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Cited by 37Diabetes Management and ResearchTelemedicine and Telehealth ImplementationDiabetes Management and Education

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

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Lee, Jun Yang, Wong, Chee Piau, Tan, Christina San San, Nasir, Nazrila Hairizan, Lee, Shaun Wen Huey·2017·Scientific Reports
DOI 10.1038/s41598-017-10564-yPMC PMC5579057
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Abstract

We determined the impact of a remote blood glucose telemonitoring program with feedback in type 2 diabetes mellitus patients fasting during Ramadan compared to conventional self-monitoring method. A twelve-week cluster randomised study, with 85 participants who wish to fast for at least 15 days during Ramadan was conducted. Self-measurement and transmission of blood glucose results were performed six times daily during Ramadan. Results were transmitted to a secure website for review with feedback from case manager if necessary. The control group received usual care. The main outcome was the number of participants experiencing hypoglycaemia during Ramadan and at the end of the study. During Ramadan, the number of participants reporting hypoglycaemia was significantly lower in the telemonitoring group [Odds ratio (OR): 0.186, 95% confidence interval: 0.04–0.936; p = 0.04]. Similarly, the proportion of participants reporting symptomatic hypoglycaemia at the end of the study was significantly lower in the telemonitoring group (OR: 0.257, 95% CI: 0.07–0.89; p = 0.03). A reduction of 1.07% in glycated haemoglobin levels was observed in the telemonitoring group compared to 0.24% in the control group (p < 0.01). Overall, telemonitoring was a useful adjunct to reduce the risk of hypoglycaemia during Ramadan with no deterioration in glycaemic control

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Cited by

Sorted by citations

Authors
Lee, J. Y., Wong, C. P., Tan, C. S. S., Nasir, N. H., & Lee, S. W. H.
Affiliations
  • Monash University Malaysia (MY)
  • SEGi University (MY)
Corresponding author
Lee, Shaun Wen Huey
ORCID
Venue
Scientific Reports
Publisher
Springer Science and Business Media LLC
Published
2017-08-31
Volume
7
Issue
1
Pages
10119-10119
ISSN
2045-2322 (ISSN-L)
DOI
10.1038/s41598-017-10564-y
PMC
PMC5579057
OpenAlex
W2746567353
Cited by
37
References
3
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 1
FWCI
2.16
Type
journal article
Language
en
Open access
Licence
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, cc-by)
Funders
  • Monash University (52140757-314-00)
  • Kementerian Sains, Teknologi dan Inovasi (03-02-10-SF0238)
  • Ministério da Ciência, Tecnologia e Inovação
  • Monash University Malaysia
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Keywords
remote patient monitoring, type 2 diabetes, Ramadan fasting, hypoglycemia, self-monitoring of blood glucose, HbA1c, glycemic control
MeSH terms
Adult, Blood Glucose, Diabetes Mellitus, Type 2, Fasting, Female, Glycated Hemoglobin, Humans, Hypoglycemia, Islam, Male, Middle Aged, Blood Glucose Self-Monitoring, Telemedicine

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