Diabetes Mellitus
Conditions
Keywords
glucose, inflammation
Brief summary
Type 1 diabetes is an autoimmune condition where circulating immune cells destroy the beta-cells in the pancreas that make insulin, resulting in a degree of insulin deficiency, whereby blood glucose levels rise and diabetes develops. When there is severe insulin deficiency, life-threatening ketoacidosis can develop. Treatment is lifelong insulin replacement therapy; dietary intervention is a also cornerstone of glucose management. The Optimise Diet is a multi-pronged diet based on best health principles: to minimise blood glucose rises after eating, reduce the immune cells involved in destruction of the insulin-secreting beta-cells, and improve the gut microbiome and systemic inflammation. In this study, its effects will be compared to the Standard Diabetes Diet that is currently recommended in Australia and internationally.
Detailed description
The rationale for this study is to determine whether a diet based on recent scientific advances in diet-induced inflammation, will improve diabetes care in people with type 1 diabetes.
Interventions
Novel diet to optimise glucose levels and minimise systemic inflammation: altered macronutrient composition: lower carbohydrate, Mediterranean-style, prebiotic fibre focus.
Standard diabetes diet recommendations
Sponsors
Study design
Eligibility
Inclusion criteria
* type 1 diabetes
Exclusion criteria
* Women lactating, pregnant or of childbearing potential who are not willing to avoid becoming pregnant during the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucose control | 3 months | HbA1c |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inflammation | 3 months | Circulating immune cells numbers |
| Gut microbiome | 3 months | Gut flora subtypes |
| C-peptide | 3 months | Urinary excretion |
| postprandial glucose excursion | 3 months | postprandial glucose excursion |
| Follow-up of glycemic control and insulin secretion | 12 and 24 months | HbA1c, urinary C-peptide |
Countries
Australia