PreDiabetes Clinical Trial
Official title:
Does Flaxseed Supplementation Improve Glycemic Control in Individuals With Pre-diabetes?
This project is a clinical intervention trial that will determine the role of a functional
food, flaxseed, on the control of blood glucose levels in people with pre-diabetes. People
with pre-diabetes have high blood glucose levels since their cells do not respond to insulin
as they should. Over time, people with pre-diabetes may progress to type 2 diabetes and have
increased risk for heart and kidney diseases. Although the long-term complications
associated with type 2 diabetes are well-recognized, clinicians and researchers are now
realizing that some long-term damage to the body, especially the heart and circulatory
system, may already be occurring during pre-diabetes. Consequently, clinicians are
recognizing that glucose control, through diet, exercise and, if necessary, medications, is
as important for people with pre-diabetes as it is for people with type 2 diabetes.
Standard treatments for pre-diabetes are glucose control through diet, exercise, and drugs.
A possible treatment that could be added to the standard treatments is intake of flaxseed.
Few studies have looked at the effect of flaxseed intake on glucose control and those that
have enrolled people with type 2 diabetes. To date, no studies have reported flaxseed's
affect on controlling blood glucose in people with pre-diabetes. Therefore, more research is
needed to determine if flaxseed is an effective means of controlling glucose levels in
people with pre-diabetes.
This study will help determine whether or not eating modest amounts of flaxseed every day
will improve blood glucose and insulin levels in overweight or obese men and postmenopausal
women with pre-diabetes. It will also show if flaxseed intake will reduce the degree of
inflammation they are experiencing.
If flaxseed consumption does help control blood glucose levels in people with pre-diabetes
and reduce the degree of inflammation they are experiencing, it may help prevent or delay
their progression to type 2 diabetes.
Pre-diabetes is characterized by hyperglycemia due to ineffective insulin or 'insulin resistance'. Over time, people with pre-diabetes may progress to type 2 diabetes and experience complications including cardiovascular and peripheral vascular disease, hyperlipidemia, retinopathy, neuropathy, and/or nephropathy. Conventional interventions for pre-diabetes are glucose control through diet, exercise, and, if necessary, medications. An efficient but still uncommon adjunct intervention is flaxseed supplementation. Since few studies have examined the affect of flaxseed supplementation on type 2 diabetes and to date, no studies have reported flaxseed's influence on glycemic control in individuals with pre-diabetes, additional research is warranted. The objective of this study is to determine the affect of consuming flaxseed on fasting plasma glucose, insulin, fructosamine, adiponectin, fatty acid concentrations, serum interleukin-6 (hs-IL-6), C-reactive protein (hs-CRP), and urinary lignan excretion in overweight or obese men and postmenopausal women with pre-diabetes. This research will provide data for the strength of the relationship between regular flaxseed intake and biomarkers for pre-diabetes and glycemic control as well as adiponectin values and markers of inflammation. ;
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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