Type 2 & other diabetes

Precision Medicine to Redefine Insulin Secretion and Monogenic Diabetes (PRISM): A Randomized Controlled Trial in Chinese Patients With Young-Onset Diabetes

Diabetes CarePublished Randomised controlled trial

Primary result · Composite of incident or progression of diabetes-related complicationsResult — go to the resultOdds ratio 0.908 95% CI 0.675–1.221

Authors' conclusion

A 3-year technology-enhanced, multicomponent program improved cardiometabolic status, proxies of β-cell function, and PROMs in individuals with YOD but did not reduce complications.

Study context

Population
Chinese individuals aged 18 to 50 years with non-T1D diagnosed at age ≤40 years; mean (SD) age 40.7 (6.5) years
Participants
884 individuals
Comparison
JADE-PRISM precision management vs usual clinic-based care
  • JADE-PRISMn = 441
  • JADE-onlyn = 443reference
Primary endpoint
Composite of:
  • Incident
  • Progression of all diabetes-related complications
Follow-up
3 years
Methodological detailssingle-center, two-arm, 3-year
  • Single-center
  • Two-arm
  • 3-year

Primary result

As reported in the abstract

Composite of:
  • Incident
  • Progression of diabetes-related complications

Odds ratio

0.908

95% CI 0.675–1.221

Events by treatment group

JADE-PRISMvs JADE-only
OR 0.908 (95% CI 0.675–1.221)

Secondary outcomes

Attainment of ≥3 treatment targets

P < 0.001

Proxies of β-cell function and emotional distress

Improved proxies of β-cell function and reduced emotional distress with JADE-PRISM

Original publication

Precision Medicine to Redefine Insulin Secretion and Monogenic Diabetes (PRISM): A Randomized Controlled Trial in Chinese Patients With Young-Onset Diabetes. Diabetes Care. Published 12 May 2026. doi:10.2337/dc26-0114

Composed by AI from the published abstract and checked against it. How Briefs are made →

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