Status:

COMPLETED

Diabetes Dietary Study- Low Carbohydrate and Low-Fat Diets in Type 2 Diabetes

Lead Sponsor:

Albert Einstein College of Medicine

Collaborating Sponsors:

Robert C. Atkins Foundation

Conditions:

Type 2 Diabetes

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

The purpose of this study is to determine the effects of a low-carbohydrate diet compared to a low-fat/high-carbohydrate diet on glucose control in patients who have Type 2 Diabetes.

Detailed Description

Obesity is not only a risk factor for type 2 diabetes but it also frequently increases the need for insulin requirement in people with type 2 diabetes who are overweight or obese. However, since insul...

Eligibility Criteria

Inclusion

  • Diagnosis of type 2 diabetes
  • HbA1c 7-10%
  • BMI (kg/m2) \> 25 and \< 40 and weight \< 280 lb.
  • Skill at and willingness to perform capillary blood glucose self-monitoring ---Insulin (changed to long-acting basal during run-in) or sulfonylurea treatment

Exclusion

  • Age \> 65
  • Weight \>280 lb
  • Health conditions that may interfere with study participation or for which the study interventions may be contraindicated. These include: kidney stones or kidney disease (creatinine \> 1.3 and 1.5 mg/dL for females and males, respectively; proteinuria \> 300 ug/g creatinine); liver or gall bladder disease; significant heart disease (myocardial infarction in the past six months, prior or current evidence of congestive heart failure, other evidence of left ventricular (LV) dysfunction) or other indices of active cardiac abnormalities, (angina, electrocardiogram evidence of ischemia or transmural myocardial infarction), significant anemia; and cancer (other than effectively treated non melanomatous skin cancer and surgically treated cervical cancer in situ).
  • Current hypokalemia defined as serum potassium levels \<3.5 mg/dL.
  • Osteoporosis
  • Type 1 diabetes (history of ketoacidosis or undetectable fasting C-peptide levels)
  • History of severe or repeated hypoglycemia, or hypoglycemia unawareness. Lack of recourse to another person in the immediate vicinity in the unlikely event that they require outside assistance for severe hypoglycemia.
  • Triglyceride levels \> 400 mg/dL.
  • Inability or unwillingness to comply with any aspects of the dietary and research protocol.
  • Weight changes \> 10 lbs in the past three months.
  • History of binge eating disorder or other eating disorders.
  • Pregnancy or intention to become pregnant in the next 12 months.
  • Current oral hypoglycemic medication that raises the blood insulin level

Key Trial Info

Start Date :

May 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2008

Estimated Enrollment :

105 Patients enrolled

Trial Details

Trial ID

NCT00795691

Start Date

May 1 2004

End Date

December 1 2008

Last Update

July 12 2019

Active Locations (1)

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1

Albert Einstein College of Medicine, General Clinical Research Center

The Bronx, New York, United States, 10461