Type 2 & other diabetes

Effects of nudge strategy-based dietary education intervention in patients with type 2 diabetes mellitus: A cluster randomized controlled trial

Diabetes MetabPublished Sub-study of a cluster randomised controlled trial

Authors' conclusion

The present study provides evidence that nudge strategy-based dietary education intervention is effective in improving blood glucose, BMI, blood lipid levels, and blood pressure and facilitating changes in patients' dietary behavior and diabetes distress. These findings suggest that implementing nudge strategies can contribute to the optimization of T2DM dietary management and overall patient well-being.

Study context

Population
Individuals with T2DM from six primary care practices in Beijing, China134 with complete data
Participants
147 individuals
Comparison
Nudge-based dietary education vs traditional dietary education
Methodological details6 primary care practices
  • 6 primary care practices

Primary result

As reported in the abstract

HbA1c, FBG, BMI, lipids, blood pressure · 3 months
  • Significantly greater reduction in HbA1c, fasting blood glucose (FBG), body mass index (BMI), total cholesterol, LDL-C and blood pressure with intervention vs control
  • Intervention maintained HDL-C levels
  • Changes in TG similar in the two groups

Further findings

Dietary behavior and diabetes distress · 3 months

Significantly greater reduction in total energy, carbohydrate, fat and protein intake and lower diabetes distress with intervention vs control
Significantly greater increase in vegetable intake with intervention

Original publication

Effects of nudge strategy-based dietary education intervention in patients with type 2 diabetes mellitus: A cluster randomized controlled trial. Diabetes Metab. Published 7 July 2024. doi:10.1016/j.diabet.2024.101563

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