Last updated September 2, 2026
Key finding
WHO-DTSQ scores increased significantly more in group A (P = 0.04).
This study compared the Diabetes Interactive Diary (DID) to standard carbohydrate counting education for managing type 1 diabetes. Both interventions showed similar reductions in HbA1c, but DID resulted in higher satisfaction scores.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study compared the Diabetes Interactive Diary (DID) to standard carbohydrate counting education for managing type 1 diabetes. Both interventions showed similar reductions in HbA1c, but DID resulted in higher satisfaction scores.
These findings highlight the importance of patient engagement tools in diabetes management. While both interventions effectively managed blood sugar levels, the increased satisfaction and quality of life reported by the DID group suggest that interactive tools may enhance treatment adherence and overall well-being for individuals with type 1 diabetes.
The study did not measure long-term effects beyond the intervention period. Sample size and demographics may limit generalizability. Differences in participant engagement levels were not controlled.
Published in
Publication details and source links for this paper.
Maria CR, Antonio N, Paolo DB, et al. Diabetes Interactive Diary vs. Standard Education for Type 1 Diabetes Management: A Randomized Controlled Trial. Diabetes Care. 2010;33(1):109-115. doi:10.2337/dc09-1327
HbA1c reduction was similar in both groups (P = 0.68).
WHO-Diabetes Treatment Satisfaction Questionnaire scores increased significantly more in group A (P = 0.04).
SF-36 scores for Role Physical, General Health, Vitality, and Role Emotional improved significantly more in group A.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Diabetes Interactive Diary (DID) and Body weight, Change in role physical domain of health-related quality of life, Fasting Plasma Glucose (FPG), and 5 more.
This study contributes evidence to
Primary intervention
Diabetes Interactive Diary (DID)
Primary outcomes
Primary intervention
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.
5
Related topics
8
Evidence pairs
1799
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Contributes evidence
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Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Related evidence
Evidence topic
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Core evidence
The primary outcomes reported in this study.
Diabetes Interactive Diary (DID) → Body weight
Diabetes Interactive Diary (DID) → Body weight
Diabetes Interactive Diary (DID) → Change in role physical domain of health-related quality of life
Diabetes Interactive Diary (DID) → Change in role physical domain of health-related quality of life
Diabetes Interactive Diary (DID) → Fasting Plasma Glucose (FPG)
Diabetes Interactive Diary (DID) → Fasting Plasma Glucose (FPG)
Diabetes Interactive Diary (DID) → Improvements in RAND-36 General Health Score
Diabetes Interactive Diary (DID) → Improvements in RAND-36 General Health Score
Diabetes Interactive Diary (DID) → Oxford Maternity Diabetes Treatment Satisfaction (OMDTSQ) score
Diabetes Interactive Diary (DID) → Oxford Maternity Diabetes Treatment Satisfaction (OMDTSQ) score
Diabetes Interactive Diary (DID) → Role limitation due to emotional problems score
Diabetes Interactive Diary (DID) → Role limitation due to emotional problems score
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Interactive Diary (DID) and Body Weight, Diabetes Interactive Diary (DID) and Fasting Glucose.
This study contributes to the evidence on the following intervention-outcome relationships.
Devices & Technology
Devices & Technology
Devices & Technology
Curated evidence collections and hubs this study is part of.
All studies measuring Body Weight
Measures Body Weight as a key outcome.
All studies measuring Change in role physical domain of health-related quality of life
Measures Change in role physical domain of health-related quality of life as a key outcome.
All studies on Diabetes Interactive Diary (DID)
Contributes to Diabetes Interactive Diary (DID) evidence base.
All studies measuring Fasting Glucose
Measures Fasting Glucose as a key outcome.
Jump to pre-filtered views in Evidence Explorer.
1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Interactive Diary (DID) appears to improve change in role physical domain of health-related quality of life.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Change in role physical domain of health-related quality of life
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Diabetes Interactive Diary (DID) appears to improve improvements in rand-36 general health score.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Improvements in RAND-36 General Health Score
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Diabetes Interactive Diary (DID) appears to improve oxford maternity diabetes treatment satisfaction (OMDTSQ) score.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Oxford Maternity Diabetes Treatment Satisfaction (OMDTSQ) score
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Diabetes Interactive Diary (DID) appears to improve role limitation due to emotional problems score.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Role limitation due to emotional problems score
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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