Objective  To systematically review the efficacy of short message intervention on glycosylated hemoglobin (HbAlc) and blood glucose levels on patients with type 2 diabetes mellitus. Methods  We electronically searched databases including PubMed, EMbase, The Cochrane Library, CNKI and CBM from inception to August 2016, to collect randomized controlled trials (RCTs) about short message intervention in type 2 diabetes mellitus patients. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed using Stata 12.0 software. Results  A total of 17 RCTs involving 2 879 patients were included. The results of meta-analysis showed that, on the basis of basic treatment, the use of text messages could lower the levels of HbA1c (SMD3 months=–0.50, 95%CI –0.67 to –0.34, P<0.001; SMD6 months=–0.33, 95%CI –0.59 to –0.07, P=0.012), FBG (SMD3 months=–0.28, 95%CI –0.45 to –0.11, P=0.001; SMD9 months=–0.99, 95%CI –1.44 to –0.54, P<0.001), PBG (SMD3 months=–0.99, 95%CI –1.54 to –0.44, P<0.001; SMD6 months=–0.81, 95%CI –1.25 to –0.36, P<0.001; SMD9 months=–0.78, 95%CI –1.23 to –0.34, P=0.001). Conclusion  The current evidence shows that the use of SMS can improve glycosylated hemoglobin and blood glucose levels on type 2 diabetes patients. Due to limited quality and quantity of the included studies, the above conclusions are needed to be verified by more high quality studies.

Citation: PAN Jiaxue, LI Yanan, YU Juan, ZHANG Xu, TIAN Jinhui, HAN Xuemei. Effects of short message intervention on glycosylated hemoglobin and blood glucose levels on patients with type 2 diabetes mellitus: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2017, 17(10): 1158-1166. doi: 10.7507/1672-2531.201702056 Copy

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