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Food Order Intervention for Gestational Diabetes

Weill Cornell Medicine (WCM) logo

Weill Cornell Medicine (WCM)

Status

Terminated

Conditions

Gestational Diabetes

Treatments

Behavioral: Food Order Therapy
Behavioral: Medical Nutrition Therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT03592784
1802018956

Details and patient eligibility

About

This is a randomized controlled feasibility trial for women diagnosed with gestational diabetes mellitus (GDM). The current front-line treatment for GDM is medical nutrition therapy (MNT), i.e. personalized diets which may or may not include mild carbohydrate restriction. Use of carbohydrate restriction increases the risk of the mother developing ketosis, a harmful condition for both the mother and fetus. If MNT is not enough to stabilize blood sugar levels, then pharmaceuticals are prescribed. In patients with type-2 diabetes and prediabetes, the carbohydrate-last food order behavior has been shown to improve post-meal blood sugar control without the need of reduced carbohydrate intake. Given this data, the addition of this intervention to MNT in patients with GDM may be helpful in achieving controlled blood sugar levels without increasing the risk of ketosis. This study will include two randomized groups diagnosed with GDM. Patients in the control group will be prescribed standard MNT. Patients in the intervention group will have identical MNT but with additional food order instruction/therapy. All patients will be followed up with at 1-2 week intervals. At each follow-up the physician and dietician will analyze the patient's blood sugar measurements and, among additional factors, determine if pharmaceuticals should be added. Treatment will continue through delivery. The primary aim of this study is to assess the feasibility of the carbohydrate last food order in GDM and generate preliminary data on its effects on glucose control.

Enrollment

28 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Pregnant subjects ≥18 years old
  • Newly diagnosed with GDM between 24-32 weeks of gestation with at least 2 days of self-monitored glucose logs or diagnosed via a 50g glucose challenge test (GCT) greater than 200mg/dL

Exclusion criteria

  • Pre-existing diabetes prior to conception
  • Patients whom do not plan on consuming at least 3 meals daily throughout gestation (e.g. during Ramadan)
  • Requirement of special medical diet (e.g. from phenylketonuria, celiac disease, etc.)
  • History of bariatric surgery

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

28 participants in 2 patient groups

Food Order Therapy + Medical Nutrition Therapy
Experimental group
Treatment:
Behavioral: Food Order Therapy
Behavioral: Medical Nutrition Therapy
Medical Nutrition Therapy Alone
Active Comparator group
Treatment:
Behavioral: Medical Nutrition Therapy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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