- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02635646
Interdisciplinary and Family Intervention to Prevent Type 2 Diabetes (CARE-in-DEEP)
Efficacy of a Family and Interdisciplinary Intervention to Prevent Diabetes, and Effect on Family Profiles of Insulin Secretion and Insulin Resistance in Patients With Prediabetes
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This a randomized clinical trial designed to evaluate the efficacy of the following treatments:
- Family and interdisciplinary approach that includes nutritional, physical activity and psychological counseling + metformin 850mg twice at day for 12 months
- Individual approach that includes nutritional and physical activity counseling + metformin 850mg twice at day for 12 months
To improve individual and family insulin resistance and insulin secretion in patients with prediabetes.
Patients will have a follow-up visit every month in the Metabolic Research Laboratory at the University of Guanajuato, Mexico, and will have a fasting measurement of lipids, glucose and insulin every 3 months, as well as 2h oral glucose tolerance test (OGTT) at basal, 6 and 12 months.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Guanajuato
-
León, Guanajuato, Mexico, 37670
- Universidad de Guanajuato
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with prediabetes (Fasting glucose 100-125mg/dl and/or 2h post OGTT glucose 140-199mg/dl)
- Family of patients with prediabetes (in case of the patients that are randomized to FAMILY APPROACH)
- Signing of the inform consent
Exclusion Criteria:
- Type 2 diabetes
- Pregnancy
- Liver disease
- Renal disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Family and interdisciplinary approach
Family and interdisciplinary approach: Patients in this group will receive a Family and interdisciplinary approach that includes nutritional, physical activity and psychological counseling + metformin 850mg twice at day for 12 months
|
Family and interdisciplinary approach that includes:
|
Active Comparator: individual approach
individual approach: Patients in this group will receive individual approach that includes nutritional and physical activity counseling + metformin 850mg twice at day for 12 months
|
individual approach that includes:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Individual Insulin Resistance and Insulin Secretion
Time Frame: 6 months
|
Whole body insulin sensitivity as determined by the Matsuda Index was calculated using the following formula: 10,000 divided by the square root of (FPI* FPG) * (xGPC* xIPC) Where FPI is fasting plasma insulin expressed as uU/ml, FPG is fasting plasma glucose expressed as mg/dL, xGPC is mean plasma glucose concentration after the load and xIPC is the mean insulin concentration after the load.
Values calculated on samples taken at 0, 30, 60, 90 and 120 minutes of a 2 hour OGTT.
Values typically range from 0 to 12 units with higher scores indicating better insulin sensitivity (better result).
A value of 2.5 or less is indicative of low insulin sensitivity (worst result).
|
6 months
|
Individual Insulin Resistance and Insulin Secretion
Time Frame: 12 months
|
Whole body insulin sensitivity as determined by the Matsuda Index was calculated using the following formula: 10,000 divided by the square root of (FPI* FPG) * (xGPC* xIPC) Where FPI is fasting plasma insulin expressed as uU/ml, FPG is fasting plasma glucose expressed as mg/dL, xGPC is mean plasma glucose concentration after the load and xIPC is the mean insulin concentration after the load.
Values calculated on samples taken at 0, 30, 60, 90 and 120 minutes of a 2 hour OGTT.
Values typically range from 0 to 12 units with higher values indicating better insulin sensitivity (better result, the higher the value the better the result of this variable).
A value of 2.5 or less is indicative of low insulin sensitivity (worst result).
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Family Insulin Resistance and Insulin Secretion (Matsuda Index Measured in the Relatives of the Patients)
Time Frame: 12 months
|
Whole body insulin sensitivity as determined by the Matsuda Index as calculated using the following formula: 10,000 divided by the square root of (FPI* FPG) * (xGPC* xIPC) Where FPI is fasting plasma insulin expressed as uU/ml, FPG is fasting plasma glucose expressed as mg/dL, xGPC is mean plasma glucose concentration after the load and xIPC is the mean insulin concentration after the load.
Values calculated on samples taken at 0, 30, 60, 90 and 120 minutes of a 2 hour OGTT.
Values typically range from 0 to 12 units with higher scores indicating better insulin sensitivity (the higher the value the better the result).
A value of 2.5 or less is indicative of low insulin sensitivity (worst result).
|
12 months
|
Weight
Time Frame: 12 months
|
Weight in the relatives of the patients
|
12 months
|
2h OGTT Glucose
Time Frame: 6 and 12 months
|
Measurement of 2h post OGTT glucose
|
6 and 12 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Rodolfo Guardado, Dr, Universidad de Guanajuato
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UG 1/2014
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.
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