About this trial
The purpose of this research study is to determine if a healthy Mediterranean diet containing one medium potato/day has equivalent or non-different effects on risk factors for type 2 diabetes and heart disease compared to a healthy Mediterranean diet without potatoes in adults with prediabetes. Participants will be randomly assigned to one of the test diets and be asked to consume this diet for 12 weeks (84 days). Testing will be conducted at the beginning and end of the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 25-65 years
Prediabetes assessed by an HbA1c of 5.7-6.4% or fasting glucose 100-125 mg/dL at screening
BMI 25-40 kg/m2 at screening
Disqualifiers
HbA1c ≥6.5% at screening
LDL-C (calculated with the Martin-Hopkins equation) ≥190 mg/dL at screening
Hemoglobin <13.2 g/dL at screening
Fasting triglycerides >350 mg/dL at screening
Trial design
Parallel
Treatments tested in this trial
Mediterranean-style diet with potatoes
Other interventionThe diet will contain 1 medium potato/day/2000 kcal
Traditional-style Mediterranean diet
Other interventionTraditional-style Mediterranean diet higher in grains
Treatment groups
Trial outcomes
Primary outcomes
Change in HbA1c
HbA1c will be assessed at baseline and 12-weeks and expressed as percentage . The change in HbA1c will be calculated by subtracting the baseline value from the 12 week value and expressed as percentage point change.
Secondary outcomes
Change in fasting glucose
Change in fasting plasma glucose expressed as mg/dL. Change in glucose will be calculated as the mean of the 12 week measures (i.e., mean of day 1 and day 2 values) minus the mean of the baseline measures (i.e., mean of day 1 and day 2 values).
Change in mean glucose
Change in mean glucose assessed by a continuous glucose monitor (CGM) expressed as mg/dL. Change in mean glucose will be calculated as mean glucose assessed from 7 days of CGM wear at 12 weeks minus mean glucose assessed from 7 days of CGM wear at baseline.
Change in mean time in range
Change in mean time in range (glucose 70-140 mg/dL) assessed by a continuous glucose monitor (CGM) expressed as minutes per day. Change in mean time in range will be calculated as mean time in range assessed from 7 days of CGM wear at 12 weeks minus mean time in range assessed from 7 days of CGM wear at baseline.
Change in glycemic variability
Change in mean glycemic variability assessed by a continuous glucose monitor (CGM) expressed as the coefficient of variability. Change in mean glycemic variability will be calculated as mean glycemic variability assessed from 7 days of CGM wear at 12 weeks minus mean glycemic variability assessed from 7 days of CGM wear at baseline.
Sponsors and contacts
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Penn State University
Lead sponsor
Alliance for Potato Research and Education
Collaborator