None listed
Conditions
Brief summary
The purposes of this study is to 1. Determine if integrated health mobile text messages (unidirectional), including medical, diet, exercises, and psychological support follow-up people with Type 2 diabetes for 12 months, can improve their glycaemic control at 6 and 12 months. 2. Determine if participants’ lipid profiles, blood pressure, and weight status (BMI) can also be improved at 6 and 12 months We hypothesize that there will be improved HbA1c, lipid profiles, blood pressure, and weight status (BMI) in 6 months and a further improvement in 12 months; there will be a high acceptance rate or high satisfaction levels about this research from participants.
Interventions
Provide integrated health information via mobile text messaging method to people with type 2 diabetes mellitus for 12 months - text messages content: strategies for glycaemic control, prevention of developing diabetes complications - text messages delivers as text - text messages will be sent 4 times a week for the initial 3 months of the study, then it will reduce to 3 times a week for the next 6 months and will further reduce to twice and once a week for the remaining 3 months - text messages was prepared and reviewed by endocrinologist, GP, dietitian, diabetes educator, nurse specialing in diabetes, clinial physiotherapist and research staff. - strategies used to monitor adherence to the interventio: study specific questinnaire asking participants if they read the text messages example 1 Dear participants, we understand eating out is an important part of your lives and meets your social needs. However, sometimes it can be challenging to remain eat healthy when dining out. Please check the following link for some healthy eating tips. https://www.ndss.com.au/wp-content/uploads/fact-sheets/fact-sheet-eating-out.pdf example 2 Dear participants, for a simple but delicious heatlhy sandwiches: * choose grainy bread * add extra salad fillings * spread the bread with avocado * choose reduced fat cheese or mayonnaise * choose lean meats (chicken breast, tuna, salmon, felafel) https://www.betterhealth.vic.gov.au/health/healthyliving/healthy-cooking-tips example 3 Dear participant, type 2 diabetes is the most common diabetes where there is too much glucose in the blood. When you eat food that contain carbohydrates e.g. bread, rice, fruit, the glucose or sugar can only enter the body’s cell when the ‘doors’ are opened by enough insulin (a hormone produced by your pancreas). Unfortunately, due to your condition, your insulin’s level has been reduced or not working well, so it takes longer for carbohydrate foods become energy to meet your body’s needs, just like your car needs petrol. So the glucose stays in the blood longer which results in high blood glucose levels.
Sponsors
Study design
Eligibility
Inclusion criteria
Type 2 diabetes mellitus diet control or take oral hypoglycaemics (single, dual or triple) at a stable dose, medically stable age 18-70 years old, a wide range of ethnic backgrounds fluent in English have mobile access to SMS text messages exercise tolerant (nil restriction), note: exercise may need to be ceased when in particular medical conditions/operation
Exclusion criteria
Type 1 diabetes, type 2 diabetes uses insulin, pre-diabetes, gestational diabetes, other forms of diabetes multiple comorbidities (Chronic kidney disease, Congestive heart failure & other advanced/severe/unstable Cardiovascular diseases) receive chemo/radiotherapies, receive palliative care planning for major surgery or medically unstable unstable diabetes medication (initial adjustment period after newly diagnosed DM) Polyphyarmacy of regular medications or drugs interact with some nutrients e.g. warfarin, K sparing, ACEi exercises restriction (poor exercise tolerance, motor dysfunction, MI 4 weeks before the study, cerebrovascular diseases, severe osteoporosis, other potential conditions, if unsure - will need GP to conduct a pre-exercise assessment) limited English proficiency (reading & speaking age <18 or >70 years planning for pregnancy, pregnancy special dietary needs e..g gluten-free diet, low FODMAP diet on any weight loss program unstable psychological states/mental illness