Using eye exam results to guide diabetes care for people with diabetic retinopathy in Dinajpur
Official title: Improving Patient-centered Care for Diabetes in Bangladesh Through "Dynamic Integration" of Vision Care on the Supply Side
Run by Orbis · NCT06968637 · Data updated 2026-11-12
This project will try sending specific diabetes management recommendations based on patients' eye exams to diabetes doctors to see if people with diabetes and diabetic retinopathy reach WHO blood sugar targets more often.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 30 Years and up |
| Sex | All |
| Enrollment | 336 (estimated) |
| Sponsor | Orbis Academic / other |
| Locations | 2 sites (Dinajpur Sadar, Dinajpur and 1 other locations) |
| Status | Recruiting |
| Started | August 25, 2025 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT06968637 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 30 with diagnosed diabetes and diabetic retinopathy who receive care at the listed Dinajpur hospitals and agree to participate.
✕Probably not a fit
People without diabetic retinopathy, those unable to obtain gradable retinal images, or those with medical or cognitive conditions preventing follow-up are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with diabetes and confirmed diabetic retinopathy at two hospitals in Dinajpur will have retinal photographs and their results communicated to their diabetes doctors. The trial compares routine reporting of diabetic retinopathy versus reporting that also includes tailored recommendations for diabetes management. The main outcome is the proportion of participants who reach WHO HbA1c (or equivalent blood glucose) targets, and the study will also calculate the cost per additional person reaching that target. Routine clinic visits and record review will be used to measure glycemic control and guideline adherence over the follow-up period.
Why it matters
Potential benefit: If successful, this approach could help more people with diabetes and retinopathy achieve recommended blood sugar control and receive more coordinated care.
How similar studies have gone: Integrated care programs linking eye screening and diabetes services have improved care processes in prior work, but direct evidence that this linkage consistently lowers HbA1c is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosed with DM * Diagnosed with DR in at least one eye * Over 30 years of age * Currently treated at the Dinajpur Diabetes Hospital and Gausul Azam BNSB Eye Hospital in Bangladesh * willingness to participate in the study Exclusion Criteria: * Any ocular condition impairing the view of the fundus sufficiently to preclude grading of the image for DR. * Inability to comply with retinal photography to the extent that a gradable image cannot be captured, or any other factor leading to absence of sufficient images to grade at least one eye of a participant. * Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.) * Unwilling to participate in the study, or incapable of giving informed consent.
Where it's running
-
Dinajpur Diabetes & Swasthoseba Hospital
Dinajpur Sadar, Dinajpur, Bangladesh Recruiting -
Gausul Azam BNSB Eye Hospital
Dinajpur District, Bangladesh Recruiting
Study contacts
- Principal investigator: Munir Ahmed — Orbis Bangladesh
- Study coordinator: Lutful Husain
- Email: lutful.husain@orbis.org
- Phone: +8801711626852
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.