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Child health
Engaging teenagers with text-message services for glycaemic control
  1. Marion Waite
  1. Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford, UK
  1. Correspondence to Marion Waite, Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford OX3 0BP, UK; mwaite{at}

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Commentary on: McGill DE, Volkening DA, Wasserman RM, et al. Text-message responsiveness is associated with HbA1c benefit in teenagers with type 1 diabetes. Diabet Med 2019;36:600–5.

Implications for practice and research

  • Teenagers with type 1 diabetes (T1D) are at a transition phase in becoming independent for their blood glucose monitoring. Digital interventions may be a key component of behaviour change and management strategies for glycaemic control.

  • Involving the user at the centre of the technology design is critical for research that aims to support adherence with self-management for long-term conditions such as T1D.


There is a growing body of evidence associating the use and functions of mobile devices such as text-message services for people with T1D to promote glycaemic control.1 2 McGill et al3 addressed self-adherent behaviours of teenagers (13–17 years) with T1D through an 18-month text-message intervention to correlate factors associated …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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