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CompletedNCT07186686AMENUCEDUpdated Mar 25, 2026

Feasibility Study of AMENUCED Program in Type 2 Diabetes

An interventional study of Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education. in Diabete Type 2, sponsored by Universidad de Sonora. Completed at 1 site in Mexico. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-03-25.

Sponsored by Universidad de Sonora · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 451 studies in Diabetes Mellitus, Type 2 with a site in Mexico — 27 open to participants now, 43 under way, 18 of them phase 3. Diabetes Mellitus, Type 2 · Mexico.

Enrollment
421st of 427
5 · median 442
Started
2025
with 9 others
No phase
43 of 451
5 open now
Registered
426th of 451
by date

Among the 451 studies in Diabetes Mellitus, Type 2 with a site in Mexico, this one is the 421st largest by enrollment of the 427 interventional ones that give a count, is one of 10 that started in 2025, is one of 43 with no phase, and was the 426th registered.

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's enrollment of 5 is below the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

27 of the 451 studies in Diabetes Mellitus, Type 2 with a site in Mexico are open now, in 12 countries. Each count lists the studies.

All 27 open studies →

Who these studies take

Of the 883 Diabetes Mellitus, Type 2 studies recruiting now, 373 (42%) set no upper age limit and 384 (43%) stop at 75 or younger; 52 take children under 18; 203 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 451 studies in Diabetes Mellitus, Type 2 with a site in Mexico, or all of them as a file.
02

Study 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. 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.

03

Conditions studied

  • Diabete Type 2

Keywords

  • Type 2 Diabetes Mellitus
  • Pilot Study
  • Feasibility
  • Self management education
  • Lifestyle intervention
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged ≥18 and ≤65 years
  • Residing in Hermosillo, Sonora
  • (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

Exclusion criteria

Exclusion Criteria:

  • Diabetes-related complications, including:

    • Advanced diabetic nephropathy
    • Neuropathy
    • Retinopathy
    • Cardiovascular or cerebrovascular diseases
  • History of severe hypoglycemia
  • Significant metabolic dysregulation ( ≥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
  • 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
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    AMENUCED Intervention Group

    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.

    Other: Participants will receive the AMENUCED program including medical care, nutritional counseling, and structured sessions focused on behavioral change and diabetes education.

Interventions

  • OtherParticipants 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.

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: Baseline to 12 weeks post intervention

  2. 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 (%)

    Time frame: Baseline to 12 weeks post intervention.

Secondary outcomes

  1. Change in Glycated Hemoglobin

    Measured using standardized blood tests to assess glycemic control. Unit of Measure: %

    Time frame: Baseline and 12 weeks post-intervention

  2. Change in body fat

    Measured in using medical body composition analyzer (Seca mBCA 514) under standardized conditions. Unit of measure (kg of body fat)

    Time frame: Baseline and 12 weeks post-intervention

  3. Change in Body Mass Index

    Calculated as weight (kg) divided by height squared (m²), using standardized equipment and protocol. Unit of measure: kg/m²

    Time frame: Baseline and 12 weeks post-intervention

  4. Change in waist circumference

    Measured with anthropometric tape (Lufkin Executive W606PMMX) at the umbilical level. Unit of measure: cm

    Time frame: Baseline and 12 weeks post-intervention

  5. 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

    Time frame: Baseline and 12 weeks post-intervention

  6. 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

    Time frame: Baseline and 12 weeks post-intervention

  7. Change in Fasting Glucose

    Measured via standardized laboratory testing. Unit of Measure: mg/dL

    Time frame: Baseline and 12 weeks post-intervention

  8. 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)

    Time frame: Baseline and 12 weeks post-intervention.

  9. 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

    Time frame: Baseline and 12 weeks post intervention.

  10. 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

    Time frame: Baseline and 12 weeks post intervention.

  11. 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

    Time frame: Baseline and 12 weeks post intervention.

  12. Change in Total Cholesterol

    Measured via standardized laboratory testing. Unit of Measure: mg/dL

    Time frame: Baseline and 12 weeks post intervention

  13. Change in HDL Cholesterol

    Measured via standardized laboratory testing. Higher values indicated better cardiovascular profile. Unit of Measure: mg/dL

    Time frame: Baseline and 12 weeks post intervention

  14. Change in LDL Cholesterol

    Measured via standardized laboratory testing. Unit of Measure: mg/dL

    Time frame: Baseline and 12 weeks post intervention

  15. Change in Triglycerides

    Measured via standardized laboratory testing. Unit of Measure: mg/dL

    Time frame: Baseline and 12 weeks post intervention

07

Study locations

1 site
  • Centro de Promoción de Salud Nutricional (CPSN), Hermosillo, Sonora 83000
    Hermosillo, Sonora 83000, Mexico
08

References and documents

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be shared, as this study corresponds to a pilot phase with a small sample size.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2025 to primary completion in Dec 2025, 2 months.

Of 2,066 non-industry interventional studies with no phase under Diabetes Mellitus, Type 2, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's 2 months is below that.

Counting every sponsor, half of 2,243 studies reached it within 21 months; a quarter within 10 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 2, 2025
First posted
Sep 22, 2025
StartActual
Sep 18, 2025
Primary completionActual
Dec 3, 2025
CompletionActual
Dec 12, 2025
Last update
Mar 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07186686
Lead sponsor
Universidad de Sonora
Responsible party
Rolando Giovanni Díaz Zavala (Full-time professor, Universidad de Sonora) — Principal investigator
First posted
Sep 22, 2025
Start date
Sep 18, 2025
Primary completion
Dec 3, 2025
Completion
Dec 12, 2025
Last update
Mar 25, 2026

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 Mar 2026. You cannot join it, but the record below documents what was studied.

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