(HealthDay News) — For pregnant women with gestational diabetes or type 2 diabetes, use of a cellphone-Internet technology system, which collects and sends glucose readings directly to a cellphone, is associated with improved compliance in self-monitoring of blood glucose (SMBG), according to a report published in Clinical Diabetes.

Marguerite Lisa Bartholomew, MD, from the University of Hawaii John A. Burns School of Medicine in Honolulu, and colleagues compared a conventional voicemail system (control) with a cellphone-Internet technology system for management of hyperglycemia during pregnancy. 

Seventy-four women with gestational diabetes or type 2 diabetes were randomly assigned to a cellphone-Internet technology system (n=40) or control (n=34) for the first 3 weeks; participants then switched to the other method.

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The researchers found that compliance with SMBG reporting was higher for total, fasting, and 2-hour postprandial glucose values with use of the cellphone-Internet technology method. The highest compliance rate was seen for women who used the cellphone-Internet technology system first (91.7%), which was significantly higher than compliance with the cellphone-Internet technology system among women who used the voicemail method first (P=.048). 

More women preferred the cellphone-Internet technology method vs the voicemail method (68.9% vs 24.3%; P<.001).

“The use of [cellphone-Internet technology] for self-management of hyperglycemia during pregnancy increased glucose reporting compliance by a small but statistically significant amount compared to the use of the traditional control method (voicemail),” the researchers wrote.


  1. Bartholomew ML, Soules K, Church K, et al. Managing Diabetes in Pregnancy Using Cell Phone/Internet Technology. Clin Diabetes. 2015;33(4):169-174.