Diabete Type 2AMENUCEDNCT07186686
Feasibility Study of AMENUCED Program in Type 2 Diabetes
A study testing Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education. in people with Diabete Type 2, run by Universidad de Sonora at 1 site in Mexico.
Trial summary
Type 2 diabetes is characterized by progressive resistance to the effects of insulin, along with deficient insulin production. In Mexico, it affects 18.4% of adults and is the second leading cause of death. According to ENSANUT 2023, 74.2% of adults with diabetes have poor glycemic control. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Diabete Type 2
- What is being tested?
- Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education.
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- 1 siteMexico
- Study dates
- 18 Sep 2025to 12 Dec 2025
- Phase
- Interventional
- 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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adults aged ≥18 and ≤65 years
- Residing in Hermosillo, Sonora
- Body Mass Index (BMI) ≥25
- Prior diagnosis of Type 2 Diabetes
- Individuals who cannot read or write may be included if accompanied by someone willing to attend sessions and assist with comprehension
- Must have active medical insurance
Who cannot join
- Diabetes-related complications, including:
- Advanced diabetic nephropathy
- Neuropathy
- Retinopathy
- Cardiovascular or cerebrovascular diseases
- History of severe hypoglycemia
Show all 17Show fewer
- Significant metabolic dysregulation (HbA1c ≥10%)
- Use of insulin, sulfonylureas, or meglitinides
- Pregnancy or breastfeeding within the past 6 months
- Diagnosed psychiatric disorders
- Consumption of ≥14 alcoholic beverages per week
- Serious illnesses (e.g., cancer, liver failure, kidney disease)
- Chronic use of corticosteroids
- Plans to relocate during the study period
- Weight loss greater than 5% in the past three months
- History of bariatric surgery
- Any other medical, psychiatric, or behavioral condition that, in the investigator's judgment, may interfere with participation in the intervention
Trial locations and contacts
1 site in 1 country.
Mexico1 site
Centro de Promoción de Salud Nutricional (CPSN), Hermosillo, Sonora 83000
Hermosillo, Sonora, 83000
About this study
Official title: Development of the AMENUCED Program and Evaluation of Its Feasibility in Adults With Type 2 Diabetes: A Pre-Post Study
Type 2 diabetes is characterized by progressive resistance to the effects of insulin, along with deficient insulin production. In Mexico, it affects 18.4% of adults and is the second leading cause of death. According to ENSANUT 2023, 74.2% of adults with diabetes have poor glycemic control. Achieving adequate glycemic control requires multiple interventions. The AMENUCED program is multicomponent and includes medical care, nutritional guidance, lifestyle support, and diabetes education. Each component has independently shown positive outcomes in diabetes management, yet few Mexicans receive this comprehensive care.
This study aims to develop the AMENUCED program and evaluate its feasibility (acceptance and retention) after a 3-month intervention in adults with type 2 diabetes.
A pre-post pilot study will be conducted. The primary outcome is program feasibility, while secondary outcomes include HbA1c, body weight, BMI, waist circumference, body fat, fasting glucose, plasma lipids, blood pressure, mental health aspects, and diabetes knowledge. Statistical analysis will be exploratory, using paired t-tests or Wilcoxon tests to compare pre- and post-intervention data, and McNemar's test to compare proportions.
- Conditions
- Diabete Type 2
- Being tested
- Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education.
- Keywords
- Type 2 Diabetes Mellitus, Pilot Study, Feasibility, Self management education, Lifestyle intervention
- 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.
Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education.Other
Medical Attention: Medical management will be provided by a physician who will assess the participant at the beginning and end of the intervention. The physician will be responsible for pharmacological treatment and follow-up throughout the process.
Nutritional Attention: Nutritional consultations will be provided by a registered nutritionist over a three-month period, with sessions held weekly. During each consultation, the participant will receive an individualized nutrition plan based on scientific evidence and dietary recommendations. The plan will be tailored to the participant's specific needs, including metabolic control and a hypocaloric intake (ranging from 1200 to 1800 kcal), with the goal of achieving a 5-10% reduction in body weight.
Behavioral Lifestyle Change Program: The behavior modification program used in the Action for Health in Diabetes Program (Look AHEAD) study will be adapted to include diabetes self-management activities through a structured manual.
| Study group | Role | What they receive |
|---|---|---|
| AMENUCED Intervention Group | Experimental | Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education. The study is designed to assess the feasibility and acceptability of the AMANUCED program in adults with Type 2 Diabetes. This intervention does not involve any pharmacological or device-based components. Receives: Other: Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Acceptance of the AMENUCED Program
Acceptance will be assessed by participant ratings using a 1-10 scale (where 1= lowest acceptance and 10 = highest acceptance) for each component of the program, including educational content, delivery format, and perceived usefulness. Unit of measure: Score 1 - 10.
Measured: Baseline to 12 weeks post intervention
Retention in the AMENUCED Program
Retention will be measured by the percentage of participants who remain in the program. Unit of Measure: Percentage of participants (%)
Measured: Baseline to 12 weeks post intervention.
Secondary outcomes (15)
Change in Glycated Hemoglobin
Measured using standardized blood tests to assess glycemic control. Unit of Measure: %
Measured: Baseline and 12 weeks post-intervention
Change in body fat
Measured in using medical body composition analyzer (Seca mBCA 514) under standardized conditions. Unit of measure (kg of body fat)
Measured: Baseline and 12 weeks post-intervention
Change in Body Mass Index
Calculated as weight (kg) divided by height squared (m²), using standardized equipment and protocol. Unit of measure: kg/m²
Measured: Baseline and 12 weeks post-intervention
Change in waist circumference
Measured with anthropometric tape (Lufkin Executive W606PMMX) at the umbilical level. Unit of measure: cm
Measured: Baseline and 12 weeks post-intervention
Change in Blood Pressure
Systolic and diastolic blood pressure will be measured using an Omron digital sphygmomanometer (HEM-907XL) on the upper arm, following American Heart Association guidelines. Unit of Measure: mmHg
Measured: Baseline and 12 weeks post-intervention
Change in Health-Related Quality of Life
Assessed using the "SF-36 Health Survey", with scores ranging from 0 = worst possible health status, to 100 = best possible health status. Unit of measure: 0 - 100
Measured: Baseline and 12 weeks post-intervention
Change in Fasting Glucose
Measured via standardized laboratory testing. Unit of Measure: mg/dL
Measured: Baseline and 12 weeks post-intervention
Change in Perceived Stress
Assessed using "The Coping Stress Questionnaire (CAE): Validation in a Mexican Sample". The CAE includes seven subscales: problem-solving focus, negative self-focus, positive reappraisal, open emotional expression, avoidance, social support seeking and religious coping. Participants rate each item on a 6-point Likert scale (0 = never, 5 = always). Higher scores indicate more frequent use of the corresponding coping strategy. Use of Measure: Subscale scores (range: 0-5 per item; total score varies by subscale)
Measured: Baseline and 12 weeks post-intervention.
Change in Depression Symptoms
Assessed using the Beck Depression Inventory-II, a 21 item self-report questionnaire designed to measure the severity of depression. Each item is rated on a 4 point Likert scale (0 = not al all, 3 = severe), with total scores ranging from 0 to 63. Higher scores indicate greater severity of depressive symptoms. Unit of Measure: Total score range 0 - 63
Measured: Baseline and 12 weeks post intervention.
Change in Anxiety Symptoms
Assessed using the "Beck Anxiety Inventory (BIA), a 21 item self report questionnaire designed to measure the severity of anxiety in adults. Each item is rated on a 4 point likert scale (0 = not al all, 3 = severely), with total scores ranging from 0 to 63. Higher scores indicate greater severity of anxiety symptoms. The BAI has demonstrated strong psychometric properties in general Mexican populations. Unit of Measure: Total score range 0 - 63
Measured: Baseline and 12 weeks post intervention.
Change in Diabetes Knowledge
Assessed using the "24 - item version of the Diabetes Knowledge Questionnaire (DKQ-24), developed and validated in Spanish for Mexican-American populations. Each item is scored as correct or incorrect, with total scores ranging from 0 to 24. Higher scores indicate greater diabetes-related knowledge. Unit of Measure: Total score, range 0 - 24
Measured: Baseline and 12 weeks post intervention.
Change in Total Cholesterol
Measured via standardized laboratory testing. Unit of Measure: mg/dL
Measured: Baseline and 12 weeks post intervention
Change in HDL Cholesterol
Measured via standardized laboratory testing. Higher values indicated better cardiovascular profile. Unit of Measure: mg/dL
Measured: Baseline and 12 weeks post intervention
Change in LDL Cholesterol
Measured via standardized laboratory testing. Unit of Measure: mg/dL
Measured: Baseline and 12 weeks post intervention
Change in Triglycerides
Measured via standardized laboratory testing. Unit of Measure: mg/dL
Measured: Baseline and 12 weeks post intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2025
- Study start18 Sep 2025
- Primary completion3 Dec 2025
- Study completion12 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabete Type 2Studies 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
- Model description
- Single-arm interventional study where all participants received the AMENUCED program.
- Masking
- None (open label)
- Enrolment
- 5 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universidad de Sonora
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Rolando Giovanni Díaz Zavala, Universidad de Sonora
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07186686
- Sponsor's protocol ID
- AMENUCED-DT2-01
- Acronym
- AMENUCED
- Status last verified
- Mar 2026
- First submitted
- 2 Sep 2025
- Last updated
- 25 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data (IPD) will not be shared, as this study corresponds to a pilot phase with a small sample size.
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Development of the AMENUCED Program and Evaluation of Its Feasibility in Adults With Type 2 Diabetes: A Pre-Post Study
- ClinicalTrials.gov ID
- NCT07186686
- Acronym / sponsor ID
- AMENUCED / AMENUCED-DT2-01
- Conditions
- Diabete Type 2
- Keywords
- Type 2 Diabetes Mellitus, Pilot Study, Feasibility, Self management education, Lifestyle intervention
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5 participants (actual)
- Lead sponsor
- Universidad de SonoraUniversity, hospital or other
- Study start
- 18 Sep 2025 (actual)
- Primary completion
- 3 Dec 2025 (actual)
- Study completion
- 12 Dec 2025 (actual)
- First posted
- 22 Sep 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.
Type 2 diabetes is characterized by progressive resistance to the effects of insulin, along with deficient insulin production. In Mexico, it affects 18.4% of adults and is the second leading cause of death. According to ENSANUT 2023, 74.2% of adults with diabetes have poor glycemic control. Achieving adequate glycemic control requires multiple interventions. The AMENUCED program is multicomponent and includes medical care, nutritional guidance, lifestyle support, and diabetes education. Each component has independently shown positive outcomes in diabetes management, yet few Mexicans receive this comprehensive care.
This study aims to develop the AMENUCED program and evaluate its feasibility (acceptance and retention) after a 3-month intervention in adults with type 2 diabetes.
A pre-post pilot study will be conducted. The primary outcome is program feasibility, while secondary outcomes include HbA1c, body weight, BMI, waist circumference, body fat, fasting glucose, plasma lipids, blood pressure, mental health aspects, and diabetes knowledge. Statistical analysis will be exploratory, using paired t-tests or Wilcoxon tests to compare pre- and post-intervention data, and McNemar's test to compare proportions.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Single-arm interventional study where all participants received the AMENUCED program.
| Arm | Type | Receives |
|---|---|---|
| AMENUCED Intervention Group | Experimental | Other: Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education.Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education. The study is designed to assess the feasibility and acceptability of the AMANUCED program in adults with Type 2 Diabetes. This intervention does not involve any pharmacological or device-based components. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Adults aged ≥18 and ≤65 years
- Residing in Hermosillo, Sonora
- Body Mass Index (BMI) ≥25
- Prior diagnosis of Type 2 Diabetes
- Individuals who cannot read or write may be included if accompanied by someone willing to attend sessions and assist with comprehension
Key exclusion criteria (17 listed)
- Diabetes-related complications, including:
- History of severe hypoglycemia
- Significant metabolic dysregulation (HbA1c ≥10%)
- Use of insulin, sulfonylureas, or meglitinides
- Pregnancy or breastfeeding within the past 6 months
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 |
|---|---|---|
| Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education.Medical Attention: Medical management will be provided by a physician who will assess the participant at the beginning and end of the intervention. The physician will be responsible for pharmacological treatment and follow-up throughout the process. Nutritional Attention: Nutritional consultations will be provided by a registered nutritionist over a three-month period, with sessions held weekly. During each consultation, the participant will receive an individualized nutrition plan based on scientific evidence and dietary recommendations. The plan will be tailored to the participant's specific needs, including metabolic control and a hypocaloric intake (ranging from 1200 to 1800 kcal), with the goal of achieving a 5-10% reduction in body weight. Behavioral Lifestyle Change Program: The behavior modification program used in the Action for Health in Diabetes Program (Look AHEAD) study will be adapted to include diabetes self-management activities through a structured manual. | Other | AMENUCED Intervention Group |
Primary outcome
Acceptance of the AMENUCED Program
Time frame: Baseline to 12 weeks post intervention
Acceptance will be assessed by participant ratings using a 1-10 scale (where 1= lowest acceptance and 10 = highest acceptance) for each component of the program, including educational content, delivery format, and perceived usefulness. Unit of measure: Score 1 - 10.
Retention in the AMENUCED Program
Time frame: Baseline to 12 weeks post intervention.
Retention will be measured by the percentage of participants who remain in the program. Unit of Measure: Percentage of participants (%)
15 secondary outcomes
Change in Glycated Hemoglobin
Time frame: Baseline and 12 weeks post-intervention
Change in body fat
Time frame: Baseline and 12 weeks post-intervention
Change in Body Mass Index
Time frame: Baseline and 12 weeks post-intervention
Change in waist circumference
Time frame: Baseline and 12 weeks post-intervention
Change in Blood Pressure
Time frame: Baseline and 12 weeks post-intervention
Change in Health-Related Quality of Life
Time frame: Baseline and 12 weeks post-intervention
Change in Fasting Glucose
Time frame: Baseline and 12 weeks post-intervention
Change in Perceived Stress
Time frame: Baseline and 12 weeks post-intervention.
Change in Depression Symptoms
Time frame: Baseline and 12 weeks post intervention.
Change in Anxiety Symptoms
Time frame: Baseline and 12 weeks post intervention.
Change in Diabetes Knowledge
Time frame: Baseline and 12 weeks post intervention.
Change in Total Cholesterol
Time frame: Baseline and 12 weeks post intervention
Change in HDL Cholesterol
Time frame: Baseline and 12 weeks post intervention
Change in LDL Cholesterol
Time frame: Baseline and 12 weeks post intervention
Change in Triglycerides
Time frame: Baseline and 12 weeks post intervention
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 25 Mar 2026.
- Individual participant dataSharing planned: No. Individual participant data (IPD) will not be shared, as this study corresponds to a pilot phase with a small sample size.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education. in people with Diabete Type 2, run by Universidad de Sonora at 1 site in Mexico.
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 17 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 25 Mar 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 Mexico. 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?
Acceptance of the AMENUCED Program (time frame: Baseline to 12 weeks post intervention). The study lists 2 primary outcomes in all. 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 25 Mar 2026.