Improving Engagement in Patients with Young Adult Onset Type 2 Diabetes (Text2U)

INTERVENTION: Participants will be randomised using a computerised system in a ratio of 1:1 into one of two intervention strategies described below (Intervention Strategy A and Intervention Strategy B). Participants will progress through the twelve month study period and undergo quarterly study assessments. Treatment Strategies Intervention Strategy B – SMS‐based • Current Standard of Care System PLUS • An initial eight‐week, twice weekly SMS relating to diabetes management (including general diabetes information and reminders about diabetes‐specific self‐care measures) • Monthly “check‐in” text messages from the study team after the initial eight‐week SMS program. Similarly to the initial eight‐week, twice weekly SMS component of the program these "check‐in" text messages will include general diabetes information and reminders about diabetes‐specific self‐care measures. • An option for patients to send a question via SMS to a study co‐ordinator between clinic visits and receive a reply within 72 h • A personalised appointment reminder SMS before the next appointment CONDITION: Young Adult Onset Type 2 Diabetes PRIMARY OUTCOME: Determine the efficacy of an enhanced SMS‐based message strategy at improving clinic attendance. The enhanced SMS strategy will be tested against the current standard of care. The proportion of clinic appointments attended by a participant will be assessed by review of attendance records. SECONDARY OUTCOME: Adherence to blood glucose monitoring (via assessment of blood glucose monitor uploads) ; Availability of pathology results at the time of follow‐up clinic appointments. This will be assessed by review of medical records at the time of each follow up appointment. ; Blood pressure Cholesterol level Diabetes Empowerment Scale‐Short Form Score ; Diabetes Stigma Assessment Scale‐2 Score HbA1c Health Literacy Questionnaire (Orphelia) Score Problem Areas in Diabetes (PAID‐5) Questionnaire Score ; Spot urine albumin to creatinine ratio Weight INCLUSION CRITERIA: 1. Type 2 diabetes (HbA1c >6.5% or positive oral glucose tolerance test) 2. 18‐40 years of age at time of study entry 3. Access to a mobile telephone