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Diabete MellitusNCT05563090

Investigating the Syndrome Differentiation of Diabetic and Pre-diabetic Using Digitalized TCM Diagnostic Tools

An observational study of Diabete Mellitus and Pre-diabetes, run by Singapore Chung Hwa Medical Institution at 1 site in Singapore.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The investigators aim to objectively identify the Traditional Chinese Medicine (TCM) syndrome differentiation of type II diabetic and prediabetic patients in Singapore through modern technologies thereby potentially increasing the accuracy of identification, diagnosis, and prevention of diabetes and prediabetes… Read more about this study

Who is it for?
Ages 21 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Diabete Mellitus, Pre-diabetes, Healthy
What is being tested?
Questionnaires+Tongue diagnosis+Pulse diagnosis
How many people
171 participants
Where
1 siteSingapore
Study dates
17 Sep 2022to 1 Apr 2025
Phase
Observational
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 21 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The subjects need to be at 21-75 years old, of either gender, with no limitations on race, and is clinically diagnosed by Western medical doctors with either diabetes (FPG of ≥ 7.0 mmol/L, 2hPG of ≥ 11.1mmol, or HbA1c of > 6.5%) or prediabetes (IFG of FPG 6.1-6.9 mmol/L, and/or IGT with 2hPG of 7.8-11.0 mmol/L). Healthy or sub-healthy subjects without any significant health related issues, eg. clinically diagnosed chronic conditions such as diabetes, hypertension or dyslipidemia, will be recruited as the control group. The health evaluation form (Annex 1) will be used to verify that these healthy subjects (1) do not have any family history of diabetes, and (2) do not have unusual high fasting blood glucose detected within one year.

Who may be able to join

  • Aged 21-75 years old, inclusive;
  • Clinically diagnosed with one of the following:
  • Type II Diabetes Mellitus with or without hypertension and dyslipidemia
  • Prediabetes with or without hypertension and dyslipidemia
  • Healthy or sub-healthy subject without clinically diagnosed chronic conditions such as diabetes, hypertension or dyslipidemia

Who cannot join

  • Subjects diagnosed with Gestational Diabetes
  • Subjects who are pregnant or lactating
  • Subjects with chronic heart failure, history of carcinomas with treatment of chemotherapy/radiotherapy, psychological, or psychiatric disorders
  • Subjects with heart diseases and transplanted devices such as pacemakers;
  • Subjects with acute infections such as upper respiratory infections, acute gastroenteritis, or urinary tract infections;
  • Subjects unable to undergo evaluation with the pulse sphygmograph, tongue detection or complete the questionnaire;
Show all 9Show fewer
  • Subjects with communication disorders
  • Subjects with gastroenterology diseases or are diagnosed with 'spleen and stomach deficiency' (脾胃虚弱)
  • Subjects undergoing TCM treatment for diabetes or pre-diabetes within 1 week

Trial locations and contacts

1 site in 1 country.

Singapore1 site
  • Singapore Chung Hwa Medical Institution

    Singapore, 319522

Other trials in Singapore

About this study

Official title: Investigating the Syndrome Differentiation of Diabetic and Pre-diabetic Patients in Singapore Using Digitalized TCM Diagnostic Tools: an Observational Study

The investigators aim to objectively identify the Traditional Chinese Medicine (TCM) syndrome differentiation of type II diabetic and prediabetic patients in Singapore through modern technologies thereby potentially increasing the accuracy of identification, diagnosis, and prevention of diabetes and prediabetes through a system of targeted treatment. This observational study integrates the concept of TCM diagnostic methods with modern tools aim to provide an objective view on the syndrome differentiation of diabetic and prediabetic patients in Singapore and hence provide a guideline in the treatment options targeted specifically at Singaporeans demographic.

A total of 250 subjects with 50 allocated in each group will be recruited to ensure a sufficient sample size for statistical analysis of the diabetic and prediabetic syndrome differentiation. Subjects aged 21-65 years old, of either gender, with no limitations on race, and is diagnosed with either diabetes (FPG ≥ 7.0 mmol/L, or 2hPG ≥ 11.1mmol) or prediabetes (IFG of FPG 6.1-6.9 mmol/L, and/or IGT with 2hPG of 7.8-11.0 mmol/L) will be included.

Subjective and objective assessments through health evaluation, Physical Activity Questionnaire and Sugar Intake, Constitution in Chinese Medicine Questionnaire, radial pulse diagnosis and tongue diagnosis will be performed for each subject in a single visit. Statistical analysis of assessments will be conducted using unpaired t-test with significance level of p<0.05. Statistical software SPSS 15.0 (SPSS Inc.) will be used for the analysis.

Read the detailed description

Singapore's age-adjusted comparative prevalence of diabetes is at 5.5% in 2019 down from 10.2% in 2010, whereas the global average is at 8.3%. However, approximately 640,000 Singapore citizens 18 years and above are diagnosed with diabetes, and around 650,000 citizens are prediabetic.

The investigators aim to objectively identify the Traditional Chinese Medicine (TCM) syndrome differentiation of type II diabetic and prediabetic patients in Singapore through modern technologies thereby potentially increasing the accuracy of identification, diagnosis, and prevention of diabetes and prediabetes through a system of targeted treatment.

The investigators hypothesize that the TCM syndrome differentiation of 'xiao-ke' in Singapore is different from that of the ones defined in TCM Internal Medicine, which is based on China demographics.

This observational study integrates the concept of TCM diagnostic methods with modern tools aim to provide an objective view on the syndrome differentiation of diabetic and prediabetic patients in Singapore and hence provide a guideline in the treatment options targeted specifically at Singaporeans demographic.

The investigators will attempt to recruit a total of 250 subjects with 50 allocated in each group to ensure a sufficient sample size for statistical analysis of the diabetic and prediabetic syndrome differentiation. Subjects aged 21-75 years old, of either gender, with no limitations on race, and is diagnosed with either diabetes (FPG ≥ 7.0 mmol/L, or 2hPG ≥ 11.1mmol) or prediabetes (IFG of FPG 6.1-6.9 mmol/L, and/or IGT with 2hPG of 7.8-11.0 mmol/L) will be included.

Subjective and objective assessments through health evaluation, Physical Activity Questionnaire and Sugar Intake, Constitution in Chinese Medicine Questionnaire, radial pulse diagnosis and tongue diagnosis will be performed for each subject in a single visit. Statistical analysis of assessments will be conducted using unpaired t-test with significance level of p<0.05. Statistical software SPSS 15.0 (SPSS Inc.) will be used for the analysis.

Being tested
Questionnaires+Tongue diagnosis+Pulse diagnosis
Keywords
Diabetes Mellitus, Type II diabetes, Pre-diabetes, Healthy subjects, hypertension, dyslipidemia, TCM, TCM diagnosis, Pulse diagnosis, Tongue diagnosis
Medical subject headings
Diabetes Mellitus, Glucose Intolerance, Hypertension, Diabetes Mellitus, Type 2, Dyslipidemias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Questionnaires+Tongue diagnosis+Pulse diagnosisOther

    Each subject will undergo questionnaires, tongue and pulse diagnosis using modern diagnostic tools

Study groups in NCT05563090
Study groupRoleWhat they receive
0HEAHealthy or sub-healthy subject without clinically diagnosed chronic conditions such as diabetes, hypertension or dyslipidemia
Receives: Other: Questionnaires+Tongue diagnosis+Pulse diagnosis
1PREPrediabetes with IFG of FPG 6.1-6.9 mmol/L, and/or IGT with 2hPG of 7.8-11.0 mmol/L
Receives: Other: Questionnaires+Tongue diagnosis+Pulse diagnosis
2DIADiabetes with FPG of ≥ 7.0 mmol/L, 2hPG of ≥ 11.1mmol, or HbA1c of > 6.5%
Receives: Other: Questionnaires+Tongue diagnosis+Pulse diagnosis
3PREHDPrediabetes with hypertension and dyslipidemia
Receives: Other: Questionnaires+Tongue diagnosis+Pulse diagnosis
4DIAHDDiabetes with hypertension and dyslipidemia
Receives: Other: Questionnaires+Tongue diagnosis+Pulse diagnosis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Constitution in Chinese Medicine Questionnaire (CCMQ)

    The CCMQ, published by the China Association of Chinese Medicine in 2009, will be adopted to assess the body constitution of each subjects based on TCM principles [26]. Refer to Annex 3.

    There are nine different types of body constitution, including (a) Normality; (b) Qi deficiency; (c) Yin deficiency; (d) Yang deficiency; (e) Phlegm-dampness; (f) Damp-heat; (g) Blood stasis; (h) Qi depressed; (i) Inherited special constitution.

    Each subject will answer seven to eight questions in each category. The scoring algorithm indicates the likelihood of a specific type of body constitution with a higher score.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  2. Physical Activity Questionnaire and sugar intake

    Level of physical activity related to the last three months will be recorded through the Physical Activity Questionnaire. Sugar intake includes sweet or carbonated drinks, desserts like chocolates and cakes, 0 - 2, 3 - 6, or more than 7 times a week will also be recorded. Refer to Annex 2.

    This will help to identify the risk factors involved and identify the correlation between the body constitutions and various types of 'xiao-ke' based on TCM syndrome differentiation.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  3. Pulse sphygmograph

    The Asia Plus Pen Pulse Analysis System Model PPAS-93 (Asia Plus Bio Tech Co., Ltd, Taiwan) would be used in the identification of RPPW of the subjects in this study.

    The Asia Plus Pen Pulse Analysis System Model PPAS-93 (Figure 11) is a noninvasive device that consist of a high precision pressure sensor pen and a pulse analyzer. The 3D pulse detector is a handheld pen that digitalizes the biological signal of RPPW and provides a graphical analysis. The electronic device contains a high precision pressure sensor, a filter, an amplifier, and a signal recording card connected to signal analysis software. The frequency response is 0.1-50 Hz, and the sampling rate is 3000 Hz.

    Measured: One-time assessment within 30mins after undergoing the questionnaires

  4. Tongue imaging device

    China Artificial Intelligence Health Status Identification System Model Number YZKJ-SMZY-1AI (Figure 12) will be used in the imaging and analysis of the subject's tongue.

    The noninvasive device captures the image of the tongue through an inbuilt camera supported by LED lights within the device. A monitor that is connected to the imaging device would provide a live video feedback on the positioning of the tongue. The images of the subjects' face, tongue, and sublingual collaterals will then be compared and analyzed for the similarities against standard images of tongue analysis using an artificial intelligence system.

    Measured: One-time assessment within 30mins after undergoing the questionnaires

Secondary outcomes (10)
  1. Health Evaluation - Age

    Demographic information eg age in years will be collected.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  2. Health Evaluation - Gender

    Demographic information eg gender will be collected.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  3. Health Evaluation - Weight

    Weight in kilogram will be recorded

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  4. Health Evaluation - Height

    Height in meters will be recorded

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  5. Health Evaluation - BMI

    Weight in kilogram and height in meters will be aggregated to derive the BMI in kg/m^2.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  6. Health Evaluation - blood sugar level

    Blood glucose in fasting, 2hPG or HbA1c (in mmol/L) results if available in patient's regular blood test report

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  7. Health Evaluation - Vital signs

    Vital signs including systolic blood pressure, diastolic blood pressure in mmHg

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  8. Health Evaluation - Radial pulse rate

    Vital signs including radial pulse rate (bpm)

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  9. Health Evaluation - Medications

    Western and Chinese medications and nutritional supplements consumed by the subjects will be recorded to identify possible intervention and correlation towards TCM syndrome differentiation.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

  10. Health Evaluation - Existing symptoms

    The existing symptoms of subjects will be recorded to identify the possible correlation towards TCM syndrome differentiation.

    Measured: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Oct 2022
  2. Study start17 Sep 2022
  3. Primary completion1 Apr 2025
  4. Study completion1 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
171 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05563090
Sponsor's protocol ID
SCHMI-2022-001
Status last verified
Dec 2023
First submitted
25 Sep 2022
Last updated
4 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Ng HP, Chong SY, Li YH, Goh TH, Pang KY, Pereira MJ, Huang CM. Objective Analysis of Traditional Chinese Medicine Syndrome Differentiation of Patients With Diabetes and Prediabetes: Protocol for a Nonrandomized, Exploratory, Observational Case-Control Study Using Digitalized Traditional Chinese Medicine Diagnostic Tools. JMIR Res Protoc. 2024 Sep 12;13:e56024. doi: 10.2196/56024.

    PubMed 39265161

Questions about this trial

What is this clinical trial studying?

An observational study of Diabete Mellitus and Pre-diabetes, run by Singapore Chung Hwa Medical Institution at 1 site in Singapore.

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 5 inclusion and 9 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: finished, as of the sponsor's last update on 4 May 2025. 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 Singapore. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Constitution in Chinese Medicine Questionnaire (CCMQ) (time frame: One-time assessment within 30mins before undergoing the tongue and pulse diagnosis.). The study lists 4 primary outcomes in all. 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 NCT05563090, 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 4 May 2025.

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