Research Summary
Analyzed using Evidence Intelligence™

Mobile App Improves Glycemic Control in Type 2 Diabetes

Last updated July 18, 2026

Key finding

Among participants aged <65 years, FPG at 6 months was significantly lower in the intervention group (mean difference -29.3 mg/dL; P = .03).

This study evaluated the effectiveness of the Rama Diabetes Care app for managing uncontrolled Type 2 diabetes in adults. While some improvements were noted, not all findings were statistically significant.

Quick read

Study at a glance

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

What this paper says

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

Study focus

This study evaluated the effectiveness of the Rama Diabetes Care app for managing uncontrolled Type 2 diabetes in adults. While some improvements were noted, not all findings were statistically significant.

Clinical relevance

Understanding the effectiveness of mobile health interventions like the Rama Diabetes Care app is crucial for improving diabetes management strategies. This study highlights potential benefits for younger adults while indicating that further research is needed to confirm broader effectiveness.

Keep in mind

The HbA1c reduction was not statistically significant. No significant changes were found in several other health metrics. The study's findings may not be generalizable to older adults. User satisfaction ratings were moderate, indicating room for improvement.

Published in

Journal Reference

Publication details and source links for this paper.

Supasuta W, Wannaporn P, Chutintorn S, Sheyu L. Effectiveness of a Mobile App for Diabetes Self-Management in Adults with Uncontrolled Type 2 Diabetes: A Randomized Controlled Trial. JMIR Diabetes. 2025;10:e83685. doi:10.2196/83685

Main Effects

The intervention group showed a reduction in HbA1c of -0.24%, but this was not statistically significant (P = .13).

Fasting plasma glucose decreased by -29.3 mg/dL in participants aged <65 years (P = .03).

No significant changes were observed in LDL cholesterol, eGFR, BMI, or self-care behaviors.

User satisfaction with the app was rated as moderate.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Rama Diabetes Care app and BMI, Diabetes self-management behaviors, Estimated glomerular filtration rate, and 4 more.

Primary intervention

Rama Diabetes Care app

Primary outcomes

  • BMI
  • Diabetes self-management behaviors
  • Estimated glomerular filtration rate

Evidence relationships

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

7
Evidence pairs
7
Relationships
5
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: 72

5

Related topics

7

Evidence pairs

958

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Diabetes Technology

matched_intervention_and_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Rama Diabetes Care app → BMI

Rama Diabetes Care app → BMI

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Diabetes self-management behaviors

Rama Diabetes Care app → Diabetes self-management behaviors

Rama Diabetes Care app → Diabetes self-management behaviors

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

Estimated glomerular filtration rate

Rama Diabetes Care app → Estimated glomerular filtration rate

Rama Diabetes Care app → Estimated glomerular filtration rate

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

Fasting Plasma Glucose (FPG)

Rama Diabetes Care app → Fasting Plasma Glucose (FPG)

Rama Diabetes Care app → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

HbA1c

Rama Diabetes Care app → HbA1c

Rama Diabetes Care app → HbA1c

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

LDL cholesterol

Rama Diabetes Care app → LDL cholesterol

Rama Diabetes Care app → LDL cholesterol

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Participants' satisfaction evaluation of the APP

Rama Diabetes Care app → Participants' satisfaction evaluation of the APP

Rama Diabetes Care app → Participants' satisfaction evaluation of the APP

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

Evidence Suggest

  • Fasting plasma glucose decreased significantly in younger participants by -29.3 mg/dL (P = .03).
  • Overall HbA1c reduction was -0.24%, but not statistically significant (P = .13).
  • User satisfaction with the app was rated as moderate.
who this applies

Who this applies to

  • Adults aged 18-65 with uncontrolled Type 2 diabetes.
  • Individuals interested in mobile health interventions for diabetes management.
keep in mind

Keep in Mind

  • The study's sample may not represent older adults with diabetes.
  • Statistical significance does not imply clinical relevance for all outcomes.
  • Further research is needed to confirm the app's effectiveness across diverse populations.
  • Moderate user satisfaction suggests potential for app improvements.
between the lines

Between the Lines

  • The HbA1c reduction was not statistically significant.
  • No significant changes were found in several other health metrics.
  • The study's findings may not be generalizable to older adults.
  • User satisfaction ratings were moderate, indicating room for improvement.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

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 Body Mass Index.

Related evidence relationships

Explore in Evidence Explorer

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

Questions answered by this study

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

Does Rama Diabetes Care app improve HbA1c?

Strong Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | neutral | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve fasting plasma glucose (fpg)?

Moderate Evidence

Rama Diabetes Care app may improve Fasting Plasma Glucose (FPG).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve participants' satisfaction evaluation of the app?

Moderate Evidence

Rama Diabetes Care app may improve Participants' satisfaction evaluation of the APP.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Participants' satisfaction evaluation of the APP

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve ldl cholesterol?

Moderate Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for LDL cholesterol.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    LDL cholesterol

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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