Glucose Metabolism Disorders Clinical Trial
Official title:
Effects of Sucralose on Insulin Sensitivity, Pancreatic Response and Appetite Regulating Hormones
In this study the effects of sucralose on insulin sensitivity, beta-cell response and appetite regulating hormones will be evaluated.
The consumption of non-nutritive sweeteners has a high prevalence. The effect of
non-nutritive sweeteners in both beta-cell function and insulin resistance it is unknown.
Previous studies performed in animal models and humans with diverse characteristics have
shown variable effects of different non-nutritive sweeteners in variables related to glucose
metabolism.
Due to the high consumption of non-nutritive sweeteners it is relevant to know its effect in
beta cell-function and insulin sensitivity.
In this study the effects of sucralose, a non-nutritive sweetener that is highly consumed in
the population, on insulin sensitivity and beta-cell function will be evaluated.
54 participants with normal glucose tolerance, normal weight, and without chronic diseases
with a low consumption of non-nutritive sweeteners will be included. The participants will be
randomly assigned to consume sucralose or to a control group.
During the first visit an oral glucose tolerance test with 75 g of glucose will be performed.
Fasting and 2-hour glucose will be measured in order to rule-out diabetes, abnormal fasting
glucose, or glucose intolerance.
During the second visit a three-hour IV glucose tolerance test will be performed
administering 0.3 g/kg of glucose and insulin 0.03 U/kg. Samples will be taken following the
minimal model described by Bergman.
After this visit, the group assigned to receive sucralose will ingest 15% of the adequate
daily intake (ADI) of sucralose and the control group will abstain of any non-nutritive
sweetener consumption during 14 days. At the end of this period a third visit to repeat the
IV glucose tolerance test will be performed.
Samples will be analyzed measuring glucose and insulin concentrations to evaluate acute
insulin response (AIR), glucose effectiveness (SG), first phase pancreatic response (ф1), and
second phase pancreatic response (ф2). In addition, hormones involved in appetite and satiety
(leptin, ghrelin, and peptide tyrosine tyrosine) will be quantified at the beginning and end
of the intervention.
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