Nutritional Management of the Patient With Type 2 Diabetes at Nutritional Risk or With Malnutrition in Clinical Practice

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorOutcomes'10

About this trial

The objective of this observational study is to characterize the patient profile and nutritional treatment patterns of individuals with type 2 diabetes (T2D) or drug-induced diabetes who present with malnutrition, or are at risk of it, and who are prescribed a diabetes-specific oral nutritional supplement (ONS) that is high in calories and protein and contains soluble fiber.

Participants will complete a series of questionnaires during visits 1 and 3.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients diagnosed with type 2 diabetes (T2D) or drug-induced diabetes

Patients at nutritional risk according to MUST or presenting malnutrition according to GLIM criteria.

Patients requiring a diabetes-specific oral nutritional supplement (ONS) that is high-calorie, high-protein, and contains soluble fiber in real-world clinical practice, and who have been prescribed such a supplement within the previous 7 days.

Patients able to provide informed consent and complete the study questionnaires.

Disqualifiers

Patients participating in other studies or clinical trials related to malnutrition, or who, in the investigator's opinion, may alter the course of the study.

Patients currently receiving or expected to receive other types of nutritional interventions involving supplements (oral or otherwise) or non-conventional feeding methods (e.g., feeding tubes).

Patients with a history of metabolic/endocrine diseases (other than diabetes) or any other condition causing liver or kidney failure, defined as ALT > 3x ULN or eGFR < 30 ml/min/1.73 m², and according to the investigator's judgment.

Patients expected to undergo any surgical intervention or require hospitalization due to a condition unrelated to the study during the study period.

Trial population

Patients diagnosed with type 2 diabetes (T2D) or drug-induced diabetes, at nutritional risk according to MUST and/or presenting malnutrition according to GLIM criteria, who require a diabetes-specific oral nutritional supplement (ONS) that is high-calorie, high-protein, and contains soluble fiber, and who have been prescribed such an ONS in real-world clinical practice within the previous 7 days

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

334 Participants
are grouped into 1 trial group
Group A: Patients with T2D or with drug-induced diabetes and malnutrition or at risk of it

Trial outcomes

Primary outcomes

1

Descriptive of study population

Descriptive information of the population at V1

Time frame
Baseline visit (V1)

Secondary outcomes

1

Percentage change of blood test parameters

Changes in blood test measures will be compared

Time frame
From enrollment to end of treatment at 24 weeks
2

Percentage of patients with improvement in the nutritional status

Changes in GLIM or MUST classifications

Time frame
From enrollment to end of treatment at 24 weeks
3

Associated cost at 6-month follow-up

They will be estimated by multiplying the number of units used by their unit cost (derived from eSalud and Botplus databases). Unit: Number of events; euros (€)

Time frame
From enrollment to end of treatment at 24 weeks
4

Adherence with prescribed oral nutritional supplement (ONS)

Participants will be categorized as compliant (≥80% consumption) or non-compliant (\<80%).

Time frame
From enrollment to end of treatment at 24 weeks

Other outcomes

1

Nutritional status at molecular level

Test: nutritional (morphofunctional) ecography

Time frame
From enrollment to end of treatment at 24 weeks

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Outcomes'10

Lead sponsor

Nestlé Health Science Spain

Collaborator