Journal
DIABETIC MEDICINE
Volume 32, Issue 12, Pages 1658-1661Publisher
WILEY
DOI: 10.1111/dme.12836
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Funding
- Telemedicine Cluster, Tropical Medicine and Biology platform, Monash University Malaysia [52140757-314-00]
- SEGi University Research Fund [SEGi/2013/SKK/04/1]
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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)
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