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NCT Number: NCT07151833

GlucoBites Cookies (Gynura Procumbens) for Glycemic Control and Prevention of Diabetic Foot Ulcer Risk in Type 2 Diabetes

The goal of this randomized controlled trial is to learn if GlucoBites functional cookies containing Gynura procumbens can help improve blood sugar control and lower the risk of diabetic foot ulcers in adults with type 2 diabetes.

The main questions are:

* Do GlucoBites cookies lower fasting blood glucose and HbA1c? * Do GlucoBites cookies improve insulin resistance and vascular health? * Can GlucoBites reduce early signs that may lead to diabetic foot ulcers?

Researchers will compare:

* Intervention group: participants will eat 4 GlucoBites cookies every day for 12 weeks. * Control group: participants will continue standard diabetes care without GlucoBites.

Participants will:

* Visit the community health center for blood tests and foot health checks. * Be monitored for blood sugar, insulin resistance, lipid profile, and vascular function. * Be assessed for early risk of diabetic foot ulcer development.

This study will help determine if a functional food innovation can support diabetes care and prevent complications.

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Key information

Age range

20 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Public Health Centre of Campagaloe

Bantaeng, South Sulawesi, 92411, Indonesia

Location contact

Andina Setyawati, Dr

PRINCIPAL_INVESTIGATOR

Baucaya Baucaya, BSN

CONTACT

[email protected]

+6282393444557

Nuurhidayat Jafar, Dr

SUB_INVESTIGATOR

Syamsul Kamar, BSN

CONTACT

[email protected]

+62 82394971423

WHIKA FEBRIA DEWATISARI, Dr

SUB_INVESTIGATOR

About this study

Type 2 diabetes mellitus is a chronic condition associated with serious complications, including neuropathy and diabetic foot ulcers. Many people in Indonesia still struggle with poor blood sugar control despite standard treatments. This highlights the need for safe, affordable, and culturally acceptable nutritional strategies.

This study is testing GlucoBites, a functional cookie made with Gynura procumbens, a traditional medicinal plant with potential glucose-lowering and vascular protective properties. Researchers want to see if adding GlucoBites to daily care can improve blood sugar control and reduce early risk factors linked to diabetic foot ulcer development.

The study will help determine whether functional food innovation can be integrated into community-based diabetes management and offer a preventive approach to reduce long-term complications.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults aged 20-70 years.
  • Diagnosed with type 2 diabetes mellitus (T2DM) based on ADA criteria.
  • HbA1c ≥ 7%.
  • At risk of diabetic foot ulcer (ABI < 0.9 or early neuropathy signs).
  • Willing to consume study cookies and comply with study protocol.
  • Provided written informed consent.

Exclusion criteria

  • Current use of herbal supplements or functional foods containing Gynura procumbens.
  • Presence of active diabetic foot ulcer or severe infection.
  • Severe cardiovascular, renal (eGFR < 30 mL/min/1.73 m²), or hepatic impairment.
  • Pregnancy or breastfeeding.
  • Known allergy to ingredients in study cookies.
  • Participation in another clinical trial within the last 3 months.

Treatment and study plan

GlucoBites (with Gynura procumbens)

Dietary Supplement

Participants receive 4 cookies per day for 12 weeks. The cookies contain standardized Gynura procumbens extract.

Other names: Functional Cookies with Gynura procumbens

Control Cookies (without Gynura procumbens)

Dietary Supplement

Participants consume 4 cookies per day for 12 weeks. The cookies are identical in packaging, size, weight, and flavor to the GlucoBites cookies but do not contain Gynura procumbens.

Other names: Placebo cookies

Primary outcomes

  1. Fasting Blood Glucose (FBG)

    Time frame: Baseline and 12 weeks after intervention

    Fasting blood glucose (FBG, mg/dL) measured from venous blood after 8-10 hours of fasting using standardized laboratory methods. The primary endpoint is the change from baseline to Week 12, comparing the GlucoBites group (with Gynura procumbens) and the control group (without Gynura procumbens).

  2. Change in HOMA-IR

    Time frame: Baseline and 12 weeks after intervention

    Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) calculated from fasting glucose (mg/dL) and fasting insulin (µIU/mL) using the formula: [fasting insulin × fasting glucose / 405]. The endpoint is the change in HOMA-IR from baseline to Week 12, comparing the GlucoBites group (with Gynura procumbens) and the control group (without Gynura procumbens).

  3. MMP-9/TIMP-1 Ratio

    Time frame: Baseline and 12 weeks after intervention

    The ratio of matrix metalloproteinase-9 (MMP-9) to tissue inhibitor of metalloproteinase-1 (TIMP-1) in serum, quantified using ELISA. The ratio is calculated by dividing MMP-9 (ng/mL) by TIMP-1 (ng/mL). The endpoint is the change in MMP-9/TIMP-1 ratio from baseline to Week 12, comparing the GlucoBites group (with Gynura procumbens) and the control group (without Gynura procumbens).

  4. Ankle-Brachial Index (ABI)

    Time frame: Baseline and 12 weeks after intervention

    The ankle-brachial index (ABI) is calculated as the ratio of systolic blood pressure measured at the ankle to systolic blood pressure measured at the brachial artery. Measurements are obtained using a handheld Doppler device. ABI will be used as an indicator of peripheral vascular function and early risk of diabetic foot ulcer. The endpoint is the change in ABI from baseline to Week 12, comparing the GlucoBites group (with Gynura procumbens) and the control group (without Gynura procumbens).

Study contacts

Contact information is provided by the study sponsor or research team.

Andina Setyawati, Dr

CONTACT

[email protected]

+628121521639

Sponsors and collaborators

Lead sponsor

Andina Setyawati

Other

Registry information

Official study title

Efficacy of GlucoBites Functional Cookies Containing Gynura Procumbens on Glycemic Control, Insulin Resistance, and Prevention of Diabetic Foot Ulcer Risk in Patients With Type 2 Diabetes Mellitus: A Randomized Controlled Trial

Acronym: GlucoBites

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Sep 3, 2025
Registry last updated
Sep 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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