Diabetes Clinical Trial
Official title:
Effect of Olives on Glycaemic Response in Vivo
This research is aimed at determining whether the presence of oleuropein in olives (Olea
europaea L.) has any lowering effect on post-prandial blood glucose levels. Volunteers will
be required to consume commercially available olives together with white bread, and their
glycaemic response will be measured. The blood glucose response of bread will be determined
initially as a control/reference. Food samples and control will be consumed in random order.
The recent rise in the cases of Diabetes mellitus in both children and adults has raised a
concern for the need to proffer immediate solutions amongst scientists in the fields of
medicine food science and nutrition. One of the approaches of reducing postprandial
hyperglycaemia and high glucose spikes is to impede digestion and absorption of starch. This
is potentially achieved through the inhibition of the activities of starch digesting enzymes
namely alpha amylase and alpha glycosidase. There are currently some antidiabetic drugs such
as acarbose and miglitol which have been quite efficient in these inhibitory functions but
not without associated side effects and complications such as liver toxicity, etc, arising
from to long term usage of such drugs. It therefore becomes imperative for natural
substitutes from food sources to be explored as better alternatives. At the moment several
plant foods are under investigation as suitable alternatives, and olives appear to be quite
promising in this regard. There are quite a few studies that have reported the inhibitory
activities of olives oleuropein on alpha amylase in vitro but information on in vivo testing
is very scarce.
It is expected that the research outcome will be a gateway to the reduction and control of
the incidence of diabetes mellitus.
Prior to commencement of the study, potential volunteers will be given a clear, concise
Participant Information Sheet and Informed Consent Form by the investigator to read,
complete and sign in their own time. The investigator will answer all questions to the
satisfaction of the individual and will not influence the decision of taking part in the
study. The participants will be free to withdraw from the study at any point without
providing a reason. The written consent form will be signed and dated at least 2 days prior
to enrolment in the study by the volunteers and the Investigator. It will be photocopied and
one copy will be kept by the Investigator (for the study records) and one by the volunteer.
Participation by the volunteers is conditional upon receiving the written consent by the
volunteer.
Candidates will be asked to complete a questionnaire in order to assess their suitability
for the study. The information pertains to their lifestyle and may be considered a sensitive
issue, however each volunteer will be assured of confidentiality and that participation is
entirely voluntary. The information on the questionnaire will include height, weight,
gender, age and relevant medical history. Confidentiality of all participants' information
will be maintained. Identification will be coded using random ID numbers that will be
assigned on the day of study. All data collected will be treated as confidential and stored
securely in a locked filing cabinet according to current University regulations. The linkage
between individual identity and ID number will be kept in written form only and stored in a
locked filling cabinet in a restricted access area, thus it will not be possible to identify
individual participants from the ID numbers. Data evaluation will only be performed using ID
numbers. In accordance with the University guidelines on the password protected M-drive of
the University server, anonymised data will be stored for at least 5 years.
Blood glucose will be measured after consumption of test meal/control using a commercially
available glucometer which is available to be bought by any member of the public and people
already use them on their own. It measures glucose concentrations immediately and meets the
accuracy requirement for the ISO 15197 standard. A drop of blood is enough and is obtained
from participants by means of a mild finger prick using a sterile puncture device designed
for this purpose for each time point. The finger prick protocol is the WHO/FAO 1998
glycaemic index approved protocol. Nine (9) finger pricks will be needed (0, 15, 30, 45, 60,
90, 120, 150 and 180minutes) will be needed per study session.
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