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The impact of specialised meal replacements on weight loss, blood sugar control, and gene activity health in obese and overweight people with type 2 diabetes: a study

Efficacy of partial diabetes-specific meal replacement on weight reduction, glycaemic control and metabolic gene expression among overweight and obese type 2 diabetes mellitus: a randomized controlled trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN57040303
Enrollment
164
Registered
2024-11-20
Start date
2024-11-25
Completion date
Unknown
Last updated
2026-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Weight loss and glycaemic control in overweight and obese type 2 diabetes mellitus patients Nutritional, Metabolic, Endocrine

Interventions

This is a two-armed randomised controlled clinical trial (RCT). Participants will be selected using purposive sampling based on the inclusion and exclusion criteria. Data collection will be conducted

Sponsors

Quantum Upstream Sdn Bhd
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 65 Years

Inclusion criteria

Inclusion criteria: Current key inclusion criteria as of 16/06/2026: 1. Malaysian 2. Aged 20-65 years old 3. Diagnosed with T2DM for at least 6 months with baseline HbA1c levels above 6.5–12 % for the past 6 months 4. Overweight or obese with BMI =23 kg/m² 5. Able to communicate and understand in English or Malay language _____ Previous key inclusion criteria as of 18/12/2025: 1. Malaysian 2. Aged 20-65 years old 3. Diagnosed with T2DM for at least 6 months with baseline HbA1c levels above 6.5–12 % for the past 6 months 4. Overweight or obese with BMI =25 kg/m² 5. Able to communicate and understand in English or Malay language _____ Previous inclusion criteria as of 09/04/2025: 1. Malaysian 2. Aged 30-65 years old 3. Diagnosed with T2DM for at least 6 months with baseline HbA1c levels above 7.5–12 % for the past 6 months 4. Overweight or obese with BMI =25 kg/m² 5. Able to communicate and understand in English or Malay language _____ Previous inclusion criteria: 1. Malaysian 2. Aged 30-59 years old 3. Diagnosed with T2DM for at least 6 months with baseline HbA1c levels above 7.5–12 % for the past 6 months 4. Overweight or obese with BMI =25 kg/m² 5. Able to communicate and understand in English or Malay language

Exclusion criteria

Exclusion criteria: 1. On insulin treatment 2. With hepatic disease (ALT >120 IU/L) 3. With chronic kidney disease (GFR <30 M1/min/1.73 m2) 4. Pregnant and lactating women 5. Currently consuming any weight reduction products or any slimming prescriptions or any meal replacement 6. Currently on hormone replacement therapy (HRT) 7. Cancer on treatment 8. Currently involved in weight loss programs or any clinical trial

Design outcomes

Primary

MeasureTime frame
1. Bodyweight and body composition will be measured by using the InBody 270 machine at baseline, weeks 6 and 12 2. Height will be measured using a SECA 217 stadiometer at baseline, weeks 6 and 12 3. Waist and hip circumference will be measured using SECA measuring tape at baseline, weeks 6 and 12 4. BMI will be calculated using a formula (weight in kilograms divided by height in meters squared) and the WHO cut-off point at baseline, weeks 6 and 12 5. Glycaemic control will be measured by HbA1c and fasting blood sugar at baseline and week 12

Secondary

MeasureTime frame
1. Lipid profile will be measured by taking blood samples at baseline and week 12 2. Renal profile will be measured by taking blood samples at baseline and week 12 3. Liver profile will be measured by taking blood samples at baseline and week 12 4. Dietary intake will be measured using a 3-day diet history questionnaire at baseline, weeks 6 and 12 5. Physical activity will be measured by using a global physical activity questionnaire (GPAQ) Malay at baseline, weeks 6 and 12 6. Satiety level will be assessed by using a visual analogue scale (VAS) at specified intervals of 30, 60, 120, 180 and 240 minutes after consumption at baseline, weeks 6 and 12 7. Quality of life will be assessed using a diabetes-dependent quality of life questionnaire at baseline and week 12 8. Cost analysis will be calculated based on the Net Present Value formula at week 12 9. Metabolic gene expression profile will be measured using nCounter from NanoString at baseline and week 12

Countries

Malaysia

Contacts

Public ContactMunirah;Wan Ain Nadirah Ismail;Che Wan Mansor

;

munirahismail@ukm.edu.my;p145209@siswa.ukm.edu.my+60 (0)12-467 5477;+60 (0)145130091

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Aug 25, 2026