Effectiveness of diabetes education via mobile application (t-manis) in improving glycemic control among patients with Type 2 Diabetes
https://doi.org/10.15605/jafes.041.S1
- Author:
Tean Chooi Fun
1
;
Khaw Chong Hui
1
;
Ijaz binti Hallaj Rahmatullah
2
;
Lim Phei Ching
1
;
Lok Jin Lyn
1
;
Song Li Bin
3
;
Ye Xiaoyan
3
Author Information
1. Department of Endocrinology, Hospital Pulau Pinang
2. Department of Endocrinology, Hospital Raja Permaisuri Bainun
3. Fuzhou Comvee Network & Technology Co. Ltd., Fujian Province, China
- Publication Type:Journal Article
- MeSH:
Diabetes Mellitus, Type 2;
Glycemic Control;
Mobile Applications;
Pangolins
- From:
Journal of the ASEAN Federation of Endocrine Societies
2026;41(S1):8-
- CountryPhilippines
- Language:English
-
Abstract:
Introduction:Current education on diabetes self-management is time-consuming as it is conducted face-to-face. This study aimed to
evaluate the effectiveness of diabetes education via mobile application on hemoglobin A1c (HbA1c).
Methodology:This was a double-blinded randomized controlled study conducted in the Department of Endocrinology, Hospital Pulau
Pinang and Hospital Raja Permaisuri Bainun. Participants were stratified randomized according to HbA1c to intervention
group (using T-Manis) and control group. The primary objective was to assess the difference in HbA1c between the groups.
Secondary objectives were to assess the difference in body weight, hospitalization related to diabetes, diabetes knowledge
between groups and usability and satisfaction of T-Manis. Laboratory investigations and questionnaires were conducted
at baseline, 4 months and 8 months.
Results:A total of 112 participants were randomized into two groups each with 56 participants. Mean age was 51 years with similar
diabetes duration of 16 years in both groups. Participants comprised of 61.6% females with ethnic distribution of 49.1%
Malay, 30.4% Chinese, 19.6% Indian and 0.9% Siamese. Baseline HbA1c levels were comparable between intervention
and control groups (10.04% versus 9.91%; mean difference 0.13%; 95% CI −0.56 to 0.81; p = 0.718). At 4 months, HbA1c of
the intervention group demonstrated a significant reduction compared to the control group (8.93% versus 9.80%; mean
difference −0.86; 95% CI −1.59 to −0.14; p = 0.02). Sustained reduction of HbA1c in the intervention group was observed
at 8 months (mean difference −1.01; 95% CI −1.85 to −0.16; p = 0.02). Baseline body weight was 77 kg, with no betweengroup differences in body weight, hospitalization related to diabetes and diabetes knowledge scores, although diabetes
knowledge scores improved at 4 months in the intervention group. 89.3% of participants reported satisfaction with T-Manis
Conclusion:The T-Manis mobile application aided in significantly improving glycemic control with high user satisfaction, supporting
its feasibility as an adjunct to standard diabetes care.
- Full text:202607280959162663BP_A002.pdf