Type 2 DiabetesDIET-MEDNCT05292833
Study on Adherence to a Mediterranean Diet in a Population of Patients With Type 2 Diabetes
An observational study of Type 2 Diabetes, run by Assistance Publique - Hôpitaux de Paris at 3 sites in France.
Trial summary
In randomized clinical studies, the mediterranean diet has demonstrated beneficial effects on glucose and lipids levels, on body composition, on waist to hip ratio, especially in patients with type 2 diabetes. Consequently, the meditteranean diet is now recommended by experts in cardiology, nutrition and diabetology. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes
- How many people
- 60 participants
- Where
- 3 sitesFrance
- Study dates
- 6 Jul 2023to 26 May 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adult patients with known and treated type 2 diabetes, and referred to routine care in the Diabetology Day Hospital (HDJ) of the CHU Pitié-Salpêtrière and Nutrition of the Georges Pompidou Euopean Hospital as part of a therapeutic patient education (TPE) program for education and assessment of complications.
Who may be able to join
- Patient over 18 years old.
- Patient with type 2 diabetes regardless of the hypoglycaemic treatments used and their HbA1c level.
- Patient referred to the Diabetology day hospital of the CHU Pitié-Salpêtrière and Nutrition of the HEGP for assessment of diabetes and/or for obesity assessment and dietary education as part of routine care.
- Patient accepting the constraints of the protocol after explanation of it and not opposing to participate in it.
- Patient benefiting from or entitled to health insurance coverage outside of the AME.
Who cannot join
- Patient with current or recent infections (<10 days).
- Patient with unstable neoplastic (with the exception of carcinoma in situ of the cervix or cutaneous epithelioma), hematological, psychiatric (with the exception of eating disorders (ED)).
- Pregnant or breastfeeding patient.
- Person under legal protection.
Trial locations and contacts
3 sites in 1 country.
France3 sites
Diabetology Department - Pitié-Salpêtrière Hospital
Paris, 75013
Pitié Salpêtrière - Nutrition
Paris, 75013
Hôpital Européen Georges Pompidou - Diabétologie
Paris, 75015
About this study
Official title: Study on Adherence to a Mediterranean Diet in a Population of Patients With Type 2 Diabetes Diet-Med
In randomized clinical studies, the mediterranean diet has demonstrated beneficial effects on glucose and lipids levels, on body composition, on waist to hip ratio, especially in patients with type 2 diabetes. Consequently, the meditteranean diet is now recommended by experts in cardiology, nutrition and diabetology. However, many of these publications have been generated in populations living around the Mediterranean Basin. Thus, it is not sure that this diet can be used by people living outside this geographic area. We aimed to study the capacity of consecutive patients admitted in diabetology to follow the mediterranean diet recommandations during 12 months. The adherence will be studied in the real life in order to identify all limitations to follow this diet. Therefore, this study may help to find solutions to reinforce adherence to this diet.
Read the detailed description
Patients older than 18 years of age and consequently admitted in the Dpt of Diabetology in the Pitié-Salpêtrière and the Georges Pompidou Euopean Hospitals will be enroled in this study. After a survey of eating habits, the 14 items of the mediterranean diet (accordingly to Schröder H et al., J Nutr 2011) will be explained. Adherence to the diet is defined by the achievement of more than 9 items from the original list of 14 items. Adhesion to the diet will be studied à 3 and 12 months by questionnaires and the analysis of olive oil consumption (urine levels of hydroxytyrosol and alpha linoleic acid levels in bloood). Consequences of adhesion to the diet on body weight, body composition, glucose and lipids levels, HbA1c and liver enzymes in blood will be collected at 3 and 12 months. At the end of the study, patients will complete a semi-quantitative questionnaire with a sociologist in order to identify main limitations to achieve items of the diet.
- Conditions
- Type 2 Diabetes
- Keywords
- Type 2 diabetes, Mediterranean Diet
- Medical subject headings
- Diabetes Mellitus, Type 2
What is being measured
The primary outcome is the main question the study is designed to answer.
The percentage of patients adhering to the Mediterranean Diet
This pourcentage is defined as an adherence score ≥ 9 in response to the 14-item questionnaire adapted from Schröder H et al., J Nutr 2011
Measured: 12 months
Secondary outcomes (10)
Association between adherence and variations in the values of urinary hydroxytyrosol
Questionnaire of the 14 objectives Weekly food frequency questionnaire (INPES and INVS)
Measured: at inclusion, at 3 months and at 12 months
Association between adherence and variations in the values of blood alpha linolenic acid
Questionnaire of the 14 objectives Weekly food frequency questionnaire (INPES and INVS
Measured: at inclusion, at 3 months and at 12 months
Association between variations in urinary hydroxytyrosol values compared to inclusion and the declaration of an increase in olive oil consumption during follow-up.
In grams per day
Measured: at 3 months and 12 months
Association between variations in blood alpha linolenic acid values compared to inclusion and the declaration of increased consumption of walnuts during follow-up.
In grams per day
Measured: at 3 and 12 months
Association between variations in blood alpha linolenic acid values compared to inclusion and the declaration of increased consumption of hazelnuts during follow-up.
In grams per day
Measured: at 3 and 12 months
Association between variations in blood alpha linolenic acid values compared to inclusion and the declaration of increased consumption of almonds during follow-up.
In grams per day
Measured: at 3 and 12 months
To study whether adherence at baseline predicts adherence to Mediterranean Diet.
Questionnaire of the 14 objectives Weekly food frequency questionnaire (INPES and INVS)
Measured: at 3 months and 12 months
Study whether adherence to the Mediterranean Diet modifies the frequency of food consumption
Using questionnaires from the 2011-2012 Abena study (INPES and INVS)
Measured: during follow-up (12 months)
Describe the difficulties/barriers to the initiation of the Mediterranean Diet
By repeated telephone contacts by a dietician. During these telephone contacts, the dietician will take up the 14-item grid and evaluate with the patient the difficulties or aspects already implemented. The evolution of the 14-item grid will make it possible to analyze any difficulties encountered during contacts in order to report the progress made or the regression in the number of items made over time.
Measured: at Day 15, at Day 60 and at Day 180
Describe the difficulties/barriers to the initiation of the Mediterranean Diet
Through a validated semi-structured interview (Wycherley TP et al., Diabetic Medicine 2011) conducted by a sociologist.
It will be a question of better understanding the experience and adherence-compliance of patients with the different elements that make up the Mediterranean Diet. The secondary objective of using this data collection tool is to understand more particularly the possible difficulties of people who are not used to consuming the foods recommended in this diet.
Measured: at 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Mar 2022
- Study start6 Jul 2023
- Primary completion24 Jan 2024
- Study completion26 May 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 2 DiabetesStudies of the same condition, open and under way.
- More trials run by Assistance Publique - Hôpitaux de ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Céline BENOIT, Mrs, Study director, APHP
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05292833
- Sponsor's protocol ID
- PHRIP 180102
- Other IDs
- 2021-A00766-35
- Acronym
- DIET-MED
- Status last verified
- Jan 2026
- First submitted
- 14 Mar 2022
- Last updated
- 23 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study on Adherence to a Mediterranean Diet in a Population of Patients With Type 2 Diabetes Diet-Med
- ClinicalTrials.gov ID
- NCT05292833
- Acronym / sponsor ID
- DIET-MED / PHRIP 180102
- Conditions
- Type 2 Diabetes
- Keywords
- Type 2 diabetes, Mediterranean Diet
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Assistance Publique - Hôpitaux de ParisUniversity, hospital or other
- Study start
- 6 Jul 2023 (actual)
- Primary completion
- 24 Jan 2024 (actual)
- Study completion
- 26 May 2024 (actual)
- First posted
- 23 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In randomized clinical studies, the mediterranean diet has demonstrated beneficial effects on glucose and lipids levels, on body composition, on waist to hip ratio, especially in patients with type 2 diabetes. Consequently, the meditteranean diet is now recommended by experts in cardiology, nutrition and diabetology. However, many of these publications have been generated in populations living around the Mediterranean Basin. Thus, it is not sure that this diet can be used by people living outside this geographic area. We aimed to study the capacity of consecutive patients admitted in diabetology to follow the mediterranean diet recommandations during 12 months. The adherence will be studied in the real life in order to identify all limitations to follow this diet. Therefore, this study may help to find solutions to reinforce adherence to this diet.
Detailed description
Patients older than 18 years of age and consequently admitted in the Dpt of Diabetology in the Pitié-Salpêtrière and the Georges Pompidou Euopean Hospitals will be enroled in this study. After a survey of eating habits, the 14 items of the mediterranean diet (accordingly to Schröder H et al., J Nutr 2011) will be explained. Adherence to the diet is defined by the achievement of more than 9 items from the original list of 14 items. Adhesion to the diet will be studied à 3 and 12 months by questionnaires and the analysis of olive oil consumption (urine levels of hydroxytyrosol and alpha linoleic acid levels in bloood). Consequences of adhesion to the diet on body weight, body composition, glucose and lipids levels, HbA1c and liver enzymes in blood will be collected at 3 and 12 months. At the end of the study, patients will complete a semi-quantitative questionnaire with a sociologist in order to identify main limitations to achieve items of the diet.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients with known and treated type 2 diabetes, and referred to routine care in the Diabetology Day Hospital (HDJ) of the CHU Pitié-Salpêtrière and Nutrition of the Georges Pompidou Euopean Hospital as part of a therapeutic patient education (TPE) program for education and assessment of complications.
Key inclusion criteria (5 listed)
- Patient over 18 years old.
- Patient with type 2 diabetes regardless of the hypoglycaemic treatments used and their HbA1c level.
- Patient referred to the Diabetology day hospital of the CHU Pitié-Salpêtrière and Nutrition of the HEGP for assessment of diabetes and/or for obesity assessment and dietary education as part of routine care.
- Patient accepting the constraints of the protocol after explanation of it and not opposing to participate in it.
- Patient benefiting from or entitled to health insurance coverage outside of the AME.
Key exclusion criteria (4 listed)
- Patient with current or recent infections (<10 days).
- Patient with unstable neoplastic (with the exception of carcinoma in situ of the cervix or cutaneous epithelioma), hematological, psychiatric (with the exception of eating disorders (ED)).
- Pregnant or breastfeeding patient.
- Person under legal protection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
The percentage of patients adhering to the Mediterranean Diet
Time frame: 12 months
This pourcentage is defined as an adherence score ≥ 9 in response to the 14-item questionnaire adapted from Schröder H et al., J Nutr 2011
10 secondary outcomes
Association between adherence and variations in the values of urinary hydroxytyrosol
Time frame: at inclusion, at 3 months and at 12 months
Association between adherence and variations in the values of blood alpha linolenic acid
Time frame: at inclusion, at 3 months and at 12 months
Association between variations in urinary hydroxytyrosol values compared to inclusion and the declaration of an increase in olive oil consumption during follow-up.
Time frame: at 3 months and 12 months
Association between variations in blood alpha linolenic acid values compared to inclusion and the declaration of increased consumption of walnuts during follow-up.
Time frame: at 3 and 12 months
Association between variations in blood alpha linolenic acid values compared to inclusion and the declaration of increased consumption of hazelnuts during follow-up.
Time frame: at 3 and 12 months
Association between variations in blood alpha linolenic acid values compared to inclusion and the declaration of increased consumption of almonds during follow-up.
Time frame: at 3 and 12 months
To study whether adherence at baseline predicts adherence to Mediterranean Diet.
Time frame: at 3 months and 12 months
Study whether adherence to the Mediterranean Diet modifies the frequency of food consumption
Time frame: during follow-up (12 months)
Describe the difficulties/barriers to the initiation of the Mediterranean Diet
Time frame: at Day 15, at Day 60 and at Day 180
Describe the difficulties/barriers to the initiation of the Mediterranean Diet
Time frame: at 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jan 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Céline BENOIT, Mrs study director
APHP
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Type 2 Diabetes, run by Assistance Publique - Hôpitaux de Paris at 3 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The percentage of patients adhering to the Mediterranean Diet (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2026.