type 2 diabetes mellitus
Conditions
Interventions
Patients will be randomized to receive ProLon, a fasting mimicking diet, for 5
days every month in addition to standard treatment according to Dutch
guidelines or just standard treatment for one yea
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Diagnosis of type 2 diabetes mellitus - Age > 18 years and 48, or treatment with diet and metformin - BMI * 27
Exclusion criteria
Exclusion criteria: Recent myocardial infarction (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HbA1c and medication dosage required to attain HbA1c of 53 mmol/mol. Analysis of primary study parameters: The main outcome will be a binary outcome measure, successful or unsuccessful. A successful outcome is defined as either a lower dose of antidiabetic medication at the end of the study compared to the start or if HbA1c is 5 mmol/mol or more lower at the end compared to study start (or both). In addition, we will analyze the primary study parameters as a categorical outcome measure with the following three categories: 1) Successful - a lower dose or class of antidiabetic medication with an HbA1c not more than 5 mmol/mol higher at the end of the study compared to the start or; - no change in antidiabetic medication with an HbA1c that is *5 mmol/mol lower at the end of the study compared to the start 2) Stable: - no change in antidiabetic medication use and a difference in HbA1c of | — |
Secondary
| Measure | Time frame |
|---|---|
| Bodyweight, waist circumference, body fat percentage (Bioelectrical Impedance Analysis), oral glucose tolerance (OGTT, glucose and insulin response), fasting glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, blood pressure, visceral fat, liver/ pancreas/heart fat (Magnetic Resonance Imaging), metabolomics, high sensitive CRP, gut microbiota architecture, quality of life (EQ-5D-5L), treatment satisfaction (DTSQs and DTSQc questionnaires), cost-effectiveness, feasibility in clinical practice. Additional focus groups: Participant experiences while following a FMD, main focus on adherence and lifestyle changes. | — |
Countries
Netherlands
Outcome results
None listed