2026-P: The Revolutionary Synergy of CGM and Whatsapp in Rural India: Findings from a Single-Center Descriptive Study

Introduction and Objective: Continuous Glucose Monitoring (CGM) has proven to be an effective tool for managing diabetes. However, the adoption of CGM in rural India faces significant barriers, including literacy, affordability, device availability, limited knowledge on its operation, and cultural factors. This study aims to evaluate the impact of using a simple communication tool such as “whatsapp” along with CGM for diabetes management. Methods: A total of 104 diabetic patients were studied over a two-year period from December 2022 to December 2024. The cohort included 68 patients of Type 2 Diabetes (T2DM), 22 patients of Type 1 Diabetes (T1DM), 11 patients of Gestational Diabetes Mellitus (GDM), 3 patients of Pre-Existing Diabetes with Pregnancy. All patients were monitored using Continuous Glucose Monitoring (CGM), and communication with healthcare provider along with dietitians occurred exclusively via WhatsApp. A subgroup analysis revealed that 56% (58 patients) had no formal education, while 81% (84 patients) were familiar with using WhatsApp. family members had to actively involved in communication with healthcare providers in 19% (20 patients). The study evaluated HbA1c levels before and 6 months after a 14-day period of CGM application. Results: The study demonstrated that over 74% (77 patients) of the patients achieved target HbA1c (< 7%) levels within 6 months of introducing CGM. Improvements were particularly noted in the management of Type 1 Diabetes and insulin-treated. In GDM and Pre-existing Diabetes in pregnancy 92.7% (13 patients) went on to deliver healthy babies without any Diabetes related complications. Conclusion: This study highlights the promising impact of CGM on diabetes management in rural India, with substantial improvements in HbA1c and other health parameters across various diabetes subgroups. A combination of CGM and WhatsApp appears to be a low-cost, scalable approach capable of overcoming literacy and access barriers to strengthen diabetes care in underserved communities. Disclosure A. Mb: None. S. Puri: None. S. D g: None.