Experimental Studies of the Effects of Caffeine on Glucose Regulation

Diabetes Mellitus, Type 2 Clinical Trial

Official title:

Caffeine and Glucose Regulation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00432887
• Other study ID #: DK67486 (completed)
• Status: Completed
• Phase: Phase 0
• First received: February 5, 2007
• Last updated: March 1, 2010
• Start date: July 2004
• Est. completion date: February 2007

Study information

• Verified date: March 2010
• Source: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

This project contains experimental studies of the effects of the drug caffeine on glucose regulation in adults who have Type 2 diabetes. In our experiments, we are testing the hypothesis that moderate amounts of caffeine exaggerate the abnormal increases in glucose and insulin observed after meals in patients with type 2 diabetes. On separate study days subjects receive standard meals after taking capsules containing either caffeine or an inactive placebo. We measure levels of glucose, insulin, and other chemicals in blood samples drawn over the next 3 hours. In a separate study, we use continuous glucose monitoring to measure glucose levels during everyday activities on days when subjects receive caffeine or placebo.

These studies do not involve clinical treatment or disease management. However, we hope to learn whether a very popular drug impairs the clinical management of a common disease.

Description:

Pilot results suggest that caffeine, the most commonly used drug in the world, may interfere with postprandial glucose metabolism by increasing insulin resistance and/or by stimulating hepatic glucose production. This effect could have serious clinical implications for coffee drinkers who have type 2 diabetes. Early results suggest caffeine exaggerates the postprandial hyperglycemia and hyperinsulinemia present in these patients.

The experimental (non-treatment) studies in this project include double-blind placebo-controlled cross-over laboratory tests of glucose tolerance in groups of type 2 diabetic patients and prediabetic volunteers who are coffee drinkers.

The lab studies test the hypothesis that caffeine (vs. placebo) increases postprandial insulin responses and results in a potentiation of glucose responses in the type 2 group.

An ambulatory study examines the effects of caffeine administration on glucose levels during everyday activities in the natural environment. This study uses a double-blind placebo-controlled cross-over design. Ambulatory glucose data are collected with a MiniMed CGMS sensor and recorder worn for 72 hours. Caffeine and placebo are administered on separate days. Average glucose levels and glucose responses to meals are compared across treatment days within subjects.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 150
• Est. completion date: February 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion criteria:

• 6 months or longer history of type 2 diabetes

• treatment by diet, exercise, or oral medication

• current daily consumption of 2 or more cups of coffee

• BMI >21kg/M2 and < 45kg/M2

Exclusion criteria:

• Required use of insulin

• Current cigarette smoking

• Current use of medications that impact glucose metabolism

• Pregnancy

• Other major medical disorders

Study Design

Allocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Crossover Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Diabetes Mellitus, Type 2

Intervention

Drug:
• caffeine administration

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	postprandial glucose and insulin
Primary	fasting glucose and insulin
Primary	insulin resistance
Primary	glucose tolerance
Secondary	epinephrine
Secondary	norepinephrine
Secondary	cortisol
Secondary	blood pressure
Secondary	plasma caffeine concentration