Type 2 diabetes Nutritional, Metabolic, Endocrine Type 2 diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Initial interviews and testing: 1. Diagnosis of type 2 diabetes 2. 18 years or over Randomized controlled feasibility study: 1. Diagnosis of type 2 diabetes 2. Aged 40-65 years 3. Identified by general practitioner as requiring insulin treatment, i.e. on maximum tolerated dose of 2 OADs and glycaemic control HbA1c >/=7.5% (58 mmols/mol) on two occasions
Exclusion criteria
Exclusion criteria: Initial interviews and testing: 1. Non-fluency in English 2. Severe mental illness Randomized controlled feasibility study: 1. Non-fluency in English 2. Morbid obesity (BMI >/=35) 3. In employment that contraindicates insulin treatment, e.g. HGV driver 4. Severe depression, anxiety disorders, psychotic disorders, or personality disorders, or cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 12/06/2023: Self-reported attitudes towards insulin treatment, measured using the insulin treatment appraisal scale (ITAS) at baseline and 6 months Previous primary outcome measure: Self-reported acceptance of insulin, measured using the beliefs in insulin treatment (BIT) scale at baseline and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Self-reported use of insulin and diabetes medication measured using the visual analogue scale (VAS) at baseline and 6 months 2. Diabetes distress measured using the Problems Areas in Diabetes scale (PAID score) at baseline and 6 months 3. Depressive symptoms measured using the Patient Health Questionnaire 9 (PHQ-9) at baseline and 6 months 4. Weight (kg) measured at baseline and 6 months 5. Blood glycated haemoglobin HbA1c (mmol/mol) measured using high performance liquid chromatography (HPLC) standard assay at baseline and 6 months | — |
Countries
England, United Kingdom