Type 2 Diabetes MellitusBRIDGENCT07373379
Blended Resources for Integrated Diabetes Guidance and Empowerment
A study testing AI-driven Dietary Management and Human-in-the-loop Support in people with Type 2 Diabetes Mellitus, run by Peking University.
Trial summary
The goal of this cluster randomized clinical trial is to learn if an AI-enabled blended care model (the BRIDGE program) works to treat type 2 diabetes in adults. It will also learn about the cost-effectiveness and implementation feasibility of this model in primary care settings. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- AI-driven Dietary Management and Human-in-the-loop Support
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,200 participants
- Where
- No sites listed yet
- Study dates
- 1 Mar 2026to 30 Oct 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 18 to 70 years (inclusive).
- Glycosylated hemoglobin (HbA1c) level ≥ 6.5%.
- Resided in the local area for at least 6 months.
- Capable of using a smartphone to take photos and use the WeChat mini-program.
- Willing and able to provide informed consent.
Who cannot join
- Diagnosed with Type 1 diabetes, gestational diabetes, or secondary diabetes.
- Presence of severe diabetic complications.
- Received radiotherapy or chemotherapy within the past 6 months.
- Diagnosed with severe intellectual disabilities, Alzheimer's disease, or other serious psychiatric disorders.
- Current participation in other research projects that may affect the results of this study.
- Presence of other severe disabilities or medical conditions deemed unsuitable for participation by the investigators.
About this study
Official title: Effectiveness and Implementation of an AI-Driven Blended Care Model for Type 2 Diabetes Management in Primary Care: A Single-Blind, Cluster Randomized Controlled Trial in Zhangjiagang, China
The goal of this cluster randomized clinical trial is to learn if an AI-enabled blended care model (the BRIDGE program) works to treat type 2 diabetes in adults. It will also learn about the cost-effectiveness and implementation feasibility of this model in primary care settings. The main questions it aims to answer are:
Does the AI-driven intervention lower HbA1c levels (blood sugar) compared to standard care?
Read more
Does this model improve participants' quality of life, self-management behaviors, and digital literacy?
Researchers will compare the "Diet-Medicine Companion" (Shi Yi Ban Lv) mini-program combined with family doctor support to standard community care to see if the blended care model works to manage diabetes.
Participants will:
Use the "Diet-Medicine Companion" mini-program to upload diet photos daily and receive AI feedback for 6 months
Receive periodic guidance and phone reminders from case administrators (family doctors)
Complete questionnaires and blood tests (HbA1c) at baseline, 3 months, and 6 months
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- AI-driven Dietary Management and Human-in-the-loop Support
- Keywords
- Type 2 Diabetes Mellitus, digital health, AI, blended care
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AI-driven Dietary Management and Human-in-the-loop SupportDevice
The intervention consists of a 6-month AI-enabled blended care program using the "Diet-Medicine Companion" (Shi Yi Ban Lv) WeChat mini-program.
Patient Component (AI Support): Participants are required to upload dietary photos and blood glucose records via the mini-program at least once daily. The system, powered by a Large Language Model (LLM), provides immediate, personalized dietary feedback and answers diabetes-related queries via an AI chatbot.
Provider Component (Human Support): Case administrators (family doctors) monitor patient data through a provider dashboard. The protocol involves "human-in-the-loop" support, where doctors provide telephone reminders if participants are inactive (no uploads) for more than 7 days. Doctors also intervene to provide medical guidance or health education based on specific system alerts or patient needs.
| Study group | Role | What they receive |
|---|---|---|
| Intervention | Experimental | Participants in this arm will receive the "Diet-Medicine Companion" (Shi Yi Ban Lv) intervention. This involves using an AI-powered WeChat mini-program for daily dietary logging and receiving real-time feedback. Participants also receive proactive monitoring and support from family doctors (case administrators), including telephone reminders if they are inactive for more than 7 days and targeted health guidance based on their data. Receives: Device: AI-driven Dietary Management and Human-in-the-loop Support |
| Control | No intervention | Participants in this arm will receive standard community care (usual care) for type 2 diabetes management provided by their local community health centers. They will complete the same schedule of assessments (HbA1c tests and questionnaires) at baseline, 3 months, and 6 months but will not receive the AI mini-program intervention or the specific case administrator support provided to the experimental group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Glycosylated Hemoglobin (HbA1c) Levels
Glycosylated Hemoglobin (HbA1c) reflects the average plasma glucose concentration over the preceding 3 months. It serves as the gold standard biomarker for long-term glycemic control in diabetes management. Data will be obtained from venous blood samples collected at community health centers. A lower HbA1c percentage indicates better glycemic control.
Measured: Baseline, Month 3, and Month 6
Secondary outcomes (8)
Change in Body Mass Index (BMI)
Calculated as weight in kilograms divided by the square of height in meters (kg/m^2). BMI is used as an indicator of body fatness and weight management status. A lower BMI (within the healthy range) generally indicates better weight control outcomes.
Measured: Baseline, Month 3, and Month 6
Change in Blood Pressure
Measured as Systolic and Diastolic Blood Pressure in mmHg using a standard sphygmomanometer. Lower blood pressure values (approaching the normal range) indicate better cardiovascular risk management.
Measured: Baseline, Month 3, and Month 6
Incidence of Diabetes Complications
The occurrence of new or worsening diabetes-related complications, including but not limited to neuropathy, retinopathy, nephropathy, and cardiovascular events. Data will be collected through medical record reviews and patient self-reports. A lower incidence rate indicates better disease management
Measured: Baseline, Month 3, and Month 6
Quality of Life (EQ-5D-5L)
Assessed using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire. It covers five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Responses are converted into a single utility index score ranging from less than 0 to 1. Higher scores indicate better health-related quality of life.
Measured: Baseline, Month 3, and Month 6
Self-Management Behaviors (SDSCA)
Assessed using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. This instrument measures the frequency of self-care activities (including diet, exercise, blood sugar testing, and foot care) over the past 7 days. Higher scores indicate better adherence to diabetes self-management activities.
Measured: Baseline, Month 3, and Month 6
Treatment Satisfaction (DTSQs)
Assessed using the Diabetes Treatment Satisfaction Questionnaire (DTSQs). This tool evaluates the patient's satisfaction with their current treatment regimen, including perception of hyperglycemia/hypoglycemia and convenience. Higher scores indicate greater satisfaction with the treatment.
Measured: Baseline, Month 3, and Month 6
Digital Literacy (C-eHEALS)
Assessed using the Chinese eHealth Literacy Scale (C-eHEALS). This scale measures the participants' combined knowledge, comfort, and perceived skills at finding, evaluating, and applying electronic health information to health problems. Higher scores indicate higher levels of electronic health literacy.
Measured: Baseline, Month 3, and Month 6
Medical Costs
Total direct and indirect costs related to diabetes management. Direct costs include expenses for examinations, medications, outpatient/inpatient visits, transportation, and caregiver fees. Indirect costs include caregiver time costs. Data will be collected via patient questionnaires and healthcare utilization records. Lower costs indicate a reduced economic burden.
Measured: Baseline, Month 3, and Month 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jan 2026
- Study start1 Mar 2026 (estimated)
- Primary completion1 Mar 2026 (estimated)
- Study completion30 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Peking UniversityThe sponsor's other registered studies.
- 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 1,200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Peking University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07373379
- Sponsor's protocol ID
- IRB00001052-25198
- Acronym
- BRIDGE
- Status last verified
- Jan 2026
- First submitted
- 21 Jan 2026
- Last updated
- 23 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness and Implementation of an AI-Driven Blended Care Model for Type 2 Diabetes Management in Primary Care: A Single-Blind, Cluster Randomized Controlled Trial in Zhangjiagang, China
- ClinicalTrials.gov ID
- NCT07373379
- Acronym / sponsor ID
- BRIDGE / IRB00001052-25198
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Type 2 Diabetes Mellitus, digital health, AI, blended care
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 1,200 participants (estimated)
- Lead sponsor
- Peking UniversityUniversity, hospital or other
- Study start
- 1 Mar 2026 (estimated)
- Primary completion
- 1 Mar 2026 (estimated)
- Study completion
- 30 Oct 2026 (estimated)
- First posted
- 28 Jan 2026 (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.
The goal of this cluster randomized clinical trial is to learn if an AI-enabled blended care model (the BRIDGE program) works to treat type 2 diabetes in adults. It will also learn about the cost-effectiveness and implementation feasibility of this model in primary care settings. The main questions it aims to answer are:
Does the AI-driven intervention lower HbA1c levels (blood sugar) compared to standard care?
Does this model improve participants' quality of life, self-management behaviors, and digital literacy?
Researchers will compare the "Diet-Medicine Companion" (Shi Yi Ban Lv) mini-program combined with family doctor support to standard community care to see if the blended care model works to manage diabetes.
Participants will:
Use the "Diet-Medicine Companion" mini-program to upload diet photos daily and receive AI feedback for 6 months
Receive periodic guidance and phone reminders from case administrators (family doctors)
Complete questionnaires and blood tests (HbA1c) at baseline, 3 months, and 6 months
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention | Experimental | Device: AI-driven Dietary Management and Human-in-the-loop SupportParticipants in this arm will receive the "Diet-Medicine Companion" (Shi Yi Ban Lv) intervention. This involves using an AI-powered WeChat mini-program for daily dietary logging and receiving real-time feedback. Participants also receive proactive monitoring and support from family doctors (case administrators), including telephone reminders if they are inactive for more than 7 days and targeted health guidance based on their data. |
| Control | No intervention | –Participants in this arm will receive standard community care (usual care) for type 2 diabetes management provided by their local community health centers. They will complete the same schedule of assessments (HbA1c tests and questionnaires) at baseline, 3 months, and 6 months but will not receive the AI mini-program intervention or the specific case administrator support provided to the experimental group. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Aged 18 to 70 years (inclusive).
- Glycosylated hemoglobin (HbA1c) level ≥ 6.5%.
- Resided in the local area for at least 6 months.
- Capable of using a smartphone to take photos and use the WeChat mini-program.
- Willing and able to provide informed consent.
Key exclusion criteria (6 listed)
- Diagnosed with Type 1 diabetes, gestational diabetes, or secondary diabetes.
- Presence of severe diabetic complications.
- Received radiotherapy or chemotherapy within the past 6 months.
- Diagnosed with severe intellectual disabilities, Alzheimer's disease, or other serious psychiatric disorders.
- Current participation in other research projects that may affect the results of this study.
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 |
|---|---|---|
| AI-driven Dietary Management and Human-in-the-loop SupportThe intervention consists of a 6-month AI-enabled blended care program using the "Diet-Medicine Companion" (Shi Yi Ban Lv) WeChat mini-program. Patient Component (AI Support): Participants are required to upload dietary photos and blood glucose records via the mini-program at least once daily. The system, powered by a Large Language Model (LLM), provides immediate, personalized dietary feedback and answers diabetes-related queries via an AI chatbot. Provider Component (Human Support): Case administrators (family doctors) monitor patient data through a provider dashboard. The protocol involves "human-in-the-loop" support, where doctors provide telephone reminders if participants are inactive (no uploads) for more than 7 days. Doctors also intervene to provide medical guidance or health education based on specific system alerts or patient needs. | Device | Intervention |
Primary outcome
Change in Glycosylated Hemoglobin (HbA1c) Levels
Time frame: Baseline, Month 3, and Month 6
Glycosylated Hemoglobin (HbA1c) reflects the average plasma glucose concentration over the preceding 3 months. It serves as the gold standard biomarker for long-term glycemic control in diabetes management. Data will be obtained from venous blood samples collected at community health centers. A lower HbA1c percentage indicates better glycemic control.
8 secondary outcomes
Change in Body Mass Index (BMI)
Time frame: Baseline, Month 3, and Month 6
Change in Blood Pressure
Time frame: Baseline, Month 3, and Month 6
Incidence of Diabetes Complications
Time frame: Baseline, Month 3, and Month 6
Quality of Life (EQ-5D-5L)
Time frame: Baseline, Month 3, and Month 6
Self-Management Behaviors (SDSCA)
Time frame: Baseline, Month 3, and Month 6
Treatment Satisfaction (DTSQs)
Time frame: Baseline, Month 3, and Month 6
Digital Literacy (C-eHEALS)
Time frame: Baseline, Month 3, and Month 6
Medical Costs
Time frame: Baseline, Month 3, and Month 6
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2026.
- Individual participant dataSharing planned: Yes
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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.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing AI-driven Dietary Management and Human-in-the-loop Support in people with Type 2 Diabetes Mellitus, run by Peking University.
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 6 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: opening soon, as of the sponsor's last update on 23 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
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?
Change in Glycosylated Hemoglobin (HbA1c) Levels (time frame: Baseline, Month 3, and Month 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Feb 2026.