Resumen de Investigación
Analyzed using Evidence Intelligence™

SMS Program Improves Transition from Insulin to GLP-1 RA in Diabetes

Última actualización 8 de julio de 2026

Key finding

Insulin lowered by ≥50% in 55/72 (76.39%) patients.

This pilot study evaluated a mobile insulin titration intervention for transitioning patients with Type 2 Diabetes from basal insulin to GLP-1 receptor agonists, showing promising outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

Guarda este estudio en tu Evidence Tracker para encontrarlo facilmente cuando lo necesites.

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This pilot study evaluated a mobile insulin titration intervention for transitioning patients with Type 2 Diabetes from basal insulin to GLP-1 receptor agonists, showing promising outcomes.

Clinical relevance

This study highlights the potential of mobile health interventions in managing Type 2 Diabetes, particularly in transitioning patients to more effective treatments. By reducing reliance on insulin and promoting GLP-1 receptor agonists, it may enhance patient outcomes and adherence to treatment.

Keep in mind

Non-randomized study design limits causal inference. Small sample size may affect generalizability. Lack of long-term follow-up data.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Natalie L, Katie N, Sherlane B, et al. A Mobile Insulin Titration Intervention Using SMS Text Messaging to Transition Patients with Type 2 Diabetes from Basal Insulin to GLP-1 Receptor Agonists: A Pilot Study. JMIR Formative Research. 2026;10:e76993. doi:10.2196/76993

Efectos Principales

Insulin was reduced by at least 50% in 55 out of 72 patients (76.39%).

Insulin was completely stopped in 45 out of 72 patients (62.50%).

GLP-1 RA dose was increased by at least one level in 64 out of 72 patients (88.89%).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to GLP-1 receptor agonists and Hyperglycemia events, Percentage of SMS text message responses reporting hypoglycemia (<80 mg/dL), Percentage of patients discharged on maximum GLP-1 RA dose, and 3 more.

Primary intervention

GLP-1 receptor agonists

Primary outcomes

  • Hyperglycemia events
  • Percentage of SMS text message responses reporting hypoglycemia (<80 mg/dL)
  • Percentage of patients discharged on maximum GLP-1 RA dose

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

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.

Moderate contributionModerate confidenceNetwork score: 69

2

Related topics

6

Evidence pairs

136

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Agrega evidencia relacionada a tu Evidence Tracker

Guarda estudios y paginas de evidencia, organiza tu Evidence Tracker y manten en un solo lugar la investigacion que te importa.

Evidencia principal

Tema de evidencia

Adverse Events and Safety

matched_intervention_and_outcome

Evidencia relacionada

Tema de evidencia

GLP-1 Receptor Agonists

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Hyperglycemia events

GLP-1 receptor agonists → Hyperglycemia events

GLP-1 receptor agonists → Hyperglycemia events

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage of patients discharged on maximum GLP-1 RA dose

GLP-1 receptor agonists → Percentage of patients discharged on maximum GLP-1 RA dose

GLP-1 receptor agonists → Percentage of patients discharged on maximum GLP-1 RA dose

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage of patients with GLP-1 RA dose increased by at least one level

GLP-1 receptor agonists → Percentage of patients with GLP-1 RA dose increased by at least one level

GLP-1 receptor agonists → Percentage of patients with GLP-1 RA dose increased by at least one level

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage of patients with insulin dose reduction by at least 50%

GLP-1 receptor agonists → Percentage of patients with insulin dose reduction by at least 50%

GLP-1 receptor agonists → Percentage of patients with insulin dose reduction by at least 50%

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage of patients with insulin stopped completely

GLP-1 receptor agonists → Percentage of patients with insulin stopped completely

GLP-1 receptor agonists → Percentage of patients with insulin stopped completely

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage of SMS text message responses reporting hypoglycemia (<80 mg/dL)

GLP-1 receptor agonists → Percentage of SMS text message responses reporting hypoglycemia (<80 mg/dL)

GLP-1 receptor agonists → Percentage of SMS text message responses reporting hypoglycemia (<80 mg/dL)

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Build your personal Evidence Workspace

Create a free account to save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

evidence suggest

La Evidencia Sugiere

  • 76% of patients reduced insulin by at least 50%.
  • 63% of patients stopped insulin completely.
  • 89% of patients increased GLP-1 RA dosing.
who this applies

A quién se aplica

  • Adults with Type 2 Diabetes.
  • Patients currently using basal insulin.
keep in mind

Tener en Cuenta

  • Results may not be applicable to all diabetes populations.
  • The intervention's effectiveness over a longer period is unknown.
  • Further studies are needed to confirm findings and assess safety.
between the lines

Entre Líneas

  • Non-randomized study design limits causal inference.
  • Small sample size may affect generalizability.
  • Lack of long-term follow-up data.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on GLP-1 Receptor Agonists and Percentage of patients with GLP-1 RA dose increased by at least one level, GLP-1 Receptor Agonists and Hyperglycemia events.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Explora más en el archivo de evidencia

Jump to pre-filtered views in the evidence archive.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does GLP-1 receptor agonists improve percentage of patients discharged on maximum glp-1 ra dose?

Emerging Evidence

GLP-1 receptor agonists appears to improve Percentage of patients discharged on maximum GLP-1 RA dose.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of patients discharged on maximum GLP-1 RA dose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does GLP-1 receptor agonists improve percentage of patients with glp-1 ra dose increased by at least one level?

Emerging Evidence

GLP-1 receptor agonists appears to improve Percentage of patients with GLP-1 RA dose increased by at least one level.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of patients with GLP-1 RA dose increased by at least one level

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does GLP-1 receptor agonists improve percentage of patients with insulin dose reduction by at least 50%?

Emerging Evidence

GLP-1 receptor agonists appears to improve Percentage of patients with insulin dose reduction by at least 50%.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of patients with insulin dose reduction by at least 50%

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does GLP-1 receptor agonists improve percentage of patients with insulin stopped completely?

Emerging Evidence

GLP-1 receptor agonists appears to improve Percentage of patients with insulin stopped completely.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of patients with insulin stopped completely

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, archive views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.