Malaysia Diabetes Ramadan Nutrition Plan (My Dia-RNP®): A Feasibility Study

NCT ID: NCT03817099

Last Updated: 2019-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-01

Study Completion Date

2019-12-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Ramadan fasting is an important event for Muslims. During Ramadan, all healthy Muslims are asked to abstain from food and drink throughout the day and eat only during daybreak (also know as Sahur in Malay/Arabic language) and after sunset (also know as Iftar in Malay/Arabic language). Patients with type 2 diabetes (T2DM) can be exempted from fasting but most of them do not perceive themselves as sick, and they continue to fast. With so many Muslims with diabetes choosing to fast, there is an immediate need for evidence-based nutrition practice guidelines. This study is conducted to determine the feasibility of implementing the Ramadan Nutrition Plan named My Dia-RNP that is also incorporating diabetes-specific nutrition formula on dietary adherence and acceptability in patients with type 2 diabetes mellitus. We hypothesized that My Dia-RNP is feasible to be practiced by patients with type 2 diabetes.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

In Malaysia, average fasting duration is about 14 hours which could potentially cause hypoglycemia, hyperglycemia, ketoacidosis, and dehydration among people with diabetes. Also, Ramadan triggers a prime dietary change leading to increased risk of nutritional issues from improper eating habits and reduction in physical activity level (Hamdy et al., 2016). Ramadan fasting, therefore, represents a challenge to both patients and healthcare professionals (HCPs) including dietitians.

Ramadan Nutrition Plan (RNP) has recently published by the International Diabetes Federation (IDF) and the Diabetes and Ramadan (DAR) International Alliance IDF-DAR guidelines. The goal is to provide comprehensive guidance on nutrition practice during Ramadan. However, its feasibility in the real clinical scenarios warrants further investigation.

Besides, the use of a diabetes-specific nutrition formula (Nutren Untuk Diabetik®) has been shown beneficial in improving blood glucose control and managing body weight as well as enhancing the nutrient adequacy among people with diabetes (Hamdy and Barakatun-Nisak 2016). While the benefits have been well established, no study has explored its potential during Ramadan.

Malaysia Diabetes-Ramadan Nutrition Plan (My Dia-RNP) is proposed to determine the feasibility of implementing the RNP and to incorporate the diabetes-specific nutrition formula (Nutren Untuk Diabetik®) during Ramadan on dietary adherence and acceptability in patients with type 2 diabetes mellitus.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Type 2 Diabetes Mellitus

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Participants are assigned to two groups in parallel for the duration of the study based on their choice
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

My Dia-RNP

In the My Dia-RNP group, participants will undergo the pre-RNP assessment 2 weeks before Ramadan. They will be given a nutrition education based on the Ramadan Nutrition Plan Guide published by IDF-DAR Practical Guidelines. They will also be asked to incorporate diabetes-specific nutrition formula (Nutren untuk Diabetik®) within the prescribed calories before Ramadan period to help them familiarise with a dietary change.

Group Type EXPERIMENTAL

Nutrition Intervention based on My Dia-RNP

Intervention Type OTHER

Subjects in this group will be advised to follow My Dia-RNP and to incorporate diabetes-specific formula (Nutren®Untuk Diabetik)

Usual Care

Participant in this group will continue in a usual care (UC) group. They will receive dietary advice based on the Practical Guide to Diabetes Management in Ramadan produced by Ministry of Health (2015).

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type OTHER

Subjects in the group continue with the usual care

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Nutrition Intervention based on My Dia-RNP

Subjects in this group will be advised to follow My Dia-RNP and to incorporate diabetes-specific formula (Nutren®Untuk Diabetik)

Intervention Type OTHER

Usual Care

Subjects in the group continue with the usual care

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All Muslim patients aged \> 18 years old
* Have a confirmed diagnosis of T2D for at least 6 months
* BMI \> 18.5 but \< 40 kg/m2
* HbA1c of \> 6.5% but \< 10%
* On a stabilised dose of oral anti-diabetes agents (OAD) for the past 2 months prior to the study
* Willing to fast for at least 15 days during Ramadan

Exclusion Criteria

* History of hypoglycaemia leading to hospitalization during the previous Ramadan
* Liver disease
* Abnormal liver function test or renal profiles
* On insulin injection
* Reported abnormal thyroid stimulating hormones
* Use of medications known to effect lipid or glucose metabolism such as steroid
* Pregnancy or the desire to become pregnant in the next 3 months
* On any weight loss program or weight loss medications
* History of cancer undergoing active treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Nestle Health Science

INDUSTRY

Sponsor Role collaborator

Joslin Diabetes Center

OTHER

Sponsor Role collaborator

Universiti Putra Malaysia

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Barakatun Nisak Bt Mohd Yusof

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Barakatun-Nisak Mohd Yusof, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Wan Zul Haikal Hafiz Wan Zukiman, Mmed

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Noraida Omar, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Zalina Abu Zaid, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Azrina Azlan, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Firdaus Mamat @ Mukhtar, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Norhasmah Sulaiman, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Siti NurA'syura Adznam, PhD

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Nur Maziah Hanum Osman, Master

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Nor Farahain Yahya, Degree

Role: PRINCIPAL_INVESTIGATOR

Universiti Putra Malaysia

Osama Hamdy, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Joslin Diabetes Centre

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Universiti Putra Malaysia

Serdang, Selangor, Malaysia

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Malaysia

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Barakatun-Nisak Mohd Yusof, PhD

Role: CONTACT

03-89472524 ext. 2524

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Barakatun-Nisak Mohd Yusof, PhD

Role: primary

03-89472524 ext. 2524

Barakatun-Nisak Mohd Yusof, PhD

Role: backup

0389472524 ext. 2524

References

Explore related publications, articles, or registry entries linked to this study.

Babineaux SM, Toaima D, Boye KS, Zagar A, Tahbaz A, Jabbar A, Hassanein M. Multi-country retrospective observational study of the management and outcomes of patients with Type 2 diabetes during Ramadan in 2010 (CREED). Diabet Med. 2015 Jun;32(6):819-28. doi: 10.1111/dme.12685. Epub 2015 Apr 10.

Reference Type BACKGROUND
PMID: 25581456 (View on PubMed)

Bujang MA, Ismail M, Hatta NKBM, Othman SH, Baharum N, Lazim SSM. Validation of the Malay version of Diabetes Quality of Life (DQOL) Questionnaire for Adult Population with Type 2 Diabetes Mellitus. Malays J Med Sci. 2017 Aug;24(4):86-96. doi: 10.21315/mjms2017.24.4.10. Epub 2017 Aug 18.

Reference Type BACKGROUND
PMID: 28951693 (View on PubMed)

Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, Tyrer P. Framework for design and evaluation of complex interventions to improve health. BMJ. 2000 Sep 16;321(7262):694-6. doi: 10.1136/bmj.321.7262.694. No abstract available.

Reference Type BACKGROUND
PMID: 10987780 (View on PubMed)

Hamdy O, Barakatun-Nisak MY. Nutrition in Diabetes. Endocrinol Metab Clin North Am. 2016 Dec;45(4):799-817. doi: 10.1016/j.ecl.2016.06.010.

Reference Type BACKGROUND
PMID: 27823606 (View on PubMed)

Lee JY, Wong CP, Tan CSS, Nasir NH, Lee SWH. Type 2 diabetes patient's perspective on Ramadan fasting: a qualitative study. BMJ Open Diabetes Res Care. 2017 May 8;5(1):e000365. doi: 10.1136/bmjdrc-2016-000365. eCollection 2017.

Reference Type BACKGROUND
PMID: 28761651 (View on PubMed)

Lee SWH, Lee JY, Tan CSS, Wong CP. Strategies to Make Ramadan Fasting Safer in Type 2 Diabetics: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials and Observational Studies. Medicine (Baltimore). 2016 Jan;95(2):e2457. doi: 10.1097/MD.0000000000002457.

Reference Type BACKGROUND
PMID: 26765440 (View on PubMed)

Lee JY, Wong CP, Tan CSS, Nasir NH, Lee SWH. Telemonitoring in fasting individuals with Type 2 Diabetes Mellitus during Ramadan: A prospective, randomised controlled study. Sci Rep. 2017 Aug 31;7(1):10119. doi: 10.1038/s41598-017-10564-y.

Reference Type BACKGROUND
PMID: 28860546 (View on PubMed)

Lessan N, Hannoun Z, Hasan H, Barakat MT. Glucose excursions and glycaemic control during Ramadan fasting in diabetic patients: insights from continuous glucose monitoring (CGM). Diabetes Metab. 2015 Feb;41(1):28-36. doi: 10.1016/j.diabet.2014.11.004. Epub 2014 Dec 10.

Reference Type BACKGROUND
PMID: 25497966 (View on PubMed)

Salti I, Benard E, Detournay B, Bianchi-Biscay M, Le Brigand C, Voinet C, Jabbar A; EPIDIAR study group. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care. 2004 Oct;27(10):2306-11. doi: 10.2337/diacare.27.10.2306.

Reference Type BACKGROUND
PMID: 15451892 (View on PubMed)

Hassanein M, Al-Arouj M, Hamdy O, Bebakar WMW, Jabbar A, Al-Madani A, Hanif W, Lessan N, Basit A, Tayeb K, Omar M, Abdallah K, Al Twaim A, Buyukbese MA, El-Sayed AA, Ben-Nakhi A; International Diabetes Federation (IDF), in collaboration with the Diabetes and Ramadan (DAR) International Alliance. Diabetes and Ramadan: Practical guidelines. Diabetes Res Clin Pract. 2017 Apr;126:303-316. doi: 10.1016/j.diabres.2017.03.003. Epub 2017 Mar 12.

Reference Type BACKGROUND
PMID: 28347497 (View on PubMed)

Jadviscokova T, Fajkusova Z, Pallayova M, Luza J, Kuzmina G. Occurence of adverse events due to continuous glucose monitoring. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2007 Dec;151(2):263-6. doi: 10.5507/bp.2007.044.

Reference Type BACKGROUND
PMID: 18345261 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

MyDia-RNP study

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.