Effect of Very Low Carbohydrate Diet on Glycemic, Metabolic, Glycated and Inflammatory Markers in Gestational Diabetes Mellitus

NCT ID: NCT05305352

Last Updated: 2024-07-25

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-31

Study Completion Date

2025-07-31

Brief Summary

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Uncontrolled Gestational Diabetes Mellitus may leads to maternal and fetal complications. These complications can be avoided by adopting the dietary modifications along with medications. Previous studies suggested that consumption of low Carbohydrate diet improves Gestational Diabetes and related complications. Therefore, this study aims to investigate the effect of very low carbohydrate dietary intervention on glycemic, glycemic, metabolic, glycated and inflammatory markers.

Detailed Description

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This will be randomized controlled trial of 80-100 Gestational diabetic women of second trimester to investigate the effect of very low carbohydrate dietary intervention on glycemic, metabolic, glycated and inflammatory markers.

Subjects will be recruited from ob/gyn outpatient of different hospitals. Eligible subjects will be enrolled in the study and will be allocated into two groups. One will be intervention and other will be control group. At baseline fasting blood samples from both group will be taken and will be analyzed for different biomarkers. Thereafter, the experimental group will be counseled about their modified diet (very low carbohydrate diet \<10%,40-50% protein and lipid in diet). Control group will be allowed to continue their routine diet counselled as part of their antenatal care.

Conditions

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Gestational Diabetes Inflammation Metabolic Syndrome Glucose Intolerance During Pregnancy Glucose Intolerance Insulin Resistance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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No intervention

The no intervention arm will not receive counselling but will follow their routine diet suggested during their routine antenatal visits.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

The intervention arm will be counselled about very low carbohydrate diet (\<10%carbohydrate)

Group Type EXPERIMENTAL

Very low carbohydrate dietary intervention

Intervention Type OTHER

The experimental group will be counseled about very low carbohydrate diet i.e., \<10% carbohydrate,40-50% protein and lipid in diet).

Interventions

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Very low carbohydrate dietary intervention

The experimental group will be counseled about very low carbohydrate diet i.e., \<10% carbohydrate,40-50% protein and lipid in diet).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 2nd trimester women with GDM
* Either taking or not taking oral hypoglycemic agent or insulin

Exclusion Criteria

* Previously known type 1 or type 2 Diabetic patients
* Age less than 18 and above 40 years
* Any other chronic disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Khyber Medical University Peshawar

OTHER

Sponsor Role lead

Responsible Party

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Bibi Hajira

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Khyber Medical University

Peshawar, KPK, Pakistan

Site Status

Countries

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Pakistan

References

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Trout KK, Homko CJ, Wetzel-Effinger L, Mulla W, Mora R, McGrath J, Basel-Brown L, Arcamone A, Sami P, Makambi KH. Macronutrient Composition or Social Determinants? Impact on Infant Outcomes With Gestational Diabetes Mellitus. Diabetes Spectr. 2016 May;29(2):71-8. doi: 10.2337/diaspect.29.2.71.

Reference Type BACKGROUND
PMID: 27182173 (View on PubMed)

Moreno-Castilla C, Hernandez M, Bergua M, Alvarez MC, Arce MA, Rodriguez K, Martinez-Alonso M, Iglesias M, Mateu M, Santos MD, Pacheco LR, Blasco Y, Martin E, Balsells N, Aranda N, Mauricio D. Low-carbohydrate diet for the treatment of gestational diabetes mellitus: a randomized controlled trial. Diabetes Care. 2013 Aug;36(8):2233-8. doi: 10.2337/dc12-2714. Epub 2013 Apr 5.

Reference Type BACKGROUND
PMID: 23564917 (View on PubMed)

Mustad VA, Huynh DTT, Lopez-Pedrosa JM, Campoy C, Rueda R. The Role of Dietary Carbohydrates in Gestational Diabetes. Nutrients. 2020 Jan 31;12(2):385. doi: 10.3390/nu12020385.

Reference Type BACKGROUND
PMID: 32024026 (View on PubMed)

Major CA, Henry MJ, De Veciana M, Morgan MA. The effects of carbohydrate restriction in patients with diet-controlled gestational diabetes. Obstet Gynecol. 1998 Apr;91(4):600-4. doi: 10.1016/s0029-7844(98)00003-9.

Reference Type BACKGROUND
PMID: 9540949 (View on PubMed)

Other Identifiers

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DIR/KMU-AS&RB/EV/001551

Identifier Type: -

Identifier Source: org_study_id

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