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| Name | Class |
|---|---|
| National Council of Science and Technology, Mexico | OTHER |
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The purpose of this study is to evaluate the effectiveness of nutrition therapy in combination with education in diabetes using a multimedia application for improving indicators of metabolic control in patients with type 2 diabetes.
Randomized clinical trial. Subjects with type 2 diabetes from three Family Medicine Units (primary care), with HbA1c >6.5% and <13.0%, without advanced macro or microvascular complications of diabetes.
Two arms: the experimental group with nutrition therapy plus education in diabetes through a multimedia application. The application had seven modules: Introduction, nutrition, physical exercise in diabetes, myths and truths on diabetes, metabolic control parameters, knowing diabetes, complications of diabetes. The control group received only usual nutrition therapy.
A monthly follow up during the first 7 months and then bimonthly, until 21 months of total follow up, with reinforcement in each visit of nutrition and other non-pharmacological therapy, with control on weight and blood pressure. Laboratory studies included HbA1c, lipids profile, creatinine and albuminuria, performed at 7, 14 and 21 months. Results were provided to both the patient and his family physician, so modification in drug treatment if needed, were performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nutritional therapy and education | Experimental |
|
|
| Nutritional Therapy | No Intervention | Nutritional therapy guidance according to sex, age, weight and comorbidity present. The recommendations of calories and macronutrients intake were indicated according to the Official Mexican Standards for Diabetes treatment and the American Diabetes Association standards for medical care in diabetes. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nutritional therapy and education | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Metabolic control | metabolic control which is evaluated by measuring the change in glycosylated hemoglobin | 21 months |
| Measure | Description | Time Frame |
|---|---|---|
| Lipids profile | Lipid profile includes the evaluation of total cholesterol, triglycerides, HDL-c and LDL-c | 21 months |
| Body mass index (BMI) | It is evaluated by measuring the weight in relation to height |
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Inclusion criteria:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lubia Velazquez, M. Sc., | Unidad de Investigación en EpidemiologÃa ClÃnica, Hospital Regional Carlos Mac Gregor Sanchez Navarro, IMSS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unidad de Investigación en EpidemiologÃa ClÃnica, Hospital Regional 1 Carlos Mac Gregor Sanchez Navarro, IMSS | Mexico City | Mexico City | 03100 | Mexico |
Provide nutritional and educational measures in long-term in diabetes care.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 16, 2024 | |
| Reset | Jul 26, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 16, 2024 | Jul 26, 2024 |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D006266 | Health Education |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D044623 | Nutrition Therapy |
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| Nutritional therapy | Behavioral | Nutritional therapy guidance according to sex, age, weight and comorbidity present. The recommendations of calories and macronutrients intake were indicated according to the Official Mexican Standards for Diabetes treatment and the American Diabetes Association Standards for medical care in diabetes. |
|
| 21 months |
| D004700 | Endocrine System Diseases |
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |