Carbohydrate Counting Training in Type 2 Diabetes

NCT ID: NCT07016958

Last Updated: 2025-06-12

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

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2024-12-30

Brief Summary

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This study aimed to evaluate the efficacy of carbohydrate counting in individuals with type 2 diabetes receiving intensive insulin therapy. In addition, the sarcopenia status in this patient group and the effect of carbohydrate counting on sarcopenia were also evaluated.

Detailed Description

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Participants with type 2 diabetes receiving intensive insulin treatment were randomized and divided into 2 groups: education and control groups. Participants in the control group continued their standard medical and medical nutrition treatments. Participants in the training group received advanced carbohydrate counting training consisting of 3 sessions in addition to standard medical and medical nutrition therapy. The measurements of the participants in the training and control groups were repeated three times at the beginning of the study, in the 12th week and in the 24th week of the study.

A questionnaire form containing sociodemographic information was completed by face-to-face interview method. In addition, biochemical (HbA1c, fasting plasma glucose (FPG), C peptide, total cholesterol, HDL, LDL, triglyceride, estimated glomerular filtration rate) and anthropometric and body composition (weight-height, BMI, fat mass, fat ratio, muscle mass, lean tissue mass, waist circumference), hand grip strength and blood pressure measurements of the patients were taken at the beginning, 12th week and 24th week of the study.

In addition, a 24-hour retrospective food consumption record was applied to evaluate the energy and nutrient intakes. The calculation of the energy, macro and micro-nutrient intakes of the participants was carried out using the Turkish Nutrition Database Ebispro for Windows program (version 7.2)

Conditions

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Diabetes Mellitus Type 2 Sarcopenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

There are two groups: training and control group.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Training Group

The training group received advanced carbohydrate counting training in addition to standard medical and medical nutrition therapy.

Group Type EXPERIMENTAL

Carbohydrate Counting Training

Intervention Type BEHAVIORAL

Advanced Carbohydrate Counting Training is a meal planning training where individuals can calculate the amount of carbohydrates in foods based on their portion sizes, and the insulin doses they need to take based on their plasma glucose levels and the amount of carbohydrates they consume.

Control Group

The control group continued standard medical and medical nutrition therapy only.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Carbohydrate Counting Training

Advanced Carbohydrate Counting Training is a meal planning training where individuals can calculate the amount of carbohydrates in foods based on their portion sizes, and the insulin doses they need to take based on their plasma glucose levels and the amount of carbohydrates they consume.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* A history of type 2 diabetes mellitus
* Using insulin for more than one year
* Being over 18 years old
* Receiving basal and bolus insulin treatment
* Not having received carbohydrate counting training before
* Not receiving treatment with sulfanylurea drugs from oral anti-diabetics.

Exclusion Criteria

* Being pregnant or breastfeeding or planning a pregnancy during the study period,
* Discontinuing insulin treatment during the study period
* Having active proliferative retinopathy, severe nephropathy, severe or newly diagnosed cardiac disease within 6 months or stage III-IV heart failure,
* Having dementia or psychosis and cognitive impairment,
* Receiving glucocorticoid treatment, being fed enterally or parenterally and receiving nutrition treatment due to another/concomitant disease, having end-stage renal or hepatic/ renal disease (other than proteinuria)
* Having liver disease/microangiopathy diseases
* Having clinical cancer, chronic respiratory disease or amputations,
* Having any disease or condition that would prevent completion of the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medipol University

OTHER

Sponsor Role lead

Responsible Party

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Funda GARGACI TUNCER

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Indrani KALKAN, Assoc. Prof.

Role: STUDY_DIRECTOR

Medipol University

Locations

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Uskudar Diabetes Polyclinic of the Fatih Sultan Mehmet Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Provided Documents

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Document Type: Study Protocol and Informed Consent Form

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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IMU- SBE-FGT-01

Identifier Type: -

Identifier Source: org_study_id

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