Prevention or reversal of type 2 diabetes in participants with pre-diabetes or type 2 diabetes diagnosed within the previous 4 years. Nutritional, Metabolic, Endocrine Type 2 diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Informed written consent 2. Men and women with prediabetes (HbA1c 42 - 47 mmol/mol) 3. Men and women with Type 2 Diabetes, on diet, monotherapy or dual therapy within 4 years of diagnosis and not taking insulin 4. BMI >35kg/m² 5. Age 20 - 70years
Exclusion criteria
Exclusion criteria: 1. BMI 100mmol/mol 3. Insulin use 4. Pregnant or planning pregnancy 5. Diagnosed eating disorder 6. Renal function eGFR <30ml/min 7. Myocardial Infarction (MI) withing previous 6 months 8. Severe heart failure 9. Taking part in another research study 10. Cancer 11. Liver disease but not excluding Non Alcoholic Fatty Livr Disease (NAFLD) 12. Severe depression and those on antipsychotic medication 13. History of substance misuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. HbA1c is measured by Raigmore Hospital Biochemistry department at baseline, and 12, 24, 36, and 48 weeks. 2. Weight (kg) is measured at baseline, 12, 24, 36, and 48 weeks by NHS research nurse team staff using standard Diabetes clinic scales. 3. Waist circumference (cm) is measured at baseline, 12, 24, 36, and 48 weeks by NHS research nurse team staff using standard Diabetes clinic measuring tape. 4. BMI (kg/m²) is calculated, by research staff using height taken at baseline and weight at baseline 12, 24, 36, and 48 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Redoxiperoxin and Glutathione is analysed by UHI Division of Biomedical Sciences by way of a novel ALISA technique, Antibody linked Oxi-State Assay and/or HPLC-ECD. All samples will be stored on arrival in the UHI labs and batch analysed at the end of the collection period. 2. Diet Acceptability is measured by way of questionnaire at 4 weeks. 3. Self regulation of eating is measured at baseline, 12, 24, 36, and 48 weeks by way of Self Regulation of Eating Behaviour questionnaire (SREBQ) 4. Quality of life is measured at baseline, 12, 24, 36, and 48 weeks by way of Health Questionnaire EQ-5D-5L | — |
Countries
Scotland, United Kingdom