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CompletedNCT04810026Updated Feb 23, 2022

Transform Type 2: Examining Meal-Delivery and Education for Diabetes Self-Care

An interventional study of Education and Meal delivery in PreDiabetes and Diabetes Mellitus, Type 2, sponsored by UnitedHealth Group. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-23.

Sponsored by UnitedHealth Group · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research is to understand the impact of medically tailored meals on health-related biometrics (e.g., glucose time-in-range, waist-hip ratio, cholesterol) and how providing medically tailored meals promotes engagement in diabetes education and drives information-seeking behavior.

Read the detailed description

The purpose of this research is to understand the impact of medically tailored meals on health-related biometrics (e.g., glucose time-in-range, waist-hip ratio) and how providing medically tailored meals promotes engagement in diabetes education and drives information-seeking behavior. Secondary purposes are to characterize the relationship between information-seeking behaviors and glycemic control; to characterize the relationship between psychometric survey results and program engagement, biometrics, and information-seeking behaviors; and to understand how meal provision and materials influence program satisfaction and adherence to healthy diabetes-related behaviors.

02

Conditions studied

  • PreDiabetes
  • Diabetes Mellitus, Type 2

Keywords

  • diabetes mellitus, type 2
  • information seeking behavior
  • waist-hip ratio
  • blood pressure
  • weight
  • prediabetes
  • glycemic control
  • diet
  • life style
  • cholesterol
  • meal delivery
  • nutrition
  • continuous glucose monitoring
  • CGM
  • self report
  • education
  • coaching
  • yoga
  • meditation
  • human
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 41 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

UnitedHealth Group is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Be a patient, employee, or employee dependent at Utica Park Clinic in Oklahoma
  • Be diagnosed with type 2 diabetes, prediabetes, and/or have an A1c result of 5.7 percent or above
  • Be above an ideal weight (for example, body mass index [BMI] greater than or equal to 25)
  • 18 years of age or older
  • Have UnitedHealthcare insurance for 1 year+
  • Have an active e-mail address
  • Have a smartphone with access to the internet that is compatible with the Dexcom G6 app

Exclusion criteria

Exclusion Criteria:

  • Be undergoing any form of cancer treatment
  • Be pregnant or breastfeeding
  • Have allergies to nightshade vegetable (e.g., bell peppers, potatoes, tomatoes) or legumes (e.g., green beans, peas), or tree nuts
  • Currently taking anti-psychotic medications to control schizophrenia and bipolar disorders, as well as other mental disorders including dementia, major depression, and even drug addiction
  • Be currently taking insulin
  • Be currently taking sulfonylureas
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • Active comparator
    Group 1: Education only

    Push notifications for online diabetes self-management education for 12 weeks, passive access to lifestyle education for 16 weeks

    Behavioral: Education

  • Experimental
    Group 2: Education and Meals

    Meal delivery (3 meals per day, 5 days per week) for 12 weeks, push notifications for online diabetes self-management education for 12 weeks, passive access to lifestyle education for 16 weeks

    Behavioral: Education · Behavioral: Meal delivery

  • Experimental
    Group 3: Education, Meals, Coaching

    Meal delivery (3 meals per day, 5 days per week) for 12 weeks, coaching program (e.g., diabetes-specific coaching and education, push notifications for lifestyle education modules, community support) for 12 weeks, and passive access to lifestyle education for final 4 weeks

    Behavioral: Education · Behavioral: Meal delivery · Behavioral: Lifestyle coaching

Interventions

  • BehavioralEducation

    Healthy-lifestyle and diabetes-related virtual education (text and videos)

    Also known as: diabetes self-management education, healthy-lifestyle education

  • BehavioralMeal delivery

    breakfast, lunch, and dinner adhering to the longevity diet macro-nutrient profiles

    Also known as: Nutrition for Longevity meals, Longevity Diet

  • BehavioralLifestyle coaching

    calls with coach and/or nutritionist, access to Facebook community support group

    Also known as: Longevity Program

06

What researchers measure

Primary outcomes

  1. Change in mean glucose time in range from baseline at Week 6

    Percentage of time estimated glucose value (EGV) from continuous glucose monitor (CGM) is between 70 mg/dL and 180 mg/dL, measured daily with weekly composite results

    Time frame: Week 0 and Week 6

  2. Change in mean glucose time in range from baseline at Week 12

    Percentage of time estimated glucose value (EGV) from CGM is between 70 mg/dL and 180 mg/dL, measured daily with weekly composite results

    Time frame: Week 0 and Week 12

  3. Change in mean glucose time in range from baseline at Week 16

    Percentage of time estimated glucose value (EGV) from CGM is between 70 mg/dL and 180 mg/dL, measured daily with weekly composite results

    Time frame: Week 0 and Week 16

Secondary outcomes

  1. Change in CGM-derived glucose features from baseline

    Average of EGVs, percentage time above and below range (\< 70 mg/dL or \>180 mg/dL), and glucose variability (standard deviation of EGVs), measured via daily with weekly composite results

    Time frame: Week 0, Week 6, Week 12, and Week 16

  2. Change in blood test results from baseline

    Difference in measurements of HbA1c, HDL cholesterol, total cholesterol, LDL cholesterol, triglycerides, and high-sensitivity C-reactive protein (hs-CRP) obtained from blood tests

    Time frame: Week 0, Week 12

  3. Change in self-reported waist-to-hip ratio

    waist circumference, hip circumference, self-reported weekly; calculated by dividing the waist circumference by the hip circumference

    Time frame: Weekly, Weeks 0-12

  4. Change in self-reported blood pressure

    blood pressure, self-reported weekly

    Time frame: Weekly, Weeks 0-12

Other outcomes

  1. Visits to site

    Usage stats from website that hosts educational materials, from Week 1 through Week 16

    Time frame: Week 16

  2. Percentage of tasks completed

    Usage stats from website that hosts educational materials, from Week 1 through Week 16

    Time frame: Week 16

  3. Number of interactions with lifestyle coach

    Count of total interactions from Week 1 to Week 12

    Time frame: Week 12

  4. Change from baseline in modified Yale Food Addiction Scale score at Week 6, Week 13

    modified food addiction scale, compared to responses at baseline, where higher scoring indicate a worse outcome; to meet the food addiction threshold, participants must meet the threshold for either question 6 or 7, and the threshold for 3 or more of the remaining questions

    Time frame: Week 0, Week 6, Week 13

  5. Change from baseline in abbreviated Medical Outcomes Study Sleep Scale

    Responses to an abbreviated Medical Outcomes Study Sleep Scale, compared to responses at baseline; with the exception of question 2, higher scores indicate a worse outcome and the range of scores (excluding question 2) is 11 - 65

    Time frame: Week 0, Week 13

07

Study locations

1 site
  • OptumLabs
    Minnetonka, Minnesota 55343, United States
08

References and documents

Individual participant data

Plan to share: Yes — All of the individual participant data (IPD) that has been collected during the trial and de-identified

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 23, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04810026
Lead sponsor
UnitedHealth Group
Responsible party
Shane Hoversten (Senior Research Fellow, UnitedHealth Group) — Principal investigator
First posted
Mar 22, 2021
Start date
May 3, 2021
Primary completion
Oct 26, 2021
Completion
Oct 26, 2021
Last update
Feb 23, 2022

Study contacts

Katlyn A Fleming, PhD
principal investigator · UnitedHealth Group

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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