Type 2 Diabetes
Conditions
Brief summary
This open, randomized, cross-over, placebo-controlled study aims to investigate the effects of vinegar on glucose metabolism, endothelial function and circulating lipid levels in subjects with impaired glucose tolerance or type 2 diabetes, using the arteriovenous difference technique.
Detailed description
Subjects with IGT or type 2 diabetes will be randomised to consume 20ml vinegar (6% acetic acid) or placebo before a mixed meal. Plasma samples will be taken for 300min from the radial artery and from a forearm vein for measurements of glucose, insulin, triglycerides, non-esterified fatty acids (NEFA) and glycerol. Muscle blood flow will be measured with strain-gauge plethysmography. Glucose flux will be calculated as the arteriovenous difference of glucose multiplied by the blood flow rates.
Interventions
0,50mmol vinegar (6% acetic acid)
50 ml water
Sponsors
Study design
Eligibility
Inclusion criteria
1. Subjects with impaired glucose tolerance or newly diagnosed type 2 diabetes before the initiation of medication therapy 2. Recreationally active 3. With stable body weight and diet during the last two months.
Exclusion criteria
1. Any systemic disease (besides glucose abnormalities) 2. Any medication therapy 3. Diabetic complications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle glucose uptake following meal ingestion (area under the glucose uptake versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |
Secondary
| Measure | Time frame |
|---|---|
| Plasma insulin levels following meal ingestion (area under the plasma concentration versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |
| Plasma triglyceride levels following meal ingestion (area under the plasma concentration versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |
| Plasma NEFA levels following meal ingestion (area under the plasma concentration versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |
| Plasma glucose levels following meal ingestion (area under the plasma concentration versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |
| Muscle blood flow following meal ingestion (area under the blood flow rates versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |
| Number of participants with adverse events | 300 min postmeal |
| Plasma glycerol levels following meal ingestion (area under the plasma concentration versus time curve-AUC) | 0, 30, 60, 90, 120, 180, 240, 300 min postmeal |