Telemonitoring in fasting individuals with Type 2 Diabetes Mellitus during Ramadan: A prospective, randomised controlled study

Lee, Jun Yang; Wong, Chin Chin; Tan, Christina San San; Nasir, Nazrila Hairizan; Lee, Shaun Wen Huey

doi:10.1038/s41598-017-10564-y

Cited by 33 publications

(34 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The application of telemedicine in delivering various aspects of health information from the information on the prevention of disease to the monitoring of medical conditions as well as regular medical care for diabetes management has been suggested as an innovative solution to improve diabetic patient care 15–17. Telemedicine is being viewed as a useful tool to assist patients in managing diabetes,16 18 19 as it facilitates the communication of accurate and reliable data20 between patients and their healthcare providers. It also empowers patients15 attitude and behaviour19 21 towards a healthier lifestyle while providing them with an outlook for better glycaemic control 22.…”

Section: Introductionmentioning

confidence: 99%

Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives

et al. 2019

Self Cite

View full text Add to dashboard Cite

ObjectiveTelemedicine has been promoted as an economical and effective way to enhance patient care, but its acceptance among patients in low-income and middle-income countries is poorly understood. This study is aimed to explore the experiences and perspectives of people with type 2 diabetes mellitus that used telemedicine to manage their condition.DesignIn-depth and focus group interviews were conducted with participants who have engaged in telemedicine. Questions included were participants’ perception on the programme being used, satisfaction as well as engagement with the telemedicine programme. All interviews and focus groups were audio-recorded and transcribed verbatim. Data were analysed using a thematic approach.Participants and settingPeople with type 2 diabetes (n=48) who participated in a randomised controlled study which examined the use of telemedicine for diabetes management were recruited from 11 primary care clinics located within the Klang Valley.ResultsTwelve focus groups and two in-depth interviews were conducted. Four themes emerged from the analysis: (1) generational difference; (2) independence and convenience, (3) sharing of health data and privacy and (4) concerns and challenges. The main obstacles found in patients using the telemedicine systems were related to internet connectivity and difficulties experienced with system interface. Cost was also another significant concern raised by participants. Participants in this study were primarily positive about the benefits of telemedicine, including its ability to provide real-time data and disease monitoring and the reduction in clinic visits.ConclusionDespite the potential benefits of telemedicine in the long-term care of diabetes, there are several perceived barriers that may limit the effectiveness of this technology. As such, collaboration between educators, healthcare providers, telecommunication service providers and patients are required to stimulate the adoption and the use of telemedicine.NCT0246680.

show abstract

Section: Introductionmentioning

confidence: 99%

Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…At the patient level, a coordinated approach which integrates the beneficial effects of monitoring, education and support by health care professionals is needed. Telemedical care, or the use of telecommunication for healthcare delivery holds the promise to complement medical management in people with diabetes since it could facilitate early detection, diagnosis, monitor disease progression and management 5 – 8 . These can range from simple remote monitoring systems 9 to more complex Web-based systems which can coordinate, manage and educate patients 10 .…”

Section: Introductionmentioning

confidence: 99%

Comparative effectiveness of telemedicine strategies on type 2 diabetes management: A systematic review and network meta-analysis

Lee

Chan

Chua

et al. 2017

Sci Rep

Self Cite

141

134

View full text Add to dashboard Cite

The effects of telemedicine strategies on the management of diabetes is not clear. This study aimed to investigate the impact of different telemedicine strategies on glycaemic control management of type 2 diabetes patients. A search was performed in 6 databases from inception until September 2016 for randomized controlled studies that examined the use of telemedicine in adults with type 2 diabetes. Studies were independently extracted and classified according to the following telemedicine strategies: teleeducation, telemonitoring, telecase-management, telementoring and teleconsultation. Traditional and network meta-analysis were performed to estimate the relative treatment effects. A total of 107 studies involving 20,501 participants were included. Over a median of 6 months follow-up, telemedicine reduced haemoglobin A1c (HbA1c) by a mean of 0.43% (95% CI: −0.64% to −0.21%). Network meta-analysis showed that all telemedicine strategies were effective in reducing HbA1c significantly compared to usual care except for telecase-management and telementoring, with mean difference ranging from 0.37% and 0.71%. Ranking indicated that teleconsultation was the most effective telemedicine strategy, followed by telecase-management plus telemonitoring, and finally teleeducation plus telecase-management. The review indicates that most telemedicine strategies can be useful, either as an adjunct or to replace usual care, leading to clinically meaningful reduction in HbA1c.

show abstract

“…A total of 70 participants was sufficient to detect a mean difference of 0.84% in HbA1c level among T2DM patients after following a telemonitoring intervention during Ramadan with 80% power and 90% confidence interval [24]. A total of 84 participants would be needed in the study after considering a dropout rate of 20%.…”

Section: Sample Sizementioning

confidence: 99%

Comparison of Structured Nutrition Therapy for Ramadan with Standard Care in Type 2 Diabetes Patients

et al. 2020

View full text Add to dashboard Cite

1) Background: Structured nutrition therapy (NT) is essential for the management of type 2 diabetes (T2D), but the optimal delivery during Ramadan fasting remains unclear. The present study aimed to evaluate the effect of structured NT program versus standard care in patients with T2D during Ramadan.(2) Methods: The present study was an 8-week, parallel, non-randomized study with patients' preference design involving 64 patients with T2D. The participants were asked to choose their preferred group, i.e., structured NT (Structured Ramadan NT, sRNT) or standard care (SC). The participants in the sRNT group received a Ramadan-focused nutrition plan, including a diabetes-specific formula throughout the study, whereas the patients in the SC group received standard nutrition care. Study outcomes included clinical outcomes and quality of life (QoL). Data was analyzed using two-way repeated-measures ANOVA and linear mixed-effects model. (3) Results: More than half of the participants (n = 38, 63%) chose sRNT as their preferred group. Both groups had comparable baseline characteristics. After 8-weeks of the respective intervention, participants in the sRNT group had lower levels of fasting plasma glucose (−0.9 ± 0.3 mmol/L vs. 0.2 ± 0.3 mmol/L, p < 0.05), triglycerides (−0.21 ± 0.08 mmol/L vs. 0.20 ± 0.17 mmol/L, p < 0.05), and self-monitoring glucose at pre-dawn (6.9 mmol/L vs. 7.8 mmol/L, p < 0.05) and pre-bedtime (7.6 mmol/L vs. 8.6 mmol/L, p < 0.05) than participants in the SC group. Although not different between groups, HbA1c levels decreased significantly in the sRNT (−0.72 ± 0.16%, p < 0.001) but not in the SC group (−0.35 ± 0.24%, p = 0.155). QoL and satisfaction scores improved significantly in sRNT group, but not in SC group.(4) Conclusions: The structured NT regimen for Ramadan is a feasible and beneficial program for T2D patients observing Ramadan fasting as it showed an improvement in clinical outcomes and QoL.

show abstract

Telemonitoring in fasting individuals with Type 2 Diabetes Mellitus during Ramadan: A prospective, randomised controlled study

Cited by 33 publications

References 29 publications

Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives

Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives

Comparative effectiveness of telemedicine strategies on type 2 diabetes management: A systematic review and network meta-analysis

Comparison of Structured Nutrition Therapy for Ramadan with Standard Care in Type 2 Diabetes Patients

Contact Info

Product

Resources

About