SMS Education for the Promotion of Diabetes Self-Management in Low & Middle Income Countries: A Randomized Controlled Trial in Egypt

Aiming to assess the impact of SMS messages on glycemic control and self-management, we conducted a 12-week RCT at MUST hospital in Cairo-Egypt. Outcomes included change in HbA1c, BG levels, treatment and medication adherence, self-efficacy, and diabetes knowledge. 34 intervention and 39 control patients completed the study. HbA1c did not differ significantly (p = 0.406) between groups but secondary outcomes varied considerably. The effectiveness of SMS over paper-based methods still needs further investigation.