Last updated May 7, 2026
Key finding
In a 6-month randomized trial of 129 adults with uncontrolled type 2 diabetes, a Thai-language self-management app did not lower HbA1c more than standard education alone, although fasting plasma glucose improved in participants younger than 65 years.
This study tested a Thai-language diabetes app with food logging, glucose tracking, medication reminders, exercise tracking, symptom checks, and weight monitoring. Over 6 months, the app did not improve HbA1c more than usual diabetes education, but younger users had lower fasting glucose and app users showed better self-management education scores.
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EvidenceScore™
Moderate
Study type
Randomized Controlled Trials (RCTs)
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
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Study focus
In a 6-month randomized trial of 129 adults with uncontrolled type 2 diabetes, a Thai-language self-management app did not lower HbA1c more than standard education alone, although fasting plasma glucose improved in participants younger than 65 years.
Published in
Publication details and source links for this paper.
Wongdama S, Paemueang W, Sriphrapradang C. A tailor-made mobile app with a local cuisine database for self-management of type 2 diabetes mellitus: randomized controlled trial. JMIR Diabetes. 2025;10:e83685. doi:10.2196/83685
HbA1c ↓ in both groups, with no clear added benefit from the app
Fasting plasma glucose ↓ in participants younger than 65 years using the app
DSMES score ↑ during follow-up in the app group
Evidence network
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This study contributes evidence to Rama Diabetes Care app and Diabetes self-management behaviors, HbA1c.
This study contributes evidence to
Primary intervention
Rama Diabetes Care app
Primary outcomes
Evidence topics
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
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Evidence pairs
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Contributes evidence
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Contributes evidence
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Contributes evidence
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Primary evidence
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Core evidence
The primary outcomes reported in this study.
Rama Diabetes Care app → Diabetes self-management behaviors
Rama Diabetes Care app → Diabetes self-management behaviors
Evidence Library
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These findings apply most directly to adults with uncontrolled type 2 diabetes in outpatient care who can use a smartphone. The results are especially relevant to Thai or similar Asian settings where local food databases may improve the usefulness of nutrition tracking.
The app was tested on top of diabetes self-management education and support, not instead of it. Because both groups received education, the study mainly shows whether the app adds extra benefit beyond usual structured care. The main HbA1c result was not clearly different, and the strongest glucose signal appeared in a younger subgroup.
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Rama Diabetes Care app and HbA1c, Rama Diabetes Care app and Diabetes Management Self-Efficacy.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies on Rama Diabetes Care app
Contributes to Rama Diabetes Care app evidence base.
All studies measuring Diabetes Management Self-Efficacy
Measures Diabetes Management Self-Efficacy as a key outcome.
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3 results
1 results
3 results
3 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Current evidence does not show a clear benefit of Rama Diabetes Care app for HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 79.0 | neutral | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Rama Diabetes Care app may improve Diabetes self-management behaviors.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes self-management behaviors
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | weak positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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