Type 2 diabetes Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with a diagnosis of type 2 diabetes > 6 months 2. Males and females 3. 18-70 years 4. Access to a kitchen 5. Ability to understand English (to provide informed consent)
Exclusion criteria
Exclusion criteria: 1. Use of insulin and GLP-1 analogues 2. History of gastroperesis or gastric surgery 3. Coeliac disease/wheat intolerance 4. Irritable bowel syndrome 5. HbA1c >75 mmol/mol 6. Pregnancy/breastfeeding 7. Excess alcohol intake 8. Glucose-lowering drug dosage adjustment within the previous month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postprandial glucose (MAGE) excursion resulting from consumption of both diets. The MAGE calculation will be made by measuring the arithmetic mean of the difference between consecutive peaks and nadirs. Blood glucose will be measured continuously; however, time points of interest are the following: 8.15 am-9.00 am (post breakfast), 10.30 am-11.15 am (post snacks), 12 pm-12.45 pm (post lunch), 6.00 pm-6.45 pm (post dinner). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Peak postprandial glucose excursion after meals 2. The time to peak postprandial glucose excursion 3. Mean blood glucose 4. The standard deviation of blood glucose 5. 24-hour glucose area under the curve (AUC). Blood glucose will be measured continuously; however, time points of interest are the following: 8.15 am-9.00 am (post breakfast), 10.30 am-11.15 am (post snacks), 12 pm-12.45 pm (post lunch), 6.00 pm-6.45 pm (post dinner). | — |
Countries
England, United Kingdom