About this trial
This is a clinical trial to assess how time-restricted eating (TRE) may improve kidney health and filtration patients with type 2 diabetes and increased protein content in their urine. All participants will be participating in TRE in which they follow a consistent 8-10 hour eating window everyday.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18-75 years old
Participants with T2DM with A1c between 6.5 and 9.0 % and on stable doses of medications who are weight-bearing and self-ambulatory.
uACR ( urine albumin creatinine ratio) results ≥ 30 - 300 mg.
Willingness to use smartphone for research procedures (Apple iOS or Android OS)
Disqualifiers
Participants with Type1DM and T2DM who are taking insulin, sulfonylureas, or have an HbA1c > 9 %.
Estimated Glomerular Filtration Rate (EGFR) < 45
Systolic BP greater than 160 mmHg and/or Diastolic BP greater than 110 mmHg (with or without treatment/medication)
LDL cholesterol greater than 200 mg/dL
Trial design
Single group
Treatments tested in this trial
Time Restricted Eating
BehavioralParticipants in the TRE group with continue to follow their physicians treatment plan for type II diabetes mellitus and consume all of their food within an 8-10 hour eating window.
Treatment groups
Trial outcomes
Primary outcomes
Urine albumin-to-creatinine ratio (uACR)
Change in uACR (mg/g) assessed via urine sample
Secondary outcomes
Glycemic regulation assessed by Continuous Glucose Monitor (CGM)
Change in glycemic regulation as assessed by CGM from interstitial glucose with various outcomes measured.
Fasting glucose levels (mg/dL)
Change in glycemic regulation as assessed fasting plasma glucose (mg/dL).
LDL-Cholesterol
Changes in atherogenic lipids assessed via LDL-Cholesterol.
Glycemic regulation assessed by HbA1c
Change in blood glucose assessed via hemoglobin A1c.
Other outcomes
Anti-inflammatory effects of TRE
Hypothesis-generating exploration and measure of anti-inflammatory effects of TRE assessed by plasma inflammatory cytokine levels.
Time in Range
Change in the time spent within the target glucose range, as assessed by Continuous Glucose Monitoring (CGM) from interstitial glucose.
Glycemic Variability
Change in glycemic variability, as assessed by Continuous Glucose Monitoring (CGM) from interstitial glucose.
Mean Glucose
Change in mean glucose levels, as assessed by Continuous Glucose Monitoring (CGM) from interstitial glucose.
Sponsors and contacts
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University of California, San Diego
Lead sponsor
Salk Institute for Biological Studies
Collaborator