A novel approach to assess the effectiveness of medical technological intervention in the management of diabetes mellitus

Sunil Kumar Doddaiah, G. Shwetha, Arun Gopi, M. R. Narayana Murthy, Anil S. Bilimale


Background: Diabetes mellitus is one of the leading diseases in the current scenario due to lifestyle changes it causes premature illness and death across the world. Hence, the current study aimed at studying the effectiveness of medical technological education intervention in the management of diabetes mellitus.

Methods: A quasi-experimental study of 138 diabetes mellitus patients at an urban health Centre, Mysuru was conducted from 1st November 2019 to 31st May 2020, information regarding socio-demographic characteristics was collected in a pre-tested proforma by interview technique and HbA1C levels was collected after taking consent from the study participants. The assessment of the effectiveness of medical technological education intervention was done by considering the improvement in mean HbA1C levels.

Results: The comparison of HbA1C of group A, B and C before and after the educational intervention showed a reduction of mean HbA1C from 7.60% to 6.84% in group A which was significant statistically and in group B it has reduced from 7.30% to 7.14%, however in group C it has increased from 7.71%  to 8.50%.

Conclusions: The medical technological education intervention using the smartphone application is effective when compared to traditional methods. It plays an important role in the management of diabetes mellitus.


Diabetes mellitus, Educational intervention, Smartphone application, Traditional methods

Full Text:



Alouki K, Delisle H, Bermúdez-Tamayo C, Johri M. Lifestyle interventions to prevent type 2 diabetes: a systematic review of economic evaluation studies. J Diabetes Res. 2016;2016.

WHO Factsheet. Diabetes. Available from: Accessed on 23 May 2020.

Merlotti C, Morabito A, Pontiroli AE. Prevention of type 2 diabetes; a systematic review and meta‐analysis of different intervention strategies. Diabetes Obes Metab. 2014;16(8):719-27.

Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. J Educ Health Promot. 2014;3.

Rashed OA. Effect of diabetes education program on type 2 diabetic patients in Tulkarm Directorate of Health. 2012.

Ramachandran A, Snehalatha C, Yamuna A, Mary S, Ping Z. Cost-effectiveness of the interventions in the primary prevention of diabetes among Asian Indians: within-trial results of the Indian Diabetes Prevention Programme (IDPP). Diabetes Care. 2007;30(10):2548-52.

Unick JL, Beavers D, Jakicic JM, Kitabchi AE, Knowler WC, Wadden TA, Wing RR, Look AHEAD Research Group. Effectiveness of lifestyle interventions for individuals with severe obesity and type 2 diabetes: results from the Look AHEAD trial. Diabetes Care. 2011;34(10):2152-7.

Ristau RA, Yang J, White JR. Evaluation and evolution of diabetes mobile applications: key factors for health care professionals seeking to guide patients. Diabetes Spectr. 2013;26(4):211-5.

Pramanik BK, Angelin JJ, Mathai VJ, Mathai S, Korula S, Simon A. Smartphone app as motivational intervention to improve glycemic control in adolescents with type 1 diabetes. Indian J Pediatr. 2019;86(12):1118-23.

Cui M, Wu X, Mao J, Wang X, Nie M. T2DM self-management via smartphone applications: a systematic review and meta-analysis. PloS One. 2016;11(11):e0166718.

Chen L, Pei JH, Kuang J, Chen HM, Chen Z, Li ZW, et al. Effect of lifestyle intervention in patients with type 2 diabetes: a meta-analysis. Metabolism. 2015;64(2):338-47.

Target blood sugar level chart. Available at: Accessed on 20 May 2021.

Normal and Diabetic blood sugar level ranges- Diabetes UK. Available from: Accessed on 23 May 2020.

IDF Diabetes Atlas. 9th edn. 2019. Available from: Accessed on 23 May 2020.

Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia. WHO. Available from: Accessed on 23 May 2020.

Diabetes complications. International Diabetes Federation. Available at: aboutdiabetes/complications. Accessed on 23 May 2020.

Wu Y, Yao X, Vespasiani G, Nicolucci A, Dong Y, Kwong J, et al. Mobile app-based interventions to support diabetes self-management: a systematic review of randomized controlled trials to identify functions associated with glycemic efficacy. JMIR mHealth uHealth. 2017;5(3):e6522.