Effectiveness of Education, Medication Adjustment and Telemonitoring in Reducing Diabetes Complications During Ramadan
Diabetes Mellitus, Fasting, Diabetes Complications
About this trial
This is an interventional treatment trial for Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria: - You must meet all of the inclusion criteria to participate in this study: Adults aged at least 21 years old, Able to fast at least 15 days in Ramadan based on experience of fasting in previous year's Ramadan, Known physician-diagnosed diabetes mellitus (DM) based on the following criteria before starting treatment a. Symptoms of polyuria, polydipsia and unexplained weight loss with i. fasting glucose ≥ 7.0mmol/l or ii. random plasma glucose ≥ 11.1 mmol/l or iii. 2-hour post 75g oral glucose challenge test plasma glucose ≥ 11.1 mmol/l b. Absence of symptoms of polyuria, polydipsia and unexplained weight loss with the following tests done twice showing the values i. fasting glucose ≥ 7.0mmol/l or ii. random plasma glucose ≥ 11.1 mmol/l or iii. 2-hour post 75g oral glucose challenge test plasma glucose ≥ 11.1 mmol/l Performed laboratory tests as per standard care : serum glycated hemoglobin A1c (HbA1c) level, blood Low Density Lipoprotein-Cholesterol, blood triglyceride level, blood High Density Lipoprotein-Cholesterol, blood Total Cholesterol and serum creatinine Most recent HbA1c level was >7.0% (>53mmol/mol) Ability to give informed consent, Ability to perform weekly recordings in the diary, Able to use and owns a mobile phone for recordings on mobile application Should have had DM-related clinic visits or hospitalization in the past 10 months. Exclusion Criteria: - Meeting any of the exclusion criteria at baseline will exclude you from participation: Severe diabetes complications including end-stage renal failure, severe hypoglycemia and hyperglycemic crises within the last 1 month negating ability to fast, Pregnancy.
Sites / Locations
- Sengkang General Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
Intervention
Control
Focused education, medication adjustment and telemonitoring
Standard care