1506-P: Effectiveness of the Ithnain Digital Diabetes Self-Management Program on HbA1c and Patient Knowledge in Saudi Individuals

Introduction and Objective: Technology-enabled self-management programs are increasingly recommended for people with diabetes. This study evaluated the impact of a digital diabetes application with online coaching on glycemic control, diabetes knowledge, and the association between patient engagement and outcomes. Methods: This pre-post quasi-interventional study analyzed observational data from 111 adults with type 1 or type 2 diabetes enrolled in a self-management program for at least three months in Saudi Arabia. Baseline and three-month post-intervention measures of HbA1c and diabetes knowledge were collected, along with session attendance. Wilcoxon signed-rank tests and Spearman’s correlation were used, with significance set at p < .05. Results: Median age of participants was 25.0 years (interquartile range [IQR]: 21.0-32.0); 66.7% were female, 87.9% had type 1 diabetes, and 78.4% were treated with multiple daily injections. Three months post-intervention, median HbA1c decreased from 9.0 (IQR: 8.2-11.0) to 8.4 (IQR: 7.3-9.5) (p < 0.001), corresponding to a median change of 1.0 (IQR: 0.0-2.1). Median diabetes knowledge scores increased from 14.0 (IQR: 11.0-17.0) to 18.0 (IQR: 16.0-20.0) (p < 0.001), corresponding to a median change of 4.0 (IQR: 3.0-5.0). Number of sessions was weakly correlated with change in HbA1c (r = 0.222, p = 0.019) but not with diabetes knowledge. Conclusion: Use of digital self-management application was associated with improvements in glycemic control and diabetes-related knowledge. These findings support the potential role of digital tools in metabolic control and diabetes education. Disclosure A. Bakhsh: None. A. Saleemi: None. H.S. Elsayed: None. A.I. Alsagheir: None. L.M. AlZubaidi: None. M. Altweiley: None. B. Binabbas: None. M.H. Hassanein: None.