About this trial
The goal of this placebo-controlled, partial crossover design study is to identify the impact of consuming whey protein before meals on free-living glucose control in older adults living with type 2 diabetes.
The primary specific objective is to determine the effect of a thrice daily whey protein pre-meal supplementation at two doses, on glucose excursions over a 7-day free-living period in adults aged 70-90 years of age, living with type 2 diabetes, compared with a non-protein placebo.
Participants will consume the whey protein and placebo for 7 days each, before each meal. All participants will consume the placebo and one of two doses of whey protein, in a randomised order.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Male or female
70-90 years old
Type 2 Diabetes (confirmed with glycated haemoglobin (HbA1c) >6.5% in clinic or in SportExR)
Stable body mass (body mass index (BMI) ≤40kg/m2)
Disqualifiers
<70 years old and over 90 years of age
Currently on fast-acting insulin therapy (i.e., Humalog)
Confirmed uncontrolled diabetes (HbA1C >10% or 85mmol/mol).
Currently on GLP-1 therapy
Trial design
Crossover
Treatments tested in this trial
Glycaemic control with whey protein
Dietary supplementComparing pre-meal supplementation of whey protein to protein-free placebo.
Glycaemic control with different doses of whey protein
Dietary supplementComparing pre-meal supplementation of moderate whey protein to a low dose of whey protein.
Treatment groups
Trial outcomes
Primary outcomes
Measurement of changes in free-living glycaemic control
Time spent in normal glucose range, under free-living conditions with pre-meal supplementation (measured by continuous glucose monitors)
Changes in postprandial glucose concentrations in blood
Amplitude of post-meal blood glucose following supplement(s) and controlled meal
Concentrations of insulin postprandially in blood
Insulin appearance in blood following supplement(s) and controlled meal
Secondary outcomes
Concentrations of amino acids postprandially in blood
Total amino acid appearance in blood following supplement(s) and controlled meal
Concentrations of postprandial appetite hormones
Postprandial appetite hormone concentrations in blood following supplement(s) and controlled meal
Rate of gastric emptying
Rate of gastric emptying using acetaminophen appearance in the blood following its consumption with supplement(s) and controlled meal.
Changes in renal function markers after each 7-day phase
Measurement of markers of renal function from urine following each 7-day phase
Sponsors and contacts
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University of Birmingham
Lead sponsor
Newcastle University
Collaborator