Precision Mental Health in Diabetes - Subtypes of Mental Health, Trajectories, and Patterns With Glycaemic Control
NCT05548699 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1290
Last updated 2025-12-04
Summary
PRO-MENTAL is a non-interventional, prospective, observational study investigating longitudinal associations between diabetes distress, mental disorders, and glycemic outcomes in people with type 1 diabetes (T1D) and type 2 diabetes (T2D). The study aims to determine mental health subtypes, trajectories, and patterns and to advance a precision medicine approach to improve mental health in people with diabetes through personalized care and interventions.
A total of 1500 people with T1D or T2D will participate in the study, running over a 24-month period. Participants will be recruited at different levels of diabetes care including specialized centers and hospitals. The assessment includes a baseline assessment (clinical interview, questionnaire survey, and laboratory assessment) and four subsequent measurement time points - every six months - to a total period of two years. Each measurement time point includes an online questionnaire survey as well as a 14-day ambulatory assessment of daily mental and somatic variables (smartphone-based ecological momentary assessment (EMA) of daily sleep quality, mood, stress, and diabetes-related burdens/distress, as well as continuous glucose measurement (CGM) of daily glucose levels).
The study uses precision monitoring to identify evidence-based subgroups of people with diabetes with regard to mental disorders/problems and glycemic outcome. Epidemiological data regarding prevalence and incidence rates of depression, anxiety, and eating disorders will be analyzed, and patient trajectories and patterns will be determined. The study also aims to shed more light on the mediating mechanisms between mental health and glycemic outcomes.
The findings of the study will be used as the basis to develop a precision medicine approach with personalized interventions for specific sub-groups of people with type 1 and type 2 diabetes.
Note/Update 27.11.2025: The recruitment resulted in a total of 1290 participants enrolled until 31.12.2024 (= study completion date). Yet the recruitment and follow-up of participants is being continued within the ongoing TwinPeaks study (NCT07212075) from 2025-2027.
Conditions
- Diabetes Mellitus
- Depressive Disorder
- Depressive Symptoms
- Anxiety Disorders
- Anxiety and Fear
- Eating Disorders
- Eating Disorder Symptom
- Eating Behavior
- Hyperglycemia
- Emotional Distress
Sponsors & Collaborators
-
Forschungsinstitut der Diabetes Akademie Mergentheim
lead OTHER
Principal Investigators
-
Norbert Hermanns, Prof, PhD · Research Institute Diabetes Academy Mergentheim (FIDAM)
-
Bernhard Kulzer, Prof, PhD · Research Institute Diabetes Academy Mergentheim (FIDAM)
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-02
- Primary Completion
- 2024-12-31
- Completion
- 2024-12-31
Countries
- Germany
Study Locations
More Related Trials
-
Antipsychotics and Risk of Hyperglycemic Emergencies
NCT02582736 ·Status: COMPLETED
-
Does Abnormal Insulin Action in the Brain Underlie Cognitive and Metabolic Dysfunction in Schizophrenia
NCT05748990 ·Status: RECRUITING ·Phase: NA
-
Does GLP-1RA Prevent Deterioration of Metabolic State in Prediabetic and Diabetic Patients Treated With Antipsychotic Medication?
NCT04892199 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Reducing Weight and Diabetes Risk in an Underserved Population (STRIDE)
NCT00790517 ·Status: COMPLETED ·Phase: PHASE2
-
Lifestyle Intervention for Diabetes and Weight Management in Psychosis
NCT01828931 ·Status: COMPLETED ·Phase: NA
-
Metformin Treatment on Cognitive Impairment of Schizophrenia Co-morbid Metabolic Syndrome
NCT03271866 ·Status: UNKNOWN ·Phase: NA
-
Endogenous Opioid Activity and Affective State in Insulin Resistant Women
NCT02069379 ·Status: COMPLETED ·Phase: PHASE4
-
Diabetes Prevention Program in Schizophrenia [DPPS]
NCT00182494 ·Status: UNKNOWN ·Phase: PHASE4
-
Effects of Intranasal Insulin on Neuroimaging Markers and Cognition in Patients With Psychotic Disorders
NCT03943537 ·Status: COMPLETED ·Phase: PHASE2
-
Steroid and Behaviour Changes Under Metformin
NCT04930471 ·Status: UNKNOWN
-
Effect of Atypical Antipsychotic Drugs Olanzapine and Amisulpride on Glucose Metabolism
NCT01160991 ·Status: COMPLETED ·Phase: NA
-
Examining the Effects of Antipsychotic Medications on Insulin Sensitivity
NCT00895921 ·Status: COMPLETED ·Phase: PHASE4
-
Diabetes in Neuropsychiatric Disorders
NCT00446992 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Metabolic Syndrome in Patients With First-episode Schizophrenia
NCT00957294 ·Status: COMPLETED
-
Pharmacoepigenetics of Bipolar Disorder Treatment
NCT02374996 ·Status: COMPLETED
-
Monitoring and Management for Metabolic Side Effects of Antipsychotics
NCT01875861 ·Status: COMPLETED ·Phase: NA
-
Pioglitazone in Patients With Mood Disorders
NCT01559857 ·Status: COMPLETED ·Phase: PHASE4
-
The Impact of the Mediterranean Diet on Anthropometric Indices, Lipid Profiles, Energy Metabolism Signaling Proteins and Inflammatory Cytokines in Psychiatric Patients With Metabolic Syndrome
NCT07164014 ·Status: COMPLETED ·Phase: NA
-
Glycemic Index/ Load and Mental Disorders
NCT02362113 ·Status: UNKNOWN
-
Does a GLP-1 Receptor Agonist Change Glucose Tolerance in Antipsychotic-treated Patients?
NCT01845259 ·Status: UNKNOWN ·Phase: PHASE2
-
Point-of-Care Testing (POCT) Detection and Management of Metabolic Syndrome in Patients With Mental Illness
NCT02029989 ·Status: COMPLETED ·Phase: NA
-
Metformin for Treatment Antipsychotic-induced Metabolic Syndrome in Bipolar Disorder Patients
NCT02644577 ·Status: COMPLETED ·Phase: PHASE4
-
The Relationship Between COVID-19 Anxiety Level and Emotional Eating in Individuals With Metabolic Syndrome
NCT04912934 ·Status: COMPLETED
-
Metformin for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability
NCT05744479 ·Status: RECRUITING ·Phase: PHASE4
-
Substrate Metabolism and Insulin Sensitivity in Patients With Hyperprolactinemia Before and After Treatment
NCT00699530 ·Status: WITHDRAWN