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N/A N=29 Randomized Basic Science

Effect of High Carbohydrate vs. Low Carbohydrate Diet in Type 2 Diabetes

Diabetes Mellitus · Diabetes Mellitus, Type 2

Enrolled (actual)
29
Serious AEs
0.0%
Results posted
Dec 2023
Primary outcome: Primary: Hepatic Glycogen Content and Rates of Gluconeogenesis in Subjects With Type 2 Diabetes — 8.2; 9.4; 17.4; 15.6 umol/kgFFM/min

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
glycogen loading (Other); No Glycogen Loading (Other)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
University of Alabama at Birmingham
Primary completion
Aug 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Hepatic Glycogen Content and Rates of Gluconeogenesis in Subjects With Type 2 Diabetes
8.2; 9.4; 17.4; 15.6
SECONDARY
Rates of Glycogenolysis in Subjects With Type 2 Diabetes
9.2; 6.3; 17.4; 15.6
SECONDARY
Rates of Gluconeogenesis in Healthy Subjects
7.7; 8.5; 15.9; 13.5

Summary

The experimental approach in this study intends to investigate the role of hepatic glycogen content on nocturnal regulation of endogenous glucose production including the relative contributions of glycogenolysis and gluconeogenesis and the extent to which this differs between subjects with type 2 diabetes and subjects without diabetes. Both participants with type 2 diabetes and participants without diabetes will be studied after consuming either a low carbohydrate (no glycogen loading) or high carbohydrate (glycogen loading) diet.

Eligibility Criteria

Inclusion Criteria

  • Age 30-75
  • BMI 20-35kg/m^2
  • Participants with type 2 diabetes:
  • HbA1c less than or equal to 8.5% on lifestyle therapy or monotherapy with metformin or sulphonylureas (SU); or less than or equal to 7.5% on two oral hypoglycemic agents (Metformin and SU)

Exclusion Criteria

  • Pregnancy or breast feeding
  • Morbidities precluding participation
  • Participants with type 2 diabetes:
  • Therapy with insulin
  • SGLT2 inhibitors
  • GLP-1 based approaches
  • TZDs
  • Unstable diabetic retinopathy
  • Microalbuminuria
  • Macrovascular disease
  • Medications affecting GI motility (eg., erythromycin, pramlintide)
  • Upper GI disorder/surgery
  • Participants without diabetes:
  • Medications (except stable thyroid hormone or hormone replacement therapy) that could influence glucose tolerance
  • History of diabetes mellitus in first degree family members or prior history of diabetes mellitus or gestational diabetes, or pre-diabetes
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04416204). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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