Meta-analyses of the Effect of 'Catalytic' Doses of Fructose and Its Epimers on Carbohydrate Metabolism
NCT02776722 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 1
Last updated 2017-04-17
Summary
Despite advances in the prevention and treatment of type 2 diabetes, its prevalence continues to rise worldwide. There is a need for new modalities to improve metabolic control in individuals with type 2 diabetes and those who are overweight or obese and at risk for type 2 diabetes. Contrary to the concerns raised about the adverse role of fructose in metabolic health, various lines of evidence suggest that fructose and its epimers may improve the metabolic handling of glucose through inducing glycogen synthesis. Recent small trials in humans suggest that catalytic doses (=\<10g/meal) of fructose and its epimers (allulose, tagatose, and sorbose) may reduce postprandial glycemic responses to carbohydrate loads (i.e., oral glucose tolerance test or a starch load) in people with and without type 2 diabetes. There is also limited evidence that these acute effects may manifest as longer term improvements in glycemic control. There is an urgent need to synthesize the evidence of the effects of fructose and its epimers on postprandial carbohydrate metabolism.
Conditions
- Overweight
- Obesity
- Dysglycemia
- Prediabetes
- Metabolic Syndrome
- Type 2 Diabetes
Interventions
- OTHER
-
fructose, allulose, tagatose, or sorbose
Single-bolus feeding of fructose, allulose, tagatose, or sorbose given together with a reference carbohydrate(s) compared with the same reference carbohydrate(s) alone for acute feeding trials or chronic feeding of fructose, allulose, tagatose, or sorbose provided in substitution for other reference carbohydrates or added to a control diet compared with the reference carbohydrate(s) alone or the control diet alone for chronic feeding trials.
Sponsors & Collaborators
-
Canadian Diabetes Association
collaborator OTHER -
The Physicians' Services Incorporated Foundation
collaborator OTHER -
Banting & Best Diabetes Centre
collaborator OTHER -
Canadian Institutes of Health Research (CIHR)
collaborator OTHER_GOV -
University of Toronto
lead OTHER
Principal Investigators
-
John Sievenpiper, MD, PhD, FRCPC · University of Toronto
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-01-31
- Primary Completion
- 2018-01-31
- Completion
- 2018-01-31
Countries
- Canada
Study Locations
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