About this trial
This randomized, double-blind clinical trial aims to evaluate the effect of a probiotic supplement on gut microbiota composition and glycemic control in adults with type 1 diabetes mellitus. A secondary comparison will be made with a healthy control group. Participants will be assigned to receive either a probiotic or a placebo for 98 days. Stool samples and metabolic parameters will be collected at baseline and after the intervention period. The study seeks to better understand how modulation of the intestinal microbiota may influence glucose regulation in people with type 1 diabetes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age between 18 and 65 years.
Ability to understand and sign the informed consent form.
For the patient group: diagnosis of type 1 diabetes with at least 1 year of disease progression.
For the control group: healthy individuals without a diagnosis of diabetes or other metabolic disorders.
Disqualifiers
Current use of probiotics, prebiotics, or antibiotics.
Chronic gastrointestinal diseases (e.g., inflammatory bowel disease, irritable bowel syndrome).
Pregnancy or breastfeeding.
Participation in another clinical trial within the past 3 months.
Trial design
Factorial
Treatments tested in this trial
Probiotic/Prebiotic Supplement
Dietary supplementOral dietary supplement in gel form (10 mL per day) containing 4000 mg of inulin and 1000 mg of tyndallized probiotics. Administered once daily for approximately 98 consecutive days. Produced by Martínez Nieto S.A. (MARNYS®). Intended to modulate gut microbiota and improve glycemic and inflammatory markers.
Placebo Gel
Dietary supplementOral placebo in gel form (10 mL per day), identical in appearance, texture, and taste to the active supplement, but without probiotic or prebiotic components. Administered once daily for 98 days to maintain blinding and control effects.
Treatment groups
Trial outcomes
Primary outcomes
Change in gut microbiota composition
Variation in the relative abundance and diversity of gut microbiota species assessed by 16S rRNA sequencing from stool samples collected at baseline and after 98 days of intervention.
Secondary outcomes
Change in fasting glucose [Time Frame: Day 1 and Day 98]
Assessment of changes in fasting glucose levels (mg/dL) via blood test.
Change in HbA1c [Time Frame: Day 1 and Day 98]
Assessment of changes in glycated hemoglobin levels (HbA1c, %) via blood test.
Change in fasting insulin [Time Frame: Day 1 and Day 98]
Assessment of changes in fasting insulin levels via blood test. μU/mL
Change in HOMA-IR index [Time Frame: Day 1 and Day 98]
Assessment of changes in insulin resistance estimated using the HOMA-IR index.
Sponsors and contacts
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