Diabetes in India Nutrition Guidelines Study (DINGS)

NCT ID: NCT01703611

Last Updated: 2016-02-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

238 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2014-12-31

Brief Summary

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A clinical trial to compare the patient outcomes from usual nutrition therapy by dietitians in India to patient outcomes from guideline-based Medical Nutrition Therapy (MNT).

Detailed Description

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A cluster randomized clinical trial to compare patient outcomes from two different nutrition interventions by dietitians in India for persons with Type 2 Diabetes Mellitus (usual care vs Medical Nutrition Therapy provided according to the Academy of Nutrition and Dietetics Evidence-Based Nutrition Practice Guidelines)

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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MNT according to AND EBNPG for Type 2 DM

Six or more Medical Nutrition Therapy visits(education and counseling on diet, self management, and lifestyle changes) provided over a 12 month period according to Academy of Nutrition and Dietetic Evidence Based Nutrition Practice Guidelines (EBPGN) (www.guidelines.gov)

Group Type EXPERIMENTAL

MNT according to AND EBNPG for Type 2 DM

Intervention Type OTHER

Six or more Medical Nutrition Therapy visits(education and counseling on diet, self management, and lifestyle changes) provided over a 12 month period according to Academy of Nutrition and Dietetic Evidence Based Nutrition Practice Guidelines (EBNPG)(www.guidelines.gov)

Usual Nutrition Care

Visits for usual nutrition therapy (diet and lifestyle changes) provided by dietitians over a 12 month period.

Group Type ACTIVE_COMPARATOR

Usual Nutrition Care

Intervention Type OTHER

Usual nutrition care in India

Interventions

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MNT according to AND EBNPG for Type 2 DM

Six or more Medical Nutrition Therapy visits(education and counseling on diet, self management, and lifestyle changes) provided over a 12 month period according to Academy of Nutrition and Dietetic Evidence Based Nutrition Practice Guidelines (EBNPG)(www.guidelines.gov)

Intervention Type OTHER

Usual Nutrition Care

Usual nutrition care in India

Intervention Type OTHER

Other Intervention Names

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Nutrition Counseling Nutrition Care Nutrition Therapy Evidence Based Nutrition Practice Nutrition Counselling Nutrition Therapy

Eligibility Criteria

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Inclusion Criteria

* RD and Indian ICC CDE RD
* Active practice (at least two years post-professional degree), with enough newly diagnosed type 2 DM patients or patients not seen by an RD for the previous year, to be able to recruit four to six of them into the study each week

* Work in an Diabetes centers and hospital diabetes outpatient or private practice with diabetologist to provide medical oversight for study
* Have written approval from immediate supervisor and diabetologist indicating that MNT visits can be provided without cost to research study in accordance with ADA EBNPG and data collection can be accommodated.
* Have computer and internet access. Minimum requirements are Microsoft Internet Explorer 8.0 with 1024 x 768 screen resolution in 256 colors. The browser must be enabled for Java, JavaScript and cookies
* Have stable internet connection (no prolonged periods without or frequent disruptions in internet service
* Have land phone line and faxing capabilities
* Able to provide data documentation electronically or in a paper format
* Obtain approval from their facility's Independent Ethics Committee (equivalent to US Institutional Review Board) for participation in the study (if required by the institution)
* Able to adjust the institution's habitual counseling session schedule and duration as required by the study protocol
* Commit to attendance during the full course of face to face training for three days (including part of a weekend), to be held at Chennai, India, and participate in the Webinars and conference calls


Patient Participant


* Must be over 19 years of age
* Must have medical diagnosis for treatment of type 2 DM,
* Patient must agree to return for follow-up visits (or data collection visit) during the 12 months study period
* Not seen by RD for one year prior to being recruited to the study

Exclusion Criteria

Dietitian Participant


* Small clientele of adult type 2 DM,
* Fewer than two years' active clinical practice experience post-professional degree,

* Currently being seen by RD for MNT
* Participated in nutritional consults with RD in past year
* Having insulin prescribed for DM treatment at time of recruitment
* Pregnant or lactating at time of study
* History of end stage renal disease or renal insufficiency; history of CVA, CAD or MI; COPD; CHF; untreated depression; severe psychiatric illness; cancer diagnosis in previous two years or on-going radiation or chemotherapy treatment
* Unplanned surgery requiring more than one overnight stay in the hospital within the previous week to initial visit
* The presence of cognitive or physical limitations that preclude making lifestyle or dietary changes as assessed by the RD during the initial interview
* Unable to return to office for data collection at 6 and 12 months and unable to commit to follow-up visits for EBNPG.

Patient Dis-enrollment or Stop Point for Study Participation

Patient will no longer be in the study after he/she reports the onset of:

* End stage renal disease or renal insufficiency;
* CVA, CAD or MI;
* COPD;
* Depression, severe psychiatric illness;
* Cancer diagnosis and treatment;
* CHF;
* Unplanned surgery requiring more than one overnight stay in the hospital within the previous week;
* Pregnant,
* Any onset of cognitive or physical limitations that preclude making lifestyle or dietary changes per RD assessment during study period,
* Other acute/chronic complications that could exacerbate the patient's diabetic condition or general well-being.
* Physician starts injectable insulin therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indian Institute of Nutritional Sciences

UNKNOWN

Sponsor Role collaborator

Abbott Healthcare Private Limited (in India)

OTHER

Sponsor Role collaborator

Academy of Nutrition and Dietetics

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Esther F Myers, PhD

Role: PRINCIPAL_INVESTIGATOR

Academy of Nutrition and Dietetics

Varsha (none), PhD

Role: PRINCIPAL_INVESTIGATOR

Shri Shradda Hospital

Naomi Trostler, PhD

Role: PRINCIPAL_INVESTIGATOR

Hebrew University

Locations

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Nagajuna Hospital

Vijayawada, Andhra Pradesh, India

Site Status

Barman Diabetes Specialties

Guwahati, Assam, India

Site Status

Dia Care 1 & 2

Ahmedabad, Gujarat, India

Site Status

Fortis Escorts Hospital

Faridabad, Haryana, India

Site Status

Asian Institute of Medical Sciences

Faridabad, Haryana, India

Site Status

Malabar Institute of Medical Sciences

Calicut, Kerala, India

Site Status

Caritis Hospital

Kottayam, Kerala, India

Site Status

BhaktiVedanta Hospital

Mumbai, Maharashtra, India

Site Status

Star Hospitals

Hyderabad, Pradesh, India

Site Status

Santokba Durlabji Memorial Hospital

Jaipur, Rajasthan, India

Site Status

Sundaram Medical Foundation

Chennai, Tamil Nadu, India

Site Status

PSG Hospitals

Coimbatore, Tamil Nadu, India

Site Status

Sanjay Gandhi Post Graduate Institute

Lucknow, , India

Site Status

Fortis Hospital

Uttar Pradesh, , India

Site Status

Countries

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India

Other Identifiers

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IINS-ANDF/2011/01

Identifier Type: OTHER

Identifier Source: secondary_id

Academy-India-1

Identifier Type: -

Identifier Source: org_study_id

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