Diabetes In Asians at Risk in Youth

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age21-39
SponsorSingapore General Hospital

About this trial

This observational study aims to develop novel contemporary risk factor tools for detecting young onset diabetes (under 40y) in young Asians in Singapore. The investigators aim to recruit 3000 people not currently known to have diabetes, selected across age and Body Mass Index categories, and perform formal diagnostic tests for diabetes (oral glucose tolerance test and HbA1c). The participants will also undergo continuous glucose monitoring sensor, keep a food diary, and undergo body composition analysis using bioimpedance analysis, handgrip measurements for muscle strength, and sociobehavioural profiling through download of a curated list of social media interactions. The participants will also have a blood sample retrieved and stored for subsequent comparison between people with normal glucose versus abnormal glucose levels. The whole group will also have another blood sample stored for whole gene analysis.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Asian/Part Asian ethnicity living in Singapore, not known to have diabetes

Disqualifiers

Pregnancy women

Non-Asian ethnicity

On active cancer/steroid therapy

Haemoglobinopathies or haemolytic anaemia

Trial population

Islandwide across Singapore

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Oral glucose tolerance test and HbA1c

    Diagnostic test

    Following overnight fasting for 8 hours

  • Anthropometric measurements

    Other intervention

    Body Mass Index, Waist-Hip ratio, Blood pressure

  • Body impedance Analysis

    Diagnostic test

    Body composition analysis

  • Handgrip measurement

    Diagnostic test

    Handgrip strength measured using Jamar Dynanometer

  • Continuous glucose monitoring

    Diagnostic test

    Use of Retrospective continuous glucose monitoring sensor (Freestyle Libre Pro IQ)

  • Food diary recording over days 2 and 3 of continuous glucose monitoring

    Other intervention

    Including written food records and photographs for all food and drink intake

  • Survey

    Other intervention

    Retrieval of sociodemographic details, family history of diabetes and comorbid conditions, information on dietary intake, physical activity levels, and health seeking behaviour. This includes average daily step count for 7/30 days.

  • Skin reaction information

    Other intervention

    Form to feedback on any sensor skin reactions

  • Download of social media data

    Other intervention

    This will involve a highly curated list of information to be retrieved from Facebook, Instagram and TikTok to enable AI-led sociobehavioural profiling. This will not retrieve any information on posts, photos, likes, comments, reactions or any item that will express intent.

  • Whole genome sequencing

    Diagnostic test

    Whole blood sample will be retrieved and stored before being sent for whole genome sequencing at a later stage.

Treatment groups

3,000 Participants
are divided into 1 treatment group
Group A: Singaporeans of Asian ethnicity under 40 years10 interventions

Trial outcomes

Primary outcomes

1

Diagnosis of diabetes

Fasting glucose \>/=7mmol/l or 2-hour glucose \>/=11.1 mmol/l on oral glucose tolerance test or HbA1c \>/=7%.

Time frame
Baseline

Secondary outcomes

1

Diagnosis of pre-diabetes

Fasting glucose \>/=5.7mmol/l or 2-hour glucose \>/=7,8 mmol/l on oral glucose tolerance test or HbA1c \>/= 5.7%.

Time frame
Baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Singapore General Hospital

Lead sponsor

SingHealth Duke-NUS Academic Medical Centre

Collaborator

Duke-NUS Centre of Quantitative Medicine

Collaborator

Data Science and Artificial intelligence Laboratory, SGH

Collaborator

Translational Research and Innovation Lab, SingHealth

Collaborator

This trial is not recruiting at the moment. You can still explore other options: