A multi-component weight management intervention in an Type-1 Diabetic
Research type
Research Study
Full title
A multi-component weight management intervention in an overweight Type-1 Diabetic male
IRAS ID
258631
Contact name
Louise/L Sutton
Contact email
Sponsor organisation
Leeds Beckett University
Duration of Study in the UK
0 years, 6 months, 28 days
Research summary
Recent research suggests that being overweight or obese reduces the benefits of having good blood-glucose control and contributes to insulin resistance in Type-1 Diabetic patients. Currently there is no specific weight management guidelines for Type-1 Diabetes. Lifestyle interventions targeting weight gain, such as exercise and diet have been explored extensively in Type-2 Diabetes, however research exploring their effects in Type-1 Diabetes is lacking. Given that nutrition and exercise are known to have positive effects on blood-glucose control and weight status, it is likely that developing an intervention which encompasses these while intensely managing blood glucose levels could be an effective way of addressing the overweight/obesity issue in Type-1 Diabetes.
This case study will evaluate the impact of a long-term lifestyle intervention targeting diet, exercise and behaviour in an overweight male with Type-1 Diabetes. The intervention will be delivered over a 6-month period by a registered dietitian and involve fortnightly exchanges with monthly in-person consultations and follow-up phone-calls. The intervention will include education on the dietary management of Type-1 Diabetes; physical activity and dietary modifications as well as the use of behavioural change techniques. Our primary outcome measure will be the participant’s weight, BMI and body composition, and their blood-glucose control. Secondary measurements include blood-cholesterol levels, knowledge of dietary guidelines, wellbeing scores, the participant’s perspective, pain scores and physical fitness. Blood-sampling will be undertaken by nursing-staff at the participant’s local hospital under direction of his endocrinologist before, at the midpoint and after the intervention. The participants perspective will be captured through quotations recorded from responses during the reflection component of the nutrition interview with the dietitian. Physical fitness will be measured through an electrocardiogram before and after the intervention. Quantitative-data will be analysed by comparing before and after intervention outcome measures. Qualitative-data will be analysed using thematic analysis.
REC name
East Midlands - Nottingham 1 Research Ethics Committee
REC reference
19/EM/0170
Date of REC Opinion
9 May 2019
REC opinion
Favourable Opinion