Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07525622

The Effect of Basic Carbohydrate Counting on HbA1c in Prediabetes: A Randomized Controlled Trial

Led by Hamide Sahin · Updated on 2026-05-12

120

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Type 2 diabetes mellitus is a growing global health issue, and prediabetes is a high-risk condition that often has no symptoms. Early detection and lifestyle changes are important to prevent or delay diabetes development. This study evaluates the effect of basic carbohydrate counting education on blood sugar control (HbA1c levels) in adults with prediabetes in a primary care setting. Participants aged 18 and older with HbA1c levels between 5.7% and 6.4% will be randomly assigned to two groups. One group receives standard lifestyle advice, while the other also gets structured carbohydrate counting education in three sessions. Education sessions are held weekly and include teaching on identifying carbohydrates, portion sizes, and meal planning. The intervention group will also complete dietary records and receive monthly follow-up calls. Participants will undergo assessments at the start, 3 months, and 6 months, including blood tests for HbA1c, fasting glucose, and lipid levels, as well as measurements of weight, body mass index, and waist size. Knowledge about carbohydrate counting will be tested using a special questionnaire. Researchers will track changes in blood sugar control and other health measures over 6 months. The study aims to provide practical dietary approaches to help prevent diabetes progression in primary care.

CONDITIONS

Brief Title

Basic Carbohydrate Counting in Prediabetes

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years and older
  • Able to read and write
  • Individuals with prediabetes who are not using or unwilling to start oral antidiabetic drugs
Not Eligible

You will not qualify if you...

  • Diagnosis of diabetes mellitus
  • Previous or current use of carbohydrate counting
  • Daily carbohydrate intake less than 100 grams
  • Uncontrolled medical conditions affecting diet
  • Pregnant, breastfeeding, or planning pregnancy during the study
  • Participation in another clinical study
  • Unable or unwilling to provide informed consent or comply with procedures
  • Cognitive or communication difficulties such as hearing, understanding, or speaking problems

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - 6 months

Participants in the intervention group receive structured nutrition education based on carbohydrate counting in three sessions at one-week intervals. All participants complete questionnaires and have anthropometric and laboratory assessments at baseline, 3 months, and 6 months.

3 in-person visits at baseline, 3 months, and 6 months; 3 weekly education sessions for intervention group; monthly telephone calls for intervention group

Trial Site Locations

Total: 1 location

1

Marmara University Hospital

Istanbul, Pendik, Turkey (Türkiye), 34000

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Research Team

H

Hamide Vural, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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