Type 2 DiabetesNCT06832059
Precision Nutrition Versus Standard Dietary Care: Continuous Glucose Monitoring as a Tool for Guided Nutrition Care in Type 2 Diabetes - The PRECISE-DIET Trial. -A Pilot Study
A study testing The precise diet intervention in people with Type 2 Diabetes, run by Steno Diabetes Center Copenhagen at 1 site in Denmark.
Trial summary
The primary aim of this pilot study is to assess the feasibility of a 12-week dietary intervention combined with the use of CGM in adults with T2D. The results of the pilot study will provide insights into recruitment, design, and the effectiveness of the intervention for the future long-term (12-month) PRECISE-DIET… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes
- What is being tested?
- The precise diet intervention
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteDenmark
- Study dates
- 18 Nov 2025to 30 Sep 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
Who may be able to join
- T2D
- Diabetes duration of ≥12 months
- ≥18 years of age
- HbA1c ≥58 mmol/mol
- Attending the SDCC outpatient clinic
- Provided voluntary signed informed consent.
Who cannot join
- Inability to understand the patient information.
- Complications which do not permit to lowering HbA1c to <58 mmol/mol.
- Treatment with insulin.
- Low daily carbohydrate intake (defined as below 25 E% or 100 g/day) prior to study inclusion.
- Systematic use of corticosteroids.
- Using or requiring a specialized diet (e.g., kidney diet).
Show all 10Show fewer
- Circumstances that affect HbA1c (e.g., liver disease and anaemia).
- Known or suspected drug or alcohol abuse (judged by the investigator).
- Pregnancy or breastfeeding or plans of pregnancy within the study period.
- Participation in other clinical trials.
Trial locations and contacts
1 site in 1 country.
About this study
The primary aim of this pilot study is to assess the feasibility of a 12-week dietary intervention combined with the use of CGM in adults with T2D. The results of the pilot study will provide insights into recruitment, design, and the effectiveness of the intervention for the future long-term (12-month) PRECISE-DIET STUDY
Read the detailed description
In recent decades, there has been a significant rise in the development and use of glucose lowering drugs aimed at improving glycemic control in individuals with type 2 diabetes (T2D). Despite medical advancements, more than one-third of the danish population with T2D have a hemoglobin A1c (HbA1c) exceeding the recommended thresholds. One limiting factor in supporting individuals achieve their glycaemic target may be driven by substantial postprandial increases in plasma glucose levels, which is influenced by the quantity and type of carbohydrates in meals, underscoring the critical role of dietary interventions as an integral component of T2D management.
Recent studies have demonstrated that the use of continuous glucose monitors (CGMs), which allow individuals to track their glucose profiles continuously throughout the day, improves glycemic control in T2D patients. However, these studies often exclude dietary interventions, which could potentially yield greater improvements in blood glucose regulation.
Nutritional research in recent years has focused on dietary patterns such as low-fat diets, the paleo diet, and vegan diets. Nevertheless, these studies have not sufficiently addressed individualized dietary adjustments to mitigate postprandial glucose excursions, despite their substantial importance for glycemic control.
Several clinical studies have revealed significant inter-individual variations in glycemic responses to identical standardized meals, highlighting the necessity of a personalized approach to dietary recommendations, particularly with a focus on carbohydrate intake.
The primary aim of this pilot study is to assess the feasibility of a 12-week dietary intervention combined with the use of CGM in adults with T2D. The results of the pilot study will provide insights into recruitment, design, and the effectiveness of the intervention for the future long-term (12-month) PRECISE-DIET STUDY
- Conditions
- Type 2 Diabetes
- Being tested
- The precise diet intervention
- Keywords
- Type 2 diabetes, Dietary intervention, CGM, continuous glucose monitoring
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The precise diet interventionOther
The intervention includes training and education in CGM use and reduction in overall carbohydrate intake guided by individualized flexible nutrition recommendations, with adjustments made according to postprandial blood glucose responses. Staff will guide participants in the daily carbohydrate intake with personalized adjustments to accommodate individual needs by the individuals. The primary goal is to minimize the participant's time spent above 10 mmol/l
| Study group | Role | What they receive |
|---|---|---|
| Precise diet intervention | Experimental | The precise diet intervention for 12 weeks (n=20). Receives: Other: The precise diet intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fidelity testing
Participants will be invited to a workshop to evaluate the intervention and its components. Procedures from fidelity testing will be applied in the evaluation. These specific topics will be evaluated:
- Study design
- Is the design appropriate? E.g., number of visits, CGM use, dietetic feedback?
- Sampling strategy
- E.g., how many participated, recruitment methods, sample diversity?
- Treatment receipt
- "What is learned?"
- Is the intervention relevant to and accepted by the participants?
- Treatment enactment
- What is actually used and done?
- Do participants' "behavioural skills" improve?
Measured: 12 weeks after baseline
Secondary outcomes (15)
HbA1c (mmol/mol)
Assessed from blood samples
Measured: Measured at baseline and after 12 weeks
Time in range (TIR)
Time spent in time in range 3.9 mmol/l - 10.0 mmol/l from CGM data
Measured: Measured at baseline and after 12 weeks
Time above range (TAR)
Time spent in time above range 10.1-13.9 mmol/l from CGM data
Measured: Measured at baseline and after 12 weeks
Time below range (TBR)
Time spent in time below range <3.9 mmol/l from from CGM data
Measured: Measured at baseline and after 12 weeks
Coefficient of variation (CV)
Percentage coefficient of variation in glucose differences
Measured: Measured at baseline and after 12 weeks
Estimated HbA1c
Estimated HbA1c (14-days average of the CGM data)
Measured: Measured at baseline and after 12 weeks
Body mass index (kg/m^2)
Calculated from body weight (kg) and height (m).
Measured: Measured at baseline and after 12 weeks
Body weight (kg)
Measured on a digital scale
Measured: Measured at baseline and after 12 weeks
Waist circumference (cm)
Measured using tape measure.
Measured: Measured at baseline and after 12 weeks
Hip circumference (cm)
Measured using tape measure
Measured: Measured at baseline and after 12 weeks
Systolic blood pressure (mmHg)
Measured under resting
Measured: Measured at baseline and after 12 weeks
Diastolic blood pressure (mmHg)
Measured under resting
Measured: Measured at baseline and after 12 weeks
Self-reported diabetes distress
Assessed from the Problem Areas in Diabetes Scale comprising of twenty emotional-distress questions. Each item can be rated from 0 to 5.
Measured: Measured at baseline and after 12 weeks
Self-reported treatment satisfaction
Assessed from the questionnaire Diabetes Treatment Satisfaction Questionnaire (DTSQ).
Measured: Measured at baseline and after 12 weeks
Dietary intake
Dietary intake (total energy intake and macronutrient composition based on 3-days' diet records)
Measured: Measured at baseline and after 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Feb 2025
- Study start18 Nov 2025
- Primary completion30 Sep 2026 (estimated)
- Study completion30 Sep 2026 (estimated)
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.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Steno Diabetes Center Copenhagen
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Bettina Ewers, Steno Diabetes Center Copenhagen
- Investigators
- Bettina Ewers, PhD, Principal investigator, Steno Diabetes Center Copenhagen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06832059
- Sponsor's protocol ID
- H-24083559
- Status last verified
- Jun 2026
- First submitted
- 9 Jan 2025
- Last updated
- 1 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Precision Nutrition Versus Standard Dietary Care: Continuous Glucose Monitoring as a Tool for Guided Nutrition Care in Type 2 Diabetes - The PRECISE-DIET Trial. -A Pilot Study
- ClinicalTrials.gov ID
- NCT06832059
- Acronym / sponsor ID
- H-24083559
- Conditions
- Type 2 Diabetes
- Keywords
- Type 2 diabetes, Dietary intervention, CGM, continuous glucose monitoring
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Steno Diabetes Center CopenhagenUniversity, hospital or other
- Study start
- 18 Nov 2025 (actual)
- Primary completion
- 30 Sep 2026 (estimated)
- Study completion
- 30 Sep 2026 (estimated)
- First posted
- 18 Feb 2025 (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.
The primary aim of this pilot study is to assess the feasibility of a 12-week dietary intervention combined with the use of CGM in adults with T2D. The results of the pilot study will provide insights into recruitment, design, and the effectiveness of the intervention for the future long-term (12-month) PRECISE-DIET STUDY
Detailed description
In recent decades, there has been a significant rise in the development and use of glucose lowering drugs aimed at improving glycemic control in individuals with type 2 diabetes (T2D). Despite medical advancements, more than one-third of the danish population with T2D have a hemoglobin A1c (HbA1c) exceeding the recommended thresholds. One limiting factor in supporting individuals achieve their glycaemic target may be driven by substantial postprandial increases in plasma glucose levels, which is influenced by the quantity and type of carbohydrates in meals, underscoring the critical role of dietary interventions as an integral component of T2D management.
Recent studies have demonstrated that the use of continuous glucose monitors (CGMs), which allow individuals to track their glucose profiles continuously throughout the day, improves glycemic control in T2D patients. However, these studies often exclude dietary interventions, which could potentially yield greater improvements in blood glucose regulation.
Nutritional research in recent years has focused on dietary patterns such as low-fat diets, the paleo diet, and vegan diets. Nevertheless, these studies have not sufficiently addressed individualized dietary adjustments to mitigate postprandial glucose excursions, despite their substantial importance for glycemic control.
Several clinical studies have revealed significant inter-individual variations in glycemic responses to identical standardized meals, highlighting the necessity of a personalized approach to dietary recommendations, particularly with a focus on carbohydrate intake.
The primary aim of this pilot study is to assess the feasibility of a 12-week dietary intervention combined with the use of CGM in adults with T2D. The results of the pilot study will provide insights into recruitment, design, and the effectiveness of the intervention for the future long-term (12-month) PRECISE-DIET STUDY
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Precise diet intervention | Experimental | Other: The precise diet interventionThe precise diet intervention for 12 weeks (n=20). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- T2D
Key exclusion criteria (10 listed)
- Inability to understand the patient information.
- Complications which do not permit to lowering HbA1c to <58 mmol/mol.
- Treatment with insulin.
- Low daily carbohydrate intake (defined as below 25 E% or 100 g/day) prior to study inclusion.
- Systematic use of corticosteroids.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The precise diet interventionThe intervention includes training and education in CGM use and reduction in overall carbohydrate intake guided by individualized flexible nutrition recommendations, with adjustments made according to postprandial blood glucose responses. Staff will guide participants in the daily carbohydrate intake with personalized adjustments to accommodate individual needs by the individuals. The primary goal is to minimize the participant's time spent above 10 mmol/l | Other | Precise diet intervention |
Primary outcome
Fidelity testing
Time frame: 12 weeks after baseline
Participants will be invited to a workshop to evaluate the intervention and its components. Procedures from fidelity testing will be applied in the evaluation. These specific topics will be evaluated: * Study design o Is the design appropriate? E.g., number of visits, CGM use, dietetic feedback? * Sampling strategy o E.g., how many participated, recruitment methods, sample diversity? * Treatment receipt * "What is learned?" * Is the intervention relevant to and accepted by the participants? * Treatment enactment * What is actually used and done? * Do participants' "behavioural skills" improve?
15 secondary outcomes
HbA1c (mmol/mol)
Time frame: Measured at baseline and after 12 weeks
Time in range (TIR)
Time frame: Measured at baseline and after 12 weeks
Time above range (TAR)
Time frame: Measured at baseline and after 12 weeks
Time below range (TBR)
Time frame: Measured at baseline and after 12 weeks
Coefficient of variation (CV)
Time frame: Measured at baseline and after 12 weeks
Estimated HbA1c
Time frame: Measured at baseline and after 12 weeks
Body mass index (kg/m^2)
Time frame: Measured at baseline and after 12 weeks
Body weight (kg)
Time frame: Measured at baseline and after 12 weeks
Waist circumference (cm)
Time frame: Measured at baseline and after 12 weeks
Hip circumference (cm)
Time frame: Measured at baseline and after 12 weeks
Systolic blood pressure (mmHg)
Time frame: Measured at baseline and after 12 weeks
Diastolic blood pressure (mmHg)
Time frame: Measured at baseline and after 12 weeks
Self-reported diabetes distress
Time frame: Measured at baseline and after 12 weeks
Self-reported treatment satisfaction
Time frame: Measured at baseline and after 12 weeks
Dietary intake
Time frame: Measured at baseline and after 12 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jul 2026.
- Individual participant dataSharing planned: No
Related trials for Type 2 Diabetes
Not yet recruitingPhase 3
Efficacy and Safety of Once-Weekly SHR-3167 Compared With Once-Daily Insulin Glargine in Adults With Insulin-Naive Type 2 Diabetes
Type 2 Diabetes
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
Not yet recruitingPhase 3
A Study to Evaluate the Effectiveness and Safety of the Drug AZD6234 for Managing Weight in Adults Who Are Obese or Overweight. These Participants May or May Not Also Have Type 2 Diabetes
Obesity, Overweight
Not yet recruiting
Impact of Endoscopic Sleeve Gastroplasty (ESG) in Obese Adults With Type 2 Diabetes (T2D)
Type 2 Diabetes Mellitus (T2D), Obesity (BMI>30)
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.
Bettina Ewers, PhD principal investigator
Steno Diabetes Center Copenhagen
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The precise diet intervention in people with Type 2 Diabetes, run by Steno Diabetes Center Copenhagen at 1 site in Denmark.
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 6 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 1 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. 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?
This study is still under way. Results are not available in the source record yet.
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?
Fidelity testing (time frame: 12 weeks after baseline). 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 1 Jul 2026.