The investigators will examine the feasibility, acceptability, and effect of an adaptive dietary intervention over 24 weeks (12-week intervention, 12-week follow-up) among Asian Americans with Type 2 diabetes. Participants (N=120; 60 Chinese Americans and 60 Vietnamese Americans) will be 2:1 randomized to one of two arms: adaptive dietary intervention or standard of care (SC). The intervention will begin with continued glucose monitoring (CGM) use only during weeks 0-4. At week 4, participants who achieve the glycemic control goal (at least an 8% increase in time in range \[TIR\] from baseline) will continue with the CGM alone during weeks 4-12 ("CGM Alone"); otherwise, culturally and linguistically adapted glucose excursion minimization (GEM) will be augmented with CGM ("CGM-GEM").
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
120
Participants will receive a walk-through for CGM use with the research staff, including insertion and initiation of CGM, alarm parameter settings, data sharing via LibreView, checking and reviewing CGM glucose values and trends via Libre app or CGM reader, and the relationship between food intake and CGM results.
Adapted glycemic excursion minimization (CGM-GEM).
NYU Langone Health
New York, New York, United States
Recruitment Rate
Proportion of eligible participants who enroll in the trial.
Time frame: Baseline
Retention Rate
Proportion of recruited participants who complete the trial.
Time frame: Week 24
Glycated Hemoglobin (A1c) Level - Baseline
Time frame: Baseline
Glycated Hemoglobin (A1c) Level - Week 12
Time frame: Week 12
Glycated Hemoglobin (A1c) Level - Week 24
Time frame: Week 24
Time in Range (TIR) - Baseline
"Time in range" (TIR) refers to the percentage of time a participant spends with their blood glucose levels within the target range.
Time frame: Baseline
Time in Range (TIR) - Week 12
"Time in range" (TIR) refers to the percentage of time a participant spends with their blood glucose levels within the target range.
Time frame: Week 12
Time in Range (TIR) - Week 24
"Time in range" (TIR) refers to the percentage of time a participant spends with their blood glucose levels within the target range.
Time frame: Week 24
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