Research Summary
Analyzed using Evidence Intelligence™

Mobile health intervention improves kidney function in diabetes

Key finding

The primary outcome, change in UACR after 12 months, had a statistically and clinically significant between-group difference in change of -28.8% (P = 0.029).

This study evaluated the impact of the DialBetesPlus mobile health intervention on diabetic kidney disease, finding significant improvements in urinary albumin-to-creatinine ratio and HDL-C levels.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Long-Term (1–5 y)

High bias
Last updated July 7, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

DialBetesPlus mobile health intervention

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

urinary albumin-to-creatinine ratio (UACR)

Comparator

Standard Care

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 impact of the DialBetesPlus mobile health intervention on diabetic kidney disease, finding significant improvements in urinary albumin-to-creatinine ratio and HDL-C levels.

Clinical relevance

The findings suggest that mobile health interventions like DialBetesPlus can play a crucial role in managing diabetic kidney disease by improving key biomarkers. This could lead to better patient outcomes and reduced healthcare costs associated with kidney disease progression.

Keep in mind

The study had a limited sample size. Results may not be generalizable to all populations with diabetes. Some outcomes did not show statistically significant changes.

Published in

Journal Reference

Publication details and source links for this paper.

Kayo W, Mitsuhiko N, Syunpei E, et al. Effect of a Mobile Health Intervention on Diabetic Kidney Disease: A Randomized Controlled Trial. NPJ Digital Medicine. 2024;7:104. doi:10.1038/s41746-024-01114-8

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Main Effects

Urinary albumin-to-creatinine ratio decreased by 28.8% (P = 0.029).

HbA1c percentage improved by 0.32 points (P = 0.041).

HDL-C increased by 2.8 mg/dL (P = 0.041).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to DialBetesPlus mobile health intervention and BMI, Diastolic blood pressure, Estimated glomerular filtration rate, and 5 more.

Primary intervention

DialBetesPlus mobile health intervention

Primary outcomes

  • BMI
  • Diastolic blood pressure
  • Estimated glomerular filtration rate

Evidence relationships

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

8
Evidence pairs
8
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: 64

2

Related topics

8

Evidence pairs

249

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

NoneNo Change

BMI

DialBetesPlus mobile health intervention → BMI

DialBetesPlus mobile health intervention → BMI

Evidence profile

NoneNo ChangeWeight & Anthropometrics
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NoneNo Change

Diastolic blood pressure

DialBetesPlus mobile health intervention → Diastolic blood pressure

DialBetesPlus mobile health intervention → Diastolic blood pressure

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Estimated glomerular filtration rate

DialBetesPlus mobile health intervention → Estimated glomerular filtration rate

DialBetesPlus mobile health intervention → Estimated glomerular filtration rate

Evidence profile

NoneNo ChangeClinical Outcomes
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StrongDecrease

HbA1c

DialBetesPlus mobile health intervention → HbA1c

DialBetesPlus mobile health intervention → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongIncrease

HDL cholesterol

DialBetesPlus mobile health intervention → HDL cholesterol

DialBetesPlus mobile health intervention → HDL cholesterol

Evidence profile

StrongIncreaseMetabolic Health
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NoneNo Change

Systolic blood pressure

DialBetesPlus mobile health intervention → Systolic blood pressure

DialBetesPlus mobile health intervention → Systolic blood pressure

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Triglycerides

DialBetesPlus mobile health intervention → Triglycerides

DialBetesPlus mobile health intervention → Triglycerides

Evidence profile

NoneNo ChangeMetabolic Health
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StrongDecrease

Urinary albumin-to-creatinine ratio

DialBetesPlus mobile health intervention → Urinary albumin-to-creatinine ratio

DialBetesPlus mobile health intervention → Urinary albumin-to-creatinine ratio

Evidence profile

StrongDecreaseClinical Outcomes
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evidence suggest

Evidence Suggest

  • Significant reduction in urinary albumin-to-creatinine ratio by 28.8%.
  • Improvement in HbA1c levels by 0.32 percentage points.
  • Increase in HDL-C levels by 2.8 mg/dL.
who this applies

Who this applies to

  • Adults with diabetic kidney disease.
  • Patients managing diabetes through mobile health interventions.
keep in mind

Keep in Mind

  • The intervention's effectiveness may vary by individual.
  • Long-term effects beyond 12 months are unknown.
  • Further studies are needed to confirm findings in diverse populations.
between the lines

Between the Lines

  • The study had a limited sample size.
  • Results may not be generalizable to all populations with diabetes.
  • Some outcomes did not show statistically significant changes.

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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 DialBetesPlus mobile health intervention and HbA1c, DialBetesPlus mobile health intervention and Adipokine and Angiogenic Markers.

Related evidence relationships

Explore in Evidence Archive

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 DialBetesPlus mobile health intervention improve hdl cholesterol?

Emerging Evidence

DialBetesPlus mobile health intervention appears to improve HDL cholesterol.

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

Ranked evidence signals

  1. 1

    HDL cholesterol

    EvidenceScore™ Emerging | EvidenceScore™ 50.3 | strong positive | ConsensusScore™ 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 DialBetesPlus mobile health intervention improve HbA1c?

Emerging Evidence

DialBetesPlus mobile health intervention appears to improve HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 50.3 | strong positive | ConsensusScore™ 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 DialBetesPlus mobile health intervention improve urinary albumin-to-creatinine ratio?

Emerging Evidence

DialBetesPlus mobile health intervention appears to improve Urinary albumin-to-creatinine ratio.

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

Ranked evidence signals

  1. 1

    Urinary albumin-to-creatinine ratio

    EvidenceScore™ Emerging | EvidenceScore™ 50.3 | strong positive | ConsensusScore™ 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 DialBetesPlus mobile health intervention affect bmi?

Limited Evidence

Current evidence does not show a clear benefit of DialBetesPlus mobile health intervention for BMI.

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

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Limited | EvidenceScore™ 32.8 | neutral | ConsensusScore™ 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
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