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Not yet recruitingNCT07278531Updated Aug 13, 2026

Adaptive Dietary Intervention (ADI) for Asian Americans With Type 2 Diabetes

An interventional study of Continuous Glucose Monitoring (CGM) and Adaptive dietary intervention (GEM) in Type 2 Diabetes, sponsored by NYU Langone Health. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by NYU Langone Health · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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").

02

Conditions studied

  • Type 2 Diabetes
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's planned enrollment of 120 is above the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,391 studies on the registry; 254 are open to participants now.

Of its 227 completed or terminated interventional studies of FDA-regulated products, 191 (84%) have results posted.

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

  • Eligible participants (N=120; 60 Chinese Americans and 60 Vietnamese Americans)
  • Community-dwelling adults aged ≥ 18 with independent living;
  • Diagnosed with T2D;
  • Hb1Ac>7.0%
  • Self-identified as first- or second-generation Chinese or Vietnamese immigrants;
  • Able to communicate in English, Chinese, or Vietnamese. We will focus on Mandarin-, Cantonese- or English-speaking Chinese Americans because the two best-known and most-spoken variants of Chinese are Mandarin and Cantonese, who use the same writing system;
  • Have a smartphone, iPad, tablet, or Apple watch

Exclusion criteria

Exclusion Criteria:

  • Taking hypoglycemia agents (e.g., insulin and sulfonylureas) with the major side effect of hypoglycemia that need close monitoring the occurrence of hypoglycemia to adjust/reduce medications to avoid future hypoglycemia.
  • Taking medications that impede weight loss (e.g., prednisone) within the last 3 months.
  • Currently pregnant, breastfeeding, or contemplating pregnancy within the next 6 months.
  • Have serious physical complications (e.g., severe neuropathy cardiovascular disease, COPD/emphysema, osteoarthritis, or stroke) or mental disease (e.g., schizophrenia, bipolar disorder, manic depressive illness, severe depression, or active substance abuse).
  • Have conditions that restrict diet, such as severe gastroparesis, ulcers, or food allergies. These conditions may need special dietary intervention.
  • Undergoing treatment for cancer, as cancer treatment may impact the outcome of glucose changes.
  • Have marked renal impairment (eGRF\<45; CKD-3b), as renal impairment may needs special dietary intervention and they also may impact glucose changes.
  • Are taking psychotropic medications that raise blood glucose (e.g., atypical antipsychotics).
  • Are prior or current CGM users including both Dexcom and FreeStyle Libre and plan to continuously use these CGMs in the next 6 months.
  • Are participating in another T2D intervention study.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    CGM Alone

    CGM only for weeks 1-4, continue with CGM only for weeks 4-12; this arm includes individuals who achieved the glycemic control goal at week 4.

    Device: Continuous Glucose Monitoring (CGM)

  • Experimental
    CGM Alone, then CGM-GEM

    CGM only for weeks 1-4; then CGM augmented with CEM for weeks 4-12; this arm includes individuals who did NOT achieve the glycemic control goal at week 4.

    Device: Continuous Glucose Monitoring (CGM) · Behavioral: Adaptive dietary intervention (GEM)

  • No intervention
    Standard of Care (SC)

    Usual diabetes care. Current standard of care will be followed, including regular appointments (2-4 times/year) with A1c monitoring, medication titration, and screening for diabetes complications.

Interventions

  • DeviceContinuous Glucose Monitoring (CGM)

    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.

  • BehavioralAdaptive dietary intervention (GEM)

    Adapted glycemic excursion minimization (CGM-GEM).

06

What researchers measure

Primary outcomes

  1. Recruitment Rate

    Proportion of eligible participants who enroll in the trial.

    Time frame: Baseline

  2. Retention Rate

    Proportion of recruited participants who complete the trial.

    Time frame: Week 24

  3. Glycated Hemoglobin (A1c) Level - Baseline

    Time frame: Baseline

  4. Glycated Hemoglobin (A1c) Level - Week 12

    Time frame: Week 12

  5. Glycated Hemoglobin (A1c) Level - Week 24

    Time frame: Week 24

  6. 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

  7. 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

  8. 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

07

Study locations

1 site
  • NYU Langone Health
    New York, New York 10016, United States
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset will be shared upon reasonable request beginning 3 months to 5 years after publication, provided the requesting investigator executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Requests should be directed to: Yaguang.Zheng@nyulangone.org. The protocol and statistical analysis plan will be posted on Clinicaltrials.gov only as required by federal regulation or supporting awards and agreements. The informed consent form, clinical study report and analytic code will also be shared.

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 Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07278531
Lead sponsor
NYU Langone Health
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Sponsor
First posted
Dec 12, 2025
Start date
Feb 2027 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Aug 13, 2026

Study contacts

Yaguang Zheng, PhD, RN
Contact
Yaguang.Zheng@nyulangone.org
212-998-5170
Yaguang Zheng, PhD, RN
principal investigator · NYU Langone Health

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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