Type 2 Diabetes MellitusNCT04723550
COVID-19 Lockdown Related Telemedicine for Type 2 Diabetes
A study testing Hospital telemedicine management system in people with Type 2 Diabetes Mellitus, run by Wenwen Yin at 1 site in China.
Trial summary
At present, in order to cope with the global pandemic of the COVID-19 virus, governments have introduced corresponding measures, COVID-19 lockdown is one of the most important measures. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Hospital telemedicine management system
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 1 siteChina
- Study dates
- 5 Jan 2021to 5 Jan 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Physician diagnosis of Type 2 diabetes for more than 6 months
- 7.0%<HbA1c<10.0%
- Quarantine for 21 days due to COVID-19 outbreak related reasons
- age: 18 ~ 55 yrs
- BMI≥24
- Be able use smart phones and the Internet
Who cannot join
- Insulin pump users
- For female subjects: pregnancy or lactation, or subject may become pregnant during the study
- Patient who underwent obesity surgery to the exclusion of a gastric band, loosened or removed for more than a year
- Patients diagnosed with COVID-19 infection
- Have severe complications (chronic heart disease, cerebrovascular disease, diagnosed HIV/AIDS, cancer, emphysema, chronic liver or kidney disease) that would affect the subjects' ability to follow the tailored advice
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Department of Endocrinology, Xuzhou NO.1 Peoples Hospital
Xuzhou, Jiangsu, 221000
Wenwen Yin, +86 18112008016, wenwen261621@163.com
About this study
Official title: Impact of Telemedicine on Young and Middle-aged Obese Patients With Type 2 Diabetes Mellitus During COVID-19 Pandemic
At present, in order to cope with the global pandemic of the COVID-19 virus, governments have introduced corresponding measures, COVID-19 lockdown is one of the most important measures. However, lockdown makes the management of chronic diseases (such as type 2 diabetes) more difficult, and telemedicine may be one of the solutions. We hope to explore the effect of telemedicine on blood glucose control and other prognostic indicators of young and middle-aged obese patients with type 2 diabetes who will experience isolation control.
Read the detailed description
We recruit patients with type 2 diabetes who need to be isolated due to the COVID-19 epidemic, Our study will include young and middle-aged obese patients. The lockdown period is 21 days. The patients will be randomly divided into two groups with a total follow-up time of 6 months. One group is the telemedicine intervention group, and the other group is the routine follow-up control group. The intervention group used the hospital telemedicine management system to upload blood glucose values (fasting and 2h after three meals), food intake of three meals, and exercise volume (Data collection frequency: first three months, 4 times/week; 4-6 Month, 2 times/week).Doctors will collect data from hospital telemedicine management system to guide patients on diets, exercise, and medication adjustments. The control group will be followed up by telephone/outpatient clinic every 1 week. (only telephone follow-up will be conducted during the lockdown period) Then doctors will collect their blood glucose values.(fasting and 2h after three meals) Based on the data collected, The doctors will provide lifestyle guidance to the patients on the telephone or face to face. The clinical data of the two groups of patients will be collected at baseline, 22 days, 3 months, and 6 months respectively. (HbA1c, fasting blood glucose(FBG), blood glucose 2 hours after breakfast, blood pressure, Body Mass Index(BMI), waist-to-hip ratio, total cholesterol(TC), triglyceride(TG), high-density lipoprotein cholesterol(HDL-C), low-density lipoprotein cholesterol(LDL-C), Blood Urea Nitrogen(BUN), serum creatinine(Scr), e-GFR, Self-rating Depression Scale, frequency of hypoglycemia,and Cost effectiveness) The clinical data will be statistically analyzed.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Hospital telemedicine management system, Usual care
- Keywords
- Type 2 Diabetes Mellitus, COVID-19 lockdown, Telemedicine, Obesity, Young and middle-aged
- Medical subject headings
- Diabetes Mellitus, Type 2, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Hospital telemedicine management systemDevice
Patients upload data of blood glucose, diet and exercise. Then doctors guide patients' diet, exercise and medication adjustment through the telemedicine system.
Usual careOther
Outpatient/telephone follow-up:continued care, as usual, from their primary care provider through out duration of action 6 months intervention period
| Study group | Role | What they receive |
|---|---|---|
| Telemedicine | Experimental | Diabetes education and support by telemedicine Receives: Device: Hospital telemedicine management system |
| Usual care | Active comparator | Diabetes education and support in person Receives: Other: Usual care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Glucose control (HbA1c levels)
Change in HbA1c among control and telemedicine groups from baseline to 6 months
Measured: Baseline, 22days,3 months and 6 months
Secondary outcomes (11)
Change in FBG
Change in FBG among control and telemedicine groups from baseline to 6 months
Measured: Baseline, 22days,3 months and 6 months
Change in Blood glucose 2 hours after breakfast
Change in Blood glucose 2 hours after breakfast among control and telemedicine groups from baseline to 6 months
Measured: Baseline, 22days,3 months and 6 months
Change in Blood pressure
Change in Blood pressure among control and telemedicine groups from baseline to 6 months
Measured: Baseline, 22days,3 months and 6 months
Body mass BMI changes
Comparison of BMI changes among control and telemedicine groups from baseline to 6 months
Measured: Baseline, 22days,3 months and 6 months
Change in waist-to-hip ratio
Comparison of waist-to-hip ratio changes among control and telemedicine groups from baseline to 6 months
Measured: 6 months
Change in biological parameter: TC
Variation between baseline to 6 months of Biological parameter among control and telemedicine groups: TC
Measured: Baseline, 22days,3 months and 6 months
Change in biological parameter: TG
Variation between baseline to 6 months of Biological parameter among control and telemedicine groups: TG
Measured: Baseline, 22days,3 months and 6 months
Change in biological parameter: HDL-C
Variation between baseline to 6 months of Biological parameter among control and telemedicine groups: HDL-C
Measured: Baseline, 22days,3 months and 6 months
Change in biological parameter: BUN
Variation between baseline to 6 months of Biological parameter among control and telemedicine groups: BUN
Measured: Baseline, 22days,3 months and 6 months
Change in biological parameter: Scr
Variation between baseline to 6 months of Biological parameter among control and telemedicine groups: Scr
Measured: Baseline, 22days,3 months and 6 months
Change in biological parameter: e-GFR
Variation between baseline to 6 months of Biological parameter among control and telemedicine groups: e-GFR
Measured: Baseline, 22days,3 months and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2021
- Study start5 Jan 2021
- Primary completion5 Nov 2021 (estimated)
- Study completion5 Jan 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 120 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Wenwen Yin
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Wenwen Yin, Xuzhou No.1 Peoples Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04723550
- Sponsor's protocol ID
- NO.2020QN80
- Status last verified
- Jan 2021
- First submitted
- 21 Jan 2021
- Last updated
- 26 Jan 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Yin W, Liu Y, Hu H, Sun J, Liu Y, Wang Z. Telemedicine management of type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study. PLoS One. 2022 Sep 29;17(9):e0275251. doi: 10.1371/journal.pone.0275251. eCollection 2022.
PubMed 36174028
Study at a glance
From the registry record, last updated by the sponsor on 26 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Telemedicine on Young and Middle-aged Obese Patients With Type 2 Diabetes Mellitus During COVID-19 Pandemic
- ClinicalTrials.gov ID
- NCT04723550
- Acronym / sponsor ID
- NO.2020QN80
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Type 2 Diabetes Mellitus, COVID-19 lockdown, Telemedicine, Obesity, Young and middle-aged
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 120 participants (estimated)
- Lead sponsor
- Wenwen YinUniversity, hospital or other
- Study start
- 5 Jan 2021 (actual)
- Primary completion
- 5 Nov 2021 (estimated)
- Study completion
- 5 Jan 2022 (estimated)
- First posted
- 25 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
At present, in order to cope with the global pandemic of the COVID-19 virus, governments have introduced corresponding measures, COVID-19 lockdown is one of the most important measures. However, lockdown makes the management of chronic diseases (such as type 2 diabetes) more difficult, and telemedicine may be one of the solutions. We hope to explore the effect of telemedicine on blood glucose control and other prognostic indicators of young and middle-aged obese patients with type 2 diabetes who will experience isolation control.
Detailed description
We recruit patients with type 2 diabetes who need to be isolated due to the COVID-19 epidemic, Our study will include young and middle-aged obese patients. The lockdown period is 21 days. The patients will be randomly divided into two groups with a total follow-up time of 6 months. One group is the telemedicine intervention group, and the other group is the routine follow-up control group. The intervention group used the hospital telemedicine management system to upload blood glucose values (fasting and 2h after three meals), food intake of three meals, and exercise volume (Data collection frequency: first three months, 4 times/week; 4-6 Month, 2 times/week).Doctors will collect data from hospital telemedicine management system to guide patients on diets, exercise, and medication adjustments. The control group will be followed up by telephone/outpatient clinic every 1 week. (only telephone follow-up will be conducted during the lockdown period) Then doctors will collect their blood glucose values.(fasting and 2h after three meals) Based on the data collected, The doctors will provide lifestyle guidance to the patients on the telephone or face to face. The clinical data of the two groups of patients will be collected at baseline, 22 days, 3 months, and 6 months respectively. (HbA1c, fasting blood glucose(FBG), blood glucose 2 hours after breakfast, blood pressure, Body Mass Index(BMI), waist-to-hip ratio, total cholesterol(TC), triglyceride(TG), high-density lipoprotein cholesterol(HDL-C), low-density lipoprotein cholesterol(LDL-C), Blood Urea Nitrogen(BUN), serum creatinine(Scr), e-GFR, Self-rating Depression Scale, frequency of hypoglycemia,and Cost effectiveness) The clinical data will be statistically analyzed.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Telemedicine | Experimental | Device: Hospital telemedicine management systemDiabetes education and support by telemedicine |
| Usual care | Active comparator | Other: Usual careDiabetes education and support in person |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Physician diagnosis of Type 2 diabetes for more than 6 months
- 7.0%<HbA1c<10.0%
- Quarantine for 21 days due to COVID-19 outbreak related reasons
- age: 18 ~ 55 yrs
- BMI≥24
Key exclusion criteria (5 listed)
- Insulin pump users
- For female subjects: pregnancy or lactation, or subject may become pregnant during the study
- Patient who underwent obesity surgery to the exclusion of a gastric band, loosened or removed for more than a year
- Patients diagnosed with COVID-19 infection
- Have severe complications (chronic heart disease, cerebrovascular disease, diagnosed HIV/AIDS, cancer, emphysema, chronic liver or kidney disease) that would affect the subjects' ability to follow the tailored advice
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Hospital telemedicine management systemPatients upload data of blood glucose, diet and exercise. Then doctors guide patients' diet, exercise and medication adjustment through the telemedicine system. | Device | Telemedicine |
| Usual careOutpatient/telephone follow-up:continued care, as usual, from their primary care provider through out duration of action 6 months intervention period | Other | Usual care |
Primary outcome
Glucose control (HbA1c levels)
Time frame: Baseline, 22days,3 months and 6 months
Change in HbA1c among control and telemedicine groups from baseline to 6 months
11 secondary outcomes
Change in FBG
Time frame: Baseline, 22days,3 months and 6 months
Change in Blood glucose 2 hours after breakfast
Time frame: Baseline, 22days,3 months and 6 months
Change in Blood pressure
Time frame: Baseline, 22days,3 months and 6 months
Body mass BMI changes
Time frame: Baseline, 22days,3 months and 6 months
Change in waist-to-hip ratio
Time frame: 6 months
Change in biological parameter: TC
Time frame: Baseline, 22days,3 months and 6 months
Change in biological parameter: TG
Time frame: Baseline, 22days,3 months and 6 months
Change in biological parameter: HDL-C
Time frame: Baseline, 22days,3 months and 6 months
Change in biological parameter: BUN
Time frame: Baseline, 22days,3 months and 6 months
Change in biological parameter: Scr
Time frame: Baseline, 22days,3 months and 6 months
Change in biological parameter: e-GFR
Time frame: Baseline, 22days,3 months and 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jan 2021.
- Derived from this study: PubMed 36174028Yin W, Liu Y, Hu H, Sun J, Liu Y, Wang Z. Telemedicine management of type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study. PLoS One. 2022 Sep 29;17(9):e0275251. doi: 10.1371/journal.pone.0275251. eCollection 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Hospital telemedicine management system in people with Type 2 Diabetes Mellitus, run by Wenwen Yin at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 26 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Wenwen Yin, MD. (+86 18112008016, wenwen261621@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Glucose control (HbA1c levels) (time frame: Baseline, 22days,3 months and 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04723550, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jan 2021.