LOADD (Lifestyle Over and Above Drugs in Diabetes) Study
The Potential for Diet Modification to Improve Glycaemic Control and Cardiovascular Risk Factors Over and Above Drug Therapy in Type 2 Diabetes at High Risk of Cardiovascular Disease
1 other identifier
interventional
220
1 country
1
Brief Summary
In the past, nutritional management formed the cornerstone of treatment of type 2 diabetes (T2DM). More recently, this aspect of treatment has received less attention as drug therapy aimed not only to lower glucose, but also to treat raised blood pressure and blood fats (including cholesterol) has been more widespread. While there is evidence to suggest that blood pressure and blood fat levels have improved, overall diabetes control has not and people with diabetes appear to be becoming progressively more overweight, following trends in the general population. The proposed study involves a randomised controlled trial in which people with T2DM continuing with their regular drug treatment and surveillance, will be randomly allocated to additionally receive intensive advice regarding diet or remain on their usual treatment in this regard. The results will be judged principally in terms of body weight, waist circumference, blood pressure, blood glucose control and blood fats.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable type-2-diabetes-mellitus
Started Aug 2006
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 27, 2005
CompletedFirst Posted
Study publicly available on registry
July 28, 2005
CompletedStudy Start
First participant enrolled
August 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2008
CompletedMarch 28, 2007
March 1, 2007
July 27, 2005
March 27, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Body mass index (BMI)
Glycated Haemoglobin (HbA1c)
Triglycerides
Dietary intake as measured by 3-day weighed diet records
All measures to be compared at end of study (6 months)
Secondary Outcomes (10)
Blood pressure
Weight
Waist circumference
Total cholesterol and lipid subfractions (LDL, HDL)
Fasting insulin
- +5 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Type 2 diabetes
- Resident in Dunedin
- Aged \<70 years at the time of invitation to participate
- Most recent HbA1c level within the last 12 months ≥ 7%
- Currently prescribed oral tablets or insulin or both for glycaemic control AND three of the following: \*Any pre-existing cardiovascular disease defined as a past history of myocardial infarction, angina, peripheral vascular disease, cerebrovascular accident, transient ischaemic attack; \*Currently prescribed antihypertensive medication; \*Currently prescribed lipid modifying medication; \*Body mass index ≥25
You may not qualify if:
- Terminal illness
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Edgar National Centre for Diabetes Researchlead
- University of Otagocollaborator
Study Sites (1)
Edgar National Centre for Diabetes Research
Dunedin, Otago, 9001, New Zealand
Related Publications (4)
Mann JI, De Leeuw I, Hermansen K, Karamanos B, Karlstrom B, Katsilambros N, Riccardi G, Rivellese AA, Rizkalla S, Slama G, Toeller M, Uusitupa M, Vessby B; Diabetes and Nutrition Study Group (DNSG) of the European Association. Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus. Nutr Metab Cardiovasc Dis. 2004 Dec;14(6):373-94. doi: 10.1016/s0939-4753(04)80028-0. No abstract available.
PMID: 15853122BACKGROUNDNew Zealand Guidelines Group. Assessment and Management of Cardiovascular Risk. December, 2003. Wellington, NZ. http://www.nzgg.org.nz. ISBN (print) 0-476-00091-2
BACKGROUNDNew Zealand Guidelines Group. Management of Type 2 Diabetes. Wellington, NZ. December, 2003. http://www.nzgg.org.nz. ISBN (print): 0-476-00092-0
BACKGROUNDCoppell KJ, Kataoka M, Williams SM, Chisholm AW, Vorgers SM, Mann JI. Nutritional intervention in patients with type 2 diabetes who are hyperglycaemic despite optimised drug treatment--Lifestyle Over and Above Drugs in Diabetes (LOADD) study: randomised controlled trial. BMJ. 2010 Jul 20;341:c3337. doi: 10.1136/bmj.c3337.
PMID: 20647285DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jim I Mann, FRACP
Edgar National Centre for Diabetes Research
- PRINCIPAL INVESTIGATOR
Kirsten Coppell, FAFPHM
Edgar National Centre for Diabetes Research
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
July 27, 2005
First Posted
July 28, 2005
Study Start
August 1, 2006
Study Completion
June 1, 2008
Last Updated
March 28, 2007
Record last verified: 2007-03