Point-of-care Capillary HbA1c Testing for Type 2 Diabetes Screening Among At-risk Individuals in Rural Dali, China
Effectiveness and Cost-Effectiveness of Point-of-care Capillary HbA1c Testing for Type 2 Diabetes Screening Among At-risk Individuals in Rural Dali, Yunnan, China: A Cluster Randomised Controlled Trial
1 other identifier
interventional
720
1 country
1
Brief Summary
This project aims to compare Point-of-care capillary HbA1c (POC-cHbA1c) testing and fingerstick random blood glucose (RBG) testing in terms of type 2 diabetes detection rate and cost-effectiveness, in order to optimise current screening strategies for rural populations at high risk of diabetes in rural Dali, China, and to improve treatment adherence and self-management among people with diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable type-2-diabetes
Started Jul 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 13, 2026
CompletedFirst Posted
Study publicly available on registry
July 22, 2026
CompletedStudy Start
First participant enrolled
July 28, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 30, 2027
July 28, 2026
July 1, 2026
1 year
July 13, 2026
July 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Detection rate of T2DM
1 week
Secondary Outcomes (4)
Detection rate of pre-diabetes
1 week
Sensitivity and specificity
1 week
Number needed to screen
1 week
Incremental cost-effectiveness ratio
3 months and 6 months
Other Outcomes (5)
Proportion of treatment adherence
3 months and 6 months
Score of diabetes self-management
3 months and 6 months
Venous HbA1c levels
3 months and 6 months
- +2 more other outcomes
Study Arms (2)
Intervention group
EXPERIMENTALPOC-cHbA1c + vHbA1c
Control group
ACTIVE COMPARATORFingerstick RBG + vHbA1c
Interventions
Research staff will use quality-certified POC HbA1c devices to perform finger-prick capillary HbA1c testing for participants. Testing will be completed on site and results will be provided immediately.
Research staff will use standardised glucometers and test strips to measure fingerstick random blood glucose. Test results will be provided on site.
Eligibility Criteria
You may qualify if:
- Aged 18 years or above;
- Permanent residents of Dali City who have lived locally for at least six consecutive months;
- Registered as rural residents;
- No known history of diabetes;
- Meet at least one of the high-risk criteria for T2DM specified in the Chinese Guidelines for the Prevention and Treatment of Diabetes issued by the Chinese Diabetes Society;
- Able to understand the study information and provide written informed consent.
You may not qualify if:
- Known history of T2DM or currently receiving glucose-lowering treatment;
- HbA1c testing with a clear result within the past three months, or completion of standardised diabetes screening within the past six months;
- Pregnant or breastfeeding at the time of recruitment;
- Active thyroid disease or other active endocrine disorders at recruitment, such as Cushing's syndrome or acromegaly;
- Known haemoglobinopathy, severe anaemia, recent acute blood loss, or history of blood transfusion or blood donation within the past three months;
- Currently receiving treatment that may substantially affect interpretation of HbA1c, such as erythropoietin therapy or recent high-dose iron therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The First People's Hospital of Dali
Dali, Yunnan, 671000, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
William Chi Wai Wong, MD
The University of Hong Kong
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
July 13, 2026
First Posted
July 22, 2026
Study Start
July 28, 2026
Primary Completion (Estimated)
July 31, 2027
Study Completion (Estimated)
December 30, 2027
Last Updated
July 28, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share