- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00435240
Paleolithic Diet in the Treatment of Diabetes Type 2 in Primary Health Care
There is uncertainty about the optimal diet in the prevention and treatment of diabetes type 2. Earlier studies have generally focused on intakes of fat, protein, carbohydrate, fiber, fruit and vegetables. This study is based on another approach which compares foods that were available during human evolution with more recently introduced ones. The basic tenet from evolutionary biology is that if human physiology is less adapted to a relatively recently introduced diet based on agriculture, this could cause disturbances to human physiology and ultimately lead to diseases. Epidemiological studies indicates that diabetes mellitus type 2 is absent or near absent in populations eating a Palaeolithic ("Old Stone Age") diet which is free from food items produced in agriculture or the food industry. Our study hypothesis is that a Palaeolithic diet is better than the standard diabetes diet recommended today in treating diabetes type 2.
Fifteen patients with diabetes type 2 have been randomized to
- a Palaeolithic diet based on lean meat, fish, fruit, vegetables, root vegetables, eggs, and nuts
- a standard diabetes diet as recommended by national health authorities.
The patients eat the diet they have been randomized to for three months and then switches to the other diet for another three months. The study is conducted in Primary Health Care stations.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Skåne
-
Lund, Skåne, Sweden, 22185
- Lund University Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults with capacity to perform study
- Diabetes Mellitus Type 2
- C-peptide > 0
- HbA1C >5.5
- Unchanged diabetes treatment during last 3 months
- Weight and HbA1C varied less than 5% during last 3 months
- No acute heart disease during last 6 months
- Unchanged treatment with betablocker last 6 months
- Unchanged treatment with thyroid hormone substitution last 6 months
Exclusion Criteria:
- Treatment with insulin
- Chronic treatment with steroids (not inhaled)
- Treatment with Waran (anticoagulant cumarin type)
- Creatinin > 130 micromol/L
- Elevated liver enzymes (ALAT,ASAT,ALP or GT > 4 X upper reference value)
- Acute heart disease
- Changed treatment with betablocker or thyroid hormone substitution
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
---|
area under the curve for glucose (AUC Glucose0-120) at the oral glucose tolerance test at baseline, 3 months and 6 months
|
area under the curve for insulin (AUC Insulin0-120) at the oral glucose tolerance test at baseline, 3 months and 6 months
|
HbA1C at baseline, 3 months and 6 months
|
weight at baseline, 3 months and 6 months
|
waist circumference at baseline, 3 months and 6 months
|
Secondary Outcome Measures
Outcome Measure |
---|
satiation measured on visual semi-analogous scale at food intake during 4 days av 6 weeks and 12 weeks
|
leptin at baseline, 3 months and 6 months
|
fasting plasma glucose at baseline, 3 months and 6 months
|
fasting plasma insulin at baseline, 3 months and 6 months
|
Systolic and diastolic blod pressure at baseline, 3 months and 6 months
|
Blood lipids at baseline, 3 months and 6 months
|
C-reactive protein at baseline, 3 months and 6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Tommy Jönsson, MD, Department of Clinical Sciences, Lund University, Lund Sweden
Publications and helpful links
General Publications
- Jonsson T, Ahren B, Pacini G, Sundler F, Wierup N, Steen S, Sjoberg T, Ugander M, Frostegard J, Goransson L, Lindeberg S. A Paleolithic diet confers higher insulin sensitivity, lower C-reactive protein and lower blood pressure than a cereal-based diet in domestic pigs. Nutr Metab (Lond). 2006 Nov 2;3:39. doi: 10.1186/1743-7075-3-39.
- Jonsson T, Olsson S, Ahren B, Bog-Hansen TC, Dole A, Lindeberg S. Agrarian diet and diseases of affluence--do evolutionary novel dietary lectins cause leptin resistance? BMC Endocr Disord. 2005 Dec 10;5:10. doi: 10.1186/1472-6823-5-10.
- Cordain L, Eaton SB, Sebastian A, Mann N, Lindeberg S, Watkins BA, O'Keefe JH, Brand-Miller J. Origins and evolution of the Western diet: health implications for the 21st century. Am J Clin Nutr. 2005 Feb;81(2):341-54. doi: 10.1093/ajcn.81.2.341.
- Fontes-Villalba M, Lindeberg S, Granfeldt Y, Knop FK, Memon AA, Carrera-Bastos P, Picazo O, Chanrai M, Sunquist J, Sundquist K, Jonsson T. Palaeolithic diet decreases fasting plasma leptin concentrations more than a diabetes diet in patients with type 2 diabetes: a randomised cross-over trial. Cardiovasc Diabetol. 2016 May 23;15:80. doi: 10.1186/s12933-016-0398-1.
- Jonsson T, Granfeldt Y, Ahren B, Branell UC, Palsson G, Hansson A, Soderstrom M, Lindeberg S. Beneficial effects of a Paleolithic diet on cardiovascular risk factors in type 2 diabetes: a randomized cross-over pilot study. Cardiovasc Diabetol. 2009 Jul 16;8:35. doi: 10.1186/1475-2840-8-35.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- H4 726/2004
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Diabetes Mellitus, Type 2
-
SanofiCompletedType 1 Diabetes Mellitus-Type 2 Diabetes MellitusHungary, Russian Federation, Germany, Poland, Japan, United States, Finland
-
Mannkind CorporationTerminatedType 2 Diabetes Mellitus | Type 1 Diabetes MellitusUnited States
-
Scripps Whittier Diabetes InstituteSan Diego State UniversityCompletedType 2 Diabetes Mellitus (T2DM)United States
-
RWTH Aachen UniversityBoehringer IngelheimCompletedDiabetes Mellitus Type 2 (T2DM)Germany
-
US Department of Veterans AffairsAmerican Diabetes AssociationCompletedType 2 Diabetes MellitusUnited States
-
Dexa Medica GroupCompletedType-2 Diabetes MellitusIndonesia
-
Griffin HospitalCalifornia Walnut CommissionCompletedDIABETES MELLITUS TYPE 2United States
-
University Hospital Inselspital, BerneCompletedType 2 Diabetes MellitusSwitzerland
-
India Diabetes Research Foundation & Dr. A. Ramachandran...CompletedTYpe 2 Diabetes MellitusIndia
-
AstraZenecaRecruiting
Clinical Trials on Paleolithic diet
-
Johns Hopkins UniversityCompletedIrritable Bowel SyndromeUnited States
-
Lund University HospitalCompletedHyperglycemia | Coronary Heart DiseaseSweden
-
Lund University HospitalRegion SkaneWithdrawn
-
Assiut UniversityNot yet recruitingCrohn Disease | Ulcerative Colitis | Nutrition
-
Umeå UniversityCompleted
-
Assiut UniversityNot yet recruitingDiabetic PatientsEgypt
-
Umeå UniversityCompletedDiabetes Mellitus, Type 2Sweden
-
Amanda IrishCompletedMultiple Sclerosis, Relapsing-remittingUnited States
-
University of California, San FranciscoCompletedPolycystic Ovarian SyndromeUnited States
-
University of California, San FranciscoCompletedType 2 Diabetes MellitusUnited States