Healthy
Conditions
Keywords
Sucralose, Insulin Secretion, Insulin Sensitivity, Incretin, Gut Microbiota, Food and Eating Behaviour, Healthy Volunteers
Brief summary
Hypothesis: 1. Long-term consumption of sucralose may effect glucose metabolism, incretin hormone secretion and gut microbiota in healthy adults. 2. Long-term consumption of sucralose may alter food behaviour in healthy adults.
Detailed description
Artificial sweeteners such as sucralose, are among the most widely used food additives worldwide. Artificial sweetener consumption is considered safe and beneficial owing to their low caloric content. However, many emerging evidences showed artificial sweeteners may induce glucose intolerance. The objectives of this study were to determine the effect of sucralose on glycemic response, insulin secretion, insulin sensitivity, incretin response, gut microbiota and food behavior in healthy subjects.
Interventions
Consumption of capsules containing either 200 mg sucralose (equivalent to diet soda 3 cans) per day for four weeks
Consumption of empty capsule everyday for 4 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy volunteers without underlying disease * Normal oral glucose tolerance test * Agree to participate by written informed consent
Exclusion criteria
* Shift workers * History of diabetes mellitus or prediabetes (impaired fasting glucose and/or glucose tolerance test) * Malabsorption problem * Regular consumption of nonnutritive sweeteners * Liver impairment (aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) \> 3-folds upper normal limit) * Renal impairment (serum creatinine \>1.5 mg/dL) * Use of medications affecting glucose level such as glucocorticoid, estrogen, androgen * Pregnant and lactating woman * Smoking within 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of sucralose on insulin secretion | 2 hours | We will measure plasma insulin concentrations before and at 0, 2, 3, 4, 5, 6, 8, 10 minutes after administered intravenously 50%glucose 0.3 g/kg within 1 minute. All these data collected were used to calculate acute insulin response to glucose. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Glucagon-like peptide-1 secretion | 2 hours | — |
| Gut microbiota | 4 weeks | stool exam, polymerase chain reaction for 16s RNA gene using next generation sequencing |
| Food record | 4 weeks | — |
| The effect of sucralose on insulin sensitivity | 2 hours | We will measure plasma insulin concentrations during an oral glucose tolerance test. |
Countries
Thailand