Contrasting Ketogenic and Mediterranean Diets in Individuals With Type 2 Diabetes and Prediabetes: The Keto-Med Trial



Status:Recruiting
Conditions:Endocrine, Diabetes, Diabetes, Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - Any
Updated:4/3/2019
Start Date:March 21, 2019
End Date:March 2020
Contact:Jennifer Robinson, PhD
Email:jlmorris@stanford.edu
Phone:650-736-8577

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The objective of this study is to compare two metabolically distinct diets, WFKD vs Med-Plus,
in order to examine the potential benefits, and unintended consequences, of going beyond a
focus on maximally avoiding added sugars and refined grains, to also avoiding legumes,
fruits, and whole grains.

The proposed randomized clinical trial will investigate differential population-specific
effects of two low-carbohydrate (low-carb) diet patterns, addressing a gap in the evidence
base in this area that will lead to 1) improved treatment strategies for common adverse
clinical conditions, 2) improved health for these individuals, and 3) long-term decreases in
health care costs. This impactful research will advance the field of personalized and
precision medicine.

Inclusion Criteria:

- Age ≥18

- Diagnosed with type 2 diabetes mellitus, on oral anti-T2DM medications only (stable
dose for 3 months)

Exclusion Criteria:

- Weight < 110 lb

- BMI ≥ 40

- LDL-C >190 mg/dL

- Systolic blood pressure (SBP) > 160 mmHg OR Diastolic blood pressure (DBP) > 90 mmHg

- Diagnosed with type 1 diabetes or history of ketoacidosis

- Active cardiovascular disease (in past year with myocardial infarction, coronary stent
or bypass surgery)

- Kidney disease (eGFR less than 50 mL/min per 1.73 m2)

- Liver disease (liver transaminase higher than 3 times the normal range for the
laboratory)

- Symptomatic gallstones

- History of bariatric surgery

- Anemia

- Taking any of the following medications in past 3 months: SGLT-2 inhibitors, GLP-1
receptor agonist, Insulin, Amylin analog, Alpha-glucosidase inhibitor, Dopamine
agonist, Bile acid sequestrant.

- Taking any medications for weight loss

- History of active cancer in the past 3 years except for squamous or basal cell
carcinomas of the skin that have been medically managed by local excision

- Unstable dietary history as defined by major changes in diet during the previous
month, where the subject has eliminated or significantly increased a major food group
in the diet.

- Recent history of chronic excessive alcohol consumption defined as more than five
1.5-ounce servings of 80 proof distilled spirits, five 12-ounce servings of beer or
five 5-ounce servings of wine per day; or > 14 drinks/week.

- Women: Pregnant currently or planning to become pregnant during the course of the
study, and/or breastfeeding

- Regular/frequent use of smoking or chewing tobacco, e-cigarettes, cigars or other
nicotine-containing products

- Regular use of prescription opiate pain medication
We found this trial at
1
site
450 Serra Mall
Stanford, California 94305
(650) 723-2300
Principal Investigator: Christopher D Gardner, PhD
Stanford University Stanford University, located between San Francisco and San Jose in the heart of...
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from
Stanford, CA
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