Diabetes Mellitus, Type 2 Clinical Trial
Official title:
Treating Type 2 Diabetes by Reducing Postprandial Glucose Elevations: A Paradigm Shift in Lifestyle Modification
Verified date | October 2021 |
Source | University of Virginia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Conventional lifestyle modification in the management of type 2 diabetes focuses on weight loss, through caloric restriction and exercise, to reduce insulin resistance. This approach is limited because some people either do not need to lose weight, do not want to lose weight, cannot lose weight, or cannot maintain weight loss over a lifetime. This study proposes to evaluate the effectiveness of a lifestyle modification that focuses on reducing post-meal blood glucose (BG) elevations instead of weight loss. It works by teaching participants to: 1) choose low glycemic load foods that do not significantly increase their blood glucose, and 2) increase their routine physical activity after meals when it can offset post-meal blood glucose elevations. The study will also evaluate the role feedback about blood glucose fluctuations can play in improving the effectiveness of this program.
Status | Completed |
Enrollment | 192 |
Est. completion date | October 5, 2020 |
Est. primary completion date | October 5, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years to 80 Years |
Eligibility | Inclusion Criteria: - Diagnosed with T2D in the last 10 years - HbA1c >7.5% (sub-optimal T2D control) - Between 21 and 80 years old - Not blind - Can read English - Routinely uses a smart phone Exclusion Criteria: - Takes insulin (participants may start insulin during the study if clinically indicated) - Has taken medications that impede weight loss (e.g., prednisone) within the last 3 months - Currently pregnant or contemplating pregnancy within the next 15 months - Conditions that preclude increasing physical activity (e.g. severe neuropathy cardiovascular disease, chronic obstructive pulmonary disease/emphysema, osteoarthritis, stroke, or severe mental disease like manic depressive illness, severe depression, active substance abuse) - Undergoing treatment for cancer - History of lactic acidosis - Marked renal impairment (eGFR < 45; stage 3b chronic kidney disease) - Takes psychotropic medications that raise blood glucose (e.g. atypical antipsychotics) - Cannot read English - Blindness - Cognitive impairment |
Country | Name | City | State |
---|---|---|---|
United States | Dept. of Psychiatry and Neurobehavioral Sciences, University of Virginia | Charlottesville | Virginia |
Lead Sponsor | Collaborator |
---|---|
University of Virginia | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
United States,
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* Note: There are 60 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | change in HbA1c | change in HbA1c from baseline measure | baseline, 3 months, and 12 months post-intervention | |
Primary | change in medication | change in medication type or dose from baseline measures | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in food choices (ASA24 survey) | ASA24 survey across 3 separate days in each time frame | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in food choices (energy bar selection) | At assessment visits, subjects will choose between energy bars that do or dont support the intervention principles. | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in physical activity (Fitbit activity monitor) | daily activity will be recorded | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (dietary habits questionnaire) | The Food Questionnaire | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (quality of life questionnaire) | WHOQO-BREF questionnaire | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (depression questionnaire) | Patient Health Questionnaire (PHQ-9) | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (numeracy questionnaire) | Numeracy Scale - measures how good one is with numbers | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (diabetes knowledge questionnaire) | Diabetes Knowledge Scale | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (empowerment questionnaire) | Diabetes Empowerment Scale | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (concerns about diabetes questionnaire) | Diabetes Distress Scale (Emotional Distress & Regimen Distress subscales) | baseline, 3 months, and 12 months post-intervention | |
Secondary | change in psychological functioning (attitude towards glucose monitoring questionnaire) | The Glucose Monitoring Satisfaction Survey (GMSS) | baseline, 3 months, and 12 months post-intervention |
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