Diabetes in India Nutrition Guidelines Study (DINGS)

This study is currently recruiting participants. (see Contacts and Locations)
Verified February 2013 by Academy of Nutrition and Dietetics
Sponsor:
Collaborators:
Indian Institute of Nutritional Sciences
Academy of Nutrition and Dietetics Foundation
Abbott Healthcare Private Limited (in India)
Information provided by (Responsible Party):
Academy of Nutrition and Dietetics
ClinicalTrials.gov Identifier:
NCT01703611
First received: October 6, 2012
Last updated: February 1, 2013
Last verified: February 2013

October 6, 2012
February 1, 2013
December 2012
April 2014   (final data collection date for primary outcome measure)
HbAIc decrease [ Time Frame: 6 months and 12 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01703611 on ClinicalTrials.gov Archive Site
Weight change [ Time Frame: 6 month and 12 month ] [ Designated as safety issue: No ]
Same as current
  • Lipid panel [ Time Frame: 6 month and 12 month ] [ Designated as safety issue: No ]
    Total Cholesterol, LDL Cholesterol, HDL Cholesterol and Triglycerides
  • Blood pressure [ Time Frame: 6 months and 12 months ] [ Designated as safety issue: No ]
    Systolic and Diastolic change from baseline measure
  • Lipid panel [ Time Frame: 6 month and 12 month ] [ Designated as safety issue: No ]
    Total Cholesterol, LDL Cholesterol, HDL Choleterol and Triglycerides
  • Blood pressure [ Time Frame: 6 months and 12 months ] [ Designated as safety issue: No ]
    Systolic and Diastolic change from baseline measure
 
Diabetes in India Nutrition Guidelines Study (DINGS)
Diabetes in India Nutrition Guidelines Study (DINGS)

A clinical trial to compare the patient outcomes from usual nutrition therapy by dietitians in India to patient outcomes from guideline-based Medical Nutrition Therapy (MNT).

A cluster randomized clinical trial to compare patient outcomes from two different nutrition interventions by dietitians in India for persons with Type 2 Diabetes Mellitus (usual care vs Medical Nutrition Therapy provided according to the Academy of Nutrition and Dietetics Evidence-Based Nutrition Practice Guidelines)

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
Type 2 Diabetes Mellitus
  • Other: MNT according to AND EBNPG for Type 2 DM
    Six or more Medical Nutrition Therapy visits(education and counseling on diet, self management, and lifestyle changes) provided over a 12 month period according to Academy of Nutrition and Dietetic Evidence Based Nutrition Practice Guidelines (EBNPG)(www.guidelines.gov)
    Other Names:
    • Nutrition Counseling
    • Nutrition Care
    • Nutrition Therapy
    • Evidence Based Nutrition Practice
  • Other: Usual Nutrition Care
    Usual nutrition care in India
    Other Names:
    • Nutrition Counselling
    • Nutrition Therapy
  • Experimental: MNT according to AND EBNPG for Type 2 DM
    Six or more Medical Nutrition Therapy visits(education and counseling on diet, self management, and lifestyle changes) provided over a 12 month period according to Academy of Nutrition and Dietetic Evidence Based Nutrition Practice Guidelines (EBPGN) (www.guidelines.gov)
    Intervention: Other: MNT according to AND EBNPG for Type 2 DM
  • Active Comparator: Usual Nutrition Care
    Visits for usual nutrition therapy (diet and lifestyle changes) provided by dietitians over a 12 month period.
    Intervention: Other: Usual Nutrition Care
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
600
April 2014
April 2014   (final data collection date for primary outcome measure)

Inclusion and exclusion criteria for participant selection is listed both for the dietitians and patient participants.

Dietitian Participant

Inclusion Criteria:

  • RD and Indian ICC CDE RD
  • Active practice (at least two years post-professional degree), with enough newly diagnosed type 2 DM patients or patients not seen by an RD for the previous year, to be able to recruit four to six of them into the study each week

    • Work in an Diabetes centers and hospital diabetes outpatient or private practice with diabetologist to provide medical oversight for study
    • Have written approval from immediate supervisor and diabetologist indicating that MNT visits can be provided without cost to research study in accordance with ADA EBNPG and data collection can be accommodated.
    • Have computer and internet access. Minimum requirements are Microsoft Internet Explorer 8.0 with 1024 x 768 screen resolution in 256 colors. The browser must be enabled for Java, JavaScript and cookies
    • Have stable internet connection (no prolonged periods without or frequent disruptions in internet service
    • Have land phone line and faxing capabilities
    • Able to provide data documentation electronically or in a paper format
    • Obtain approval from their facility's Independent Ethics Committee (equivalent to US Institutional Review Board) for participation in the study (if required by the institution)
    • Able to adjust the institution's habitual counseling session schedule and duration as required by the study protocol
    • Commit to attendance during the full course of face to face training for three days (including part of a weekend), to be held at Chennai, India, and participate in the Webinars and conference calls

Exclusion criteria:

  • Small clientele of adult type 2 DM,
  • Fewer than two years' active clinical practice experience post-professional degree,
  • Unable to comply with the other inclusion criteria (see inclusion section above).

Patient Participant

Patients' Inclusion Criteria:

  • Must be over 19 years of age
  • Must have medical diagnosis for treatment of type 2 DM,
  • Patient must agree to return for follow-up visits (or data collection visit) during the 12 months study period
  • Not seen by RD for one year prior to being recruited to the study

Patients' Exclusion Criteria:

  • Currently being seen by RD for MNT
  • Participated in nutritional consults with RD in past year
  • Having insulin prescribed for DM treatment at time of recruitment
  • Pregnant or lactating at time of study
  • History of end stage renal disease or renal insufficiency; history of CVA, CAD or MI; COPD; CHF; untreated depression; severe psychiatric illness; cancer diagnosis in previous two years or on-going radiation or chemotherapy treatment
  • Unplanned surgery requiring more than one overnight stay in the hospital within the previous week to initial visit
  • The presence of cognitive or physical limitations that preclude making lifestyle or dietary changes as assessed by the RD during the initial interview
  • Unable to return to office for data collection at 6 and 12 months and unable to commit to follow-up visits for EBNPG.

Patient Dis-enrollment or Stop Point for Study Participation

Patient will no longer be in the study after he/she reports the onset of:

  • End stage renal disease or renal insufficiency;
  • CVA, CAD or MI;
  • COPD;
  • Depression, severe psychiatric illness;
  • Cancer diagnosis and treatment;
  • CHF;
  • Unplanned surgery requiring more than one overnight stay in the hospital within the previous week;
  • Pregnant,
  • Any onset of cognitive or physical limitations that preclude making lifestyle or dietary changes per RD assessment during study period,
  • Other acute/chronic complications that could exacerbate the patient's diabetic condition or general well-being.
  • Physician starts injectable insulin therapy
Both
18 Years and older
No
Contact: Varsha (none), PhD 91-442-822-8223 drvarsha@eth.net
Contact: Esther F Myers, PhD 312-520-1090 emyers@eatright.org
India
 
NCT01703611
Academy-India-1, IINS-ANDF/2011/01
Yes
Academy of Nutrition and Dietetics
Academy of Nutrition and Dietetics
  • Indian Institute of Nutritional Sciences
  • Academy of Nutrition and Dietetics Foundation
  • Abbott Healthcare Private Limited (in India)
Principal Investigator: Esther F Myers, PhD Academy of Nutrition and Dietetics
Principal Investigator: Varsha (none), PhD Shri Shradda Hospital
Principal Investigator: Naomi Trostler, PhD Hebrew University
Academy of Nutrition and Dietetics
February 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP