•  
  •  
 

Document Type

Conference Proceedings

Abstract

Objective: Using the PICO framework, this scoping review explores the question: In adults with type 2 diabetes mellitus using insulin therapy (P), does the use of technology-based reminders (I), compared with usual self-monitoring practices (C), improve glycemic control as measured by Hemoglobin A1c (O) ? The objective was to collect and synthesize available evidence on the use of technology-based reminders to enhance adherence to self-monitoring of blood glucose (SMBG). Methods: A comprehensive literature search was conducted in MEDLINE, CINAHL, and Cochrane Library for peer-reviewed studies published in English between 2020-2025. Boolean operators and MeSH terms were developed with librarian assistance. Eligible studies included adults with type 2 diabetes using insulin therapy and excluded studies involving type 1, pediatrics, or gestational diabetes, and continuous glucose monitoring (CGM). One reviewer independently screened, selected, and charter the data using Cochrane extraction methods. Risk of bias assessment was not performed given the exploratory nature of a scoping review. Results: Four studies (three randomized controlled trials, one secondary analysis) met inclusion criteria. Interventions included SMS/text reminders, mobile health apps, and automated digital prompts. All studies demonstrated Hemoglobin A1c improvement (0.3 – 1.0% reduction) and two reported increased SMBG frequency, one statistically significant (p = 0.003). Conclusion: Technology-based reminders positively influence SMBG adherence and glycemic outcomes among adults with type 2 diabetes. Although evidence remains limited, such interventions offer a low-cost, sustainable approach for patients who lack access to CGM technology. Further implementation of research focused on insulin-treated populations is warranted.

Download

Share

COinS