Introduction
deaths, Diabetes, diabetes
DISEASES, DIABETES, CHRONIC DISEASES, DIABETES
Global statistics show that currently 1 in 11 people lives with diabetes, corresponding to 9.3% of the adults aged 20 to 79 years. Variability is observed in the prevalence and in the capacity of the countries to prevent and control diabetes, particularly in low-and-middle-income countries (LMIC). [Estimates from the International Diabetes Federation (IDF) indicate that in Latin America (LA) in 2019 there were 243.200 deaths from diabetes in people between 20 and 79 years and $ 67.7 billion accumulated in health expenses [Health systems in LA face many challenges in controlling the increasing burden of diabetes. Although most LA countries have made adjustments to incorporate evidence-based interventions to address chronic diseases and improve quality of care, these interventions have not been widely implemented and adopted in clinical practice and results are far from optimal in the region [Given the increasing prevalence of diabetes there is a need for innovative and effective ways to deliver interventions to improve diabetes care in health systems with limited resources. Moreover, evidence indicates that digital health interventions are a promise for the provision of care, especially in developing countries where mobile technology has a high penetration. A systematic review evaluating mHealth interventions in Non-Communicable Diseases (NCDs) from 20 randomized controlled trials from 14 LMIC countries found that one-way SMS was the most widely used mobile function for sending reminders, health education, and information. [Although the use of digital health has been gaining prominence to strengthen health care systems in the control of chronic diseases, caution is required to support its routine use in LMIC and dictate policies for its adoption [