Method: Forty-five diabetic patients being assessed pre and post intervention were used to assess the effectiveness of the intervention. Participants were requested to input the FBS and 2 hours post-prandial blood sugar everyday in http://www.biodang.com by cellular phone or wire internet. The goal of the process was to lower glycosylated hemoglobin and keep diabetes adherence. The process was applied for 12 weeks. The ongoing experiment consisted of continuous informational output and reinforcement of diet, exercise, medication adjustment, as well as frequent self-monitoring of blood glucose levels. The intervention was given out weekly by SMS of cellular phone and wire internet. All necessary medication adjustments were communicated to the participants' doctors. Glycosylated hemoglobin and diabetes adherence were measured before and after the experiment.

Results: Patients in the intervention had a mean decrease of 1.1% in glycosylated hemoglobin level after 12 weeks. The intervention patients had a mean increase of oral medication use, exercise, and foot care adherence.

Conclusion: These finding indicate that a nurse SMS of cellular phone intervention can improve glycosylated hemoglobin, and oral medication use, exercise, and foot care adherence.

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Sigma Theta Tau International
July 21, 2004