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Impact of Personalized Medical Nutrition Therapy on HbA1c, Body Weight, and Quality of Life in Patients with Type 2 Diabetes: A Randomized Controlled Trial from Sri Lanka

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SLCTR Registration Number

SLCTR/2025/010


Date of Registration

22 Mar 2025

The date of last modification

Mar 21, 2025



Application Summary


Scientific Title of Trial

Impact of Personalized Medical Nutrition Therapy on HbA1c, Body Weight, and Quality of Life in Patients with Type 2 Diabetes: A Randomized Controlled Trial from Sri Lanka


Public Title of Trial

A randomized controlled trial of patients with type 2 diabetes comparing the effect of medical nutrition therapy to standard care in improving blood glucose control, weight and well being


Disease or Health Condition(s) Studied

Type 2 Diabetes


Scientific Acronym

PMNT-T2D SL RCT (Personalized Medical Nutrition Therapy in Type 2 Diabetes Sri Lanka Randomized Controlled Trial)


Public Acronym

PNT-Diabetes SL ( Personalized Medical Nutrition Therapy for Diabetes in Sri Lanka )


Brief title

Personalised medical nutrition therapy in diabetes control


Universal Trial Number

U1111-1319-5264


Any other number(s) assigned to the trial and issuing authority

P/162/12/2024 - Ethics Review Committee, Faculty of Medicine, University of Kelaniya


Trial Details


What is the research question being addressed?

What is the impact of Personalized Medical Nutrition Therapy on HbA1c, body weight, and quality of life, compared to standard care, in patients with type 2 diabetes in Sri Lanka?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Applicable


Intervention(s) planned

Study setting - The study will be carried out at General Medical Clinics of the University Medical Unit at Colombo North Teaching Hospital, Ragama.

Sampling Procedure - Patients who fulfil inclusion criteria will be assigned to intervention and control groups randomly, as every 3rd (Intervention) and 6th patient (Control).

Participants will be randomly assigned to either the intervention group receiving personalized MNT or a control group receiving standard clinic care.

The intervention will consist of: -Three individual sessions of MNT at enrolment, and at 1, 3, and 5 months conducted by a consultant nutritionist. - Customized meal plans based on individual preferences and cultural food practices will be provided to the intervention group and support and assessment via WhatsApp at second and fourth months will also be provided.

Standard therapy includes advice from the clinic doctor on diet, exercise and medication adherence and a diet sheet detailing the ideal diet that a patient with diabetes should be taking. This diet sheet is prepared by the hospital Nutrition Unit and is given to all patients diagnosed with diabetes in the clinics.


Inclusion criteria

• Adult males and females aged 30-65 years • Diagnosed with T2DM (HbA1c greater than or equal to 7%) for at least 2 years


Exclusion criteria

• Patients with severe comorbidities such as advanced cardiac failure, advanced liver disease, end-stage renal disease, and chronic respiratory failure • Patients diagnosed with a malignancy • Patients with advanced complications of Type 2 diabetes mellitus (DM) • Patients currently receiving intensive dietary counseling • Type 1 DM • Secondary DM



Primary outcome(s)

1.

Change in HbA1c levels from baseline to 6 months.

[

Phase 1 ( baseline - week 0) Phase 2 (after 6 months)

]

Secondary outcome(s)

1.

Change in body weight

[

Phase 1 ( baseline - week 0) Phase 2 (after 6 months)

]
2.

Quality of life assessed using the WHO Quality of Life brief Scale

[

Phase 1 ( baseline - week 0) Phase 2 (after 6 months)

]

Target number/sample size

120 (60 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2025-04-01


Anticipated end date

2025-09-30


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Investigator funded


Regulatory approvals

N/A



State of Ethics Review Approval


Status

Approved


Date of Approval

2025-01-16


Approval number

P/162/12/2024


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Kelaniya.
Institutional Address:PO Box 06, Thalagolla Road, Ragama, Sri Lanka.
Telephone:011-2961267
Email: ercmed@kln.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Shamila Thivanshi De Silva
Professor in Medicine and Specialist Physician in Internal Medicine
Department of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka
+9411 2961119
+94 773 601490

shamiladp@kln.ac.lk
https://medicine.kln.ac.lk/index.php/dr-s-t-de-silva.html

Contact Person for Public Queries

Shamila Thivanshi De Silva
Professor in Medicine and Specialist Physician in Internal Medicine
Department of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka
+9411 2961119
+94 773 601490

shamiladp@kln.ac.lk
https://medicine.kln.ac.lk/index.php/dr-s-t-de-silva.html


Primary study sponsor/organization

Faculty of Medicine, University of Kelaniya

P.O. Box 6, Thalagolla Road, Ragama, Sri Lanka.



Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results