Diabetes telemonitoring reduces the risk of hypoglycaemia during Ramadan: A pilot randomized controlled study

J. Y. Lee, Shaun Wen Huey Lee, N. H. Nasir, S. How, C. S.S. Tan, C. P. Wong

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35 Citations (Scopus)


Aim: This pilot study evaluated the short-term benefits of a telemonitoring-supplemented focused diabetic education compared with education alone in participants with Type 2 diabetes who were fasting during Ramadan. Methods: In this pilot mixed-method study, we identified 37 participants and randomly allocated them to either a telemonitoring group (n = 18) or a group receiving Ramadan-focused pre-education only (usual care; n = 19). The telemonitoring group received goal-setting and personalized feedback. Results: The telemonitoring group was less likely to experience hypoglycaemia than the usual care group (odds ratio: 0.1273; 95% confidence interval: 0.0267-0.6059). No significant differences were noted in glycaemic control at the end of study. Participants viewed telemedicine as a more convenient alternative although technological barriers remain a concern. Conclusions: The results of this study reinforce the need for monitoring as well as educational initiatives for Muslims with diabetes who fast during Ramadan. Telemonitoring offers an attractive option requiring further research. (Clinical Trial Registry No. NCT02189135) What's new?: Recent epidemiological studies suggest that more than three quarters of Muslims with Type 2 diabetes choose to fast during the month of Ramadan. The ability of telemonitoring to provide real-time data and influence behavioural changes can benefit Muslims with Type 2 diabetes. Data from our randomized trial showed that telemonitoring supplemented with focused diabetes education reduced the rates of hypoglycaemia by more than seven-fold compared with usual care in Type 2 diabetes participants fasting during Ramadan. Most participants preferred telemonitoring, but technology remains the biggest barrier to successful implementation, and needs to be addressed.

Original languageEnglish
Pages (from-to)1658-1661
Number of pages4
JournalDiabetic Medicine
Issue number12
Publication statusPublished - Dec 2015

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