Treatment of gastrointestinal symptoms and improvement of carbohydrate metabolism in patients with type 2 diabetes. Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age: 18–80 years. 2. Diagnosed type 2 diabetes with no modifications to treatment for at least 3 months. 3. Meeting the Rome IV criteria for the diagnosis of irritable bowel syndrome (IBS).
Exclusion criteria
Exclusion criteria: 1. Age > 80 years or <18 2. Any changes in treatment within 3 months before qualification and/or during the study 3. Dietary interventions 4 weeks before qualification and/or during the study 4. Use of antibiotics 4 weeks before qualification and/or during the study 5. Use of prokinetics, antidiarrheal drugs, probiotics, sodium butyrate, proton pump inhibitors or H2 receptor blockers 14 days before qualification and/or during the study 6. Pregnancy or breastfeeding 7. Lactulose intolerance 8. Diagnosis of galactosemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Changes in carbohydrate metabolism will be measured by assessing glycated hemoglobin (HbA1c) levels and calculating the HOMA-IR index at the start of the study and after the 12-week intervention. 2. Changes in the severity of gastrointestinal symptoms will be evaluated using a gastrointestinal symptom severity questionnaire, completed by participants at the start of the study and after the 12-week intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The presence of small intestinal bacterial overgrowth (SIBO) in patients will be assessed through a hydrogen breath test conducted at the start of the study and after the 12-week intervention 2. Fasting insulin levels in the blood of participants were measured using venous blood samples at the beginning of the study and after the 12-week intervention 3. Fasting glucose levels in the blood of participants were measured using venous blood samples at the beginning of the study and after the 12-week intervention | — |
Countries
Poland