Research Summary
Analyzed using Evidence Intelligence™

Text messaging may improve glycaemic control in diabetes care

Last updated August 29, 2026

Key finding

The mean adjusted change in blood glucose was 0.26 (-0.81 to 1.32), p = 0.634.

This study evaluated the impact of daily educational text messages on glycaemic control in individuals with diabetes in low-resource settings, finding no significant effects on blood glucose levels.

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 impact of daily educational text messages on glycaemic control in individuals with diabetes in low-resource settings, finding no significant effects on blood glucose levels.

Clinical relevance

Understanding the effectiveness of text messaging as a health intervention is crucial, especially in low-resource settings where traditional healthcare access may be limited. While the intervention was well-accepted, the lack of significant clinical improvements suggests that alternative strategies may be necessary to enhance diabetes management in these populations.

Keep in mind

The study did not demonstrate significant clinical improvements. Results may not be generalizable beyond the study population. Potential confounding factors were not measured.

Published in

Journal Reference

Publication details and source links for this paper.

Eyitayo OO, Daniel TG, Anthony IA, Shahrad T. The efficacy of text messaging in improving glycaemic control among individuals living with diabetes in low-resource settings. PLoS ONE. 2019;14(11):e0224791. doi:10.1371/journal.pone.0224791

Main Effects

No significant effect on blood glucose levels (mean change 0.26 mmol/L, p = 0.634).

No significant effect on body weight.

No significant effect on body mass index (BMI).

No significant effect on systolic and diastolic blood pressure.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Daily educational text messages on diabetes and Acceptability of mHealth intervention, BMI, Blood glucose, and 3 more.

Primary intervention

Daily educational text messages on diabetes

Primary outcomes

  • Acceptability of mHealth intervention
  • BMI
  • Blood glucose

Evidence relationships

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

6
Evidence pairs
6
Relationships
4
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: 68

4

Related topics

6

Evidence pairs

1402

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Blood Pressure

matched_outcome

Related evidence

Evidence topic

Weight Loss

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Acceptability of mHealth intervention

Daily educational text messages on diabetes → Acceptability of mHealth intervention

Daily educational text messages on diabetes → Acceptability of mHealth intervention

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

Blood glucose

Daily educational text messages on diabetes → Blood glucose

Daily educational text messages on diabetes → Blood glucose

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

BMI

Daily educational text messages on diabetes → BMI

Daily educational text messages on diabetes → BMI

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

Body weight

Daily educational text messages on diabetes → Body weight

Daily educational text messages on diabetes → Body weight

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

Diastolic blood pressure

Daily educational text messages on diabetes → Diastolic blood pressure

Daily educational text messages on diabetes → Diastolic blood pressure

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

Systolic blood pressure

Daily educational text messages on diabetes → Systolic blood pressure

Daily educational text messages on diabetes → Systolic blood pressure

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

Evidence Library

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evidence suggest

Evidence Suggest

  • 90.74% of participants found the SMS intervention helpful.
  • Mean adjusted change in blood glucose was 0.26 mmol/L, indicating no significant effect.
  • No changes observed in body weight, BMI, or blood pressure.
who this applies

Who this applies to

  • Individuals living with diabetes in low-resource settings.
  • Patients who may benefit from educational interventions.
keep in mind

Keep in Mind

  • The intervention's effectiveness was unclear despite high acceptability.
  • Findings may not apply to higher-resource settings.
  • Further research is needed to explore alternative interventions.
between the lines

Between the Lines

  • The study did not demonstrate significant clinical improvements.
  • Results may not be generalizable beyond the study population.
  • Potential confounding factors were not measured.

Evidence Library

Build your 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 Daily educational text messages on diabetes and Acceptability of mHealth intervention, Daily educational text messages on diabetes and Fasting Glucose.

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 Daily educational text messages on diabetes improve acceptability of mhealth intervention?

Emerging Evidence

Daily educational text messages on diabetes appears to improve acceptability of mhealth intervention.

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

Ranked evidence signals

  1. 1

    Acceptability of mHealth intervention

    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.
1 supporting study

Does Daily educational text messages on diabetes affect BMI?

Emerging Evidence

Current evidence does not show a clear effect of Daily educational text messages on diabetes on BMI.

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

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Daily educational text messages on diabetes improve blood glucose?

Emerging Evidence

Current evidence does not show a clear benefit of Daily educational text messages on diabetes for blood glucose.

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

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Daily educational text messages on diabetes affect body weight?

Emerging Evidence

Current evidence does not show a clear effect of Daily educational text messages on diabetes on body weight.

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

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study
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