type 2 diabetes mellitus
Conditions
Interventions
An intensive intervention group that received nutritional education at every outpatient visit
An usual intervention group that received nutritional education only once a year
Sponsors
Jichi Medical University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients with type 2 diabetes mellitus and DKD caused by type 2 diabetes (CKD stage G1-3) aged 20 years or older who attended the Division of Endocrinology and Metabolism and the Division of Nephrology at Jichi Medical University Hospital between May 2013 and October 2016 and had not received nutritional education in the past 5 years were included in the study.
Exclusion criteria
Exclusion criteria: Patients who have received individual nutritional guidance by a registered dietitian at our hospital in the past. Minors and those who have difficulty in obtaining informed consent from the patient Patients with stage G4 or G5 chronic kidney disease Patients with extremely poor blood glucose control with HbA1c of 10% or higher Patients with nephrotic syndrome Patients with type 1 diabetes mellitus Patients with hereditary and secondary diabetes mellitus Patients with primary and secondary glomerular diseases other than diabetes mellitus Patients with secondary hypertension Patients with unstable angina pectoris, myocardial infarction or stroke within 6 months prior to the start of the study Patients with malignancy or life-threatening diseases that may cause death within 2 years Patients with hepatic dysfunction (AST or ALT of 100 mU/ml or higher, or obvious liver cirrhosis) Patients who are pregnant or intend to become pregnant during the study period. Other patients who are judged by the attending physician to be inappropriate for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Differences in clinical, physical and nutritional factors over time between the intensive intervention and control groups during the first two years of the study, and association of improved or worsening nutritional and clinical factors. | — |
Secondary
| Measure | Time frame |
|---|---|
| Achievement of treatment goals for levels of control of weight, blood pressure, blood glucose, and serum lipids | — |
Countries
Japan
Contacts
Public ContactNao Kawabata
Jichi Medical University Hospital Department of Clinical Nutrition
Outcome results
None listed