Precision Diabetes Education Guided by Diabetes Complication Risk Assessment
PDE
Precision Diabetes Education According to Diabetic Complication Risk Assessment Tool
1 other identifier
interventional
180
1 country
6
Brief Summary
This prospective, multicenter interventional study evaluated the implementation of precision diabetes education guided by individualized diabetes complication risk assessment in adults with type 2 diabetes. The study was conducted at six hospitals in Taiwan. Participants underwent assessment of their predicted risks for six major diabetes-related complications: diabetic kidney disease, atherosclerotic cardiovascular disease, congestive heart failure, ischemic stroke, diabetic retinopathy, and lower-extremity amputation. Diabetes educators used the risk assessment results to identify the complication with the highest predicted risk and to provide individualized education focused on prevention and modification of relevant health behaviors. Participants continued to receive standard diabetes education and routine clinical care. Personalized education was provided at enrollment and again during follow-up, with clinical information, complication-risk assessment, and patient-reported measures collected during the 6-month study period. The study aimed to establish a personalized diabetes education model based on complication-risk assessment and to improve the quality of diabetes complication prevention and care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2024
6 active sites
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
Study Start
First participant enrolled
March 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 18, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 18, 2025
CompletedFirst Submitted
Initial submission to the registry
August 25, 2026
CompletedFirst Posted
Study publicly available on registry
August 28, 2026
CompletedAugust 28, 2026
August 1, 2026
12 months
August 25, 2026
August 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Hemoglobin A1c
Change in hemoglobin A1c from baseline to the 6-month assessment, expressed in percentage points.
Baseline and Month 6
Other Outcomes (13)
Change From Baseline in Systolic Blood Pressure
Baseline and Month 6
Change From Baseline in Diastolic Blood Pressure
Baseline and Month 6
Change From Baseline in Body Weight
Baseline and Month 6
- +10 more other outcomes
Study Arms (1)
Precision Diabetes Education
EXPERIMENTALParticipants underwent individualized diabetes complication risk assessment and received personalized diabetes education based primarily on the complication with the highest predicted risk. Standard diabetes education and routine clinical care were continued throughout the study. Personalized education was provided at enrollment and repeated approximately 3 months later, with reassessment at 6 months.
Interventions
Participants underwent individualized risk assessment for six major diabetes-related complications: diabetic kidney disease, atherosclerotic cardiovascular disease, congestive heart failure, ischemic stroke, diabetic retinopathy, and lower-extremity amputation. Based on the predicted risk profile, diabetes educators used a standardized education manual to provide personalized education focused primarily on the complication with the highest predicted risk and relevant modifiable health behaviors. Participants continued to receive standard diabetes education and routine clinical care. Personalized education was provided at enrollment and repeated approximately 3 months later. At 6 months, complication-risk assessment and relevant clinical and patient-reported measures were reassessed.
Eligibility Criteria
You may qualify if:
- Adults aged 18 years or older with a diagnosis of type 2 diabetes mellitus and without established chronic diabetes complications.
- Hemoglobin A1c between 7% and 9%.
- Stable type and dosage of glucose-lowering medications during the preceding 6 months.
- Ability to independently understand the study information and procedures and to make an informed decision regarding participation.
- Willingness to provide written informed consent.
You may not qualify if:
- Clinically unstable conditions, including acute diabetes-related conditions such as diabetic ketoacidosis, hyperosmolar hyperglycemic state, severe hypoglycemia, acute infection, or acute organ injury.
- Terminal illness requiring palliative care or other conditions for which active treatment is no longer appropriate.
- Unwillingness or inability to provide written informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Taiwanese Association of Diabetes Educatorslead
- National Taiwan University Hospitalcollaborator
- Mackay Memorial Hospitalcollaborator
- Taichung Veterans General Hospitalcollaborator
- National Cheng-Kung University Hospitalcollaborator
- Kaohsiung Medical University Chung-Ho Memorial Hospitalcollaborator
- Chang Gung Memorial Hospitalcollaborator
Study Sites (6)
National Taiwan University Hospital
Taipei, Taipei, 100225, Taiwan
MacKay Memorial Hospital
Taipei, Taipei, 104213, Taiwan
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756, Taiwan
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833401, Taiwan
Taichung Veterans General Hospital
Taichung, 407219, Taiwan
National Cheng Kung University Hospital
Tainan, 704302, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 25, 2026
First Posted
August 28, 2026
Study Start
March 1, 2024
Primary Completion
February 18, 2025
Study Completion
February 18, 2025
Last Updated
August 28, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will not share
Individual participant data will not be shared because the original study protocol did not include a plan for external IPD sharing. Study findings may be reported in aggregate form.