A Randomised control trial to assess the feasibility, acceptability and effect of low carbohydrate dietary education in glycaemic control and diabetic remission among type II Diabetes mellitus patients aged 30-50 years- Mixed method study.

This is a Randomised controlinterventional study involving two clusters from Karikalampakkam and Lawspet subcentres, randomized into study and control groups.

• Baseline Data Collection: Informed consent will be obtained. Sociodemographic details, clinical examinations, and investigations including FBS, HbA1c, and lipid profile will be recorded.
• Glycemic Monitoring: GMR (Glucose Monitoring Record) will be assessed monthly via Health and Wellness Centres (HWC)  by the investigator. This data will guide anti-diabetic drug titration (intensification or de-intensification) alongside HbA1c test willl be done on 3.6.and 12 month  and symptoms of hypoglycemia or hyperglycaemia are assesed.
• Intervention (Study Group): Participants will receive dietary education on Low carbohydrate diet weekly for the first month, with BP and glucose checks. Biweekly phone/WhatsApp follow-ups at Weeks 6, 8, and 10 will monitor diet adherence. In-person follow-ups are scheduled at Month 3 and Month 6 .
• Control Group: Will receive standard ICMR guidelines dietary education  with monthly follow-ups for 3,6  months.
• Final Follow-up: Both groups will be assessed at 12 months for outcome evaluation.
• Qualitative Component: Focused Group Discussions (FGDs) will be conducted with selected individuals to assess the feasibility, acceptability, challenges, and perceived benefits of dietary interventional education.