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The Effect of Sugar Load in IBS Patients Depending on Sucrase-isomaltase Genes

Not Applicable
Conditions
Irritable Bowel Syndrome
Sucrase-Isomaltase Deficiency
Interventions
Dietary Supplement: Sugar
Registration Number
NCT05688826
Lead Sponsor
Region Skane
Brief Summary

The investigators know that many patients with irritable bowel syndrome (IBS) have functional variants of genes coding for sucrase-isomaltase enzymes. The investigators will now examine whether these functional variants are associated with defect degradation of sucrose and associated gastrointestinal symptoms

Detailed Description

The investigators have in a previous study included IBS patients for treatment with a starch- and sucrose reduced diet (SSRD). The investigators found a great improvement of symptoms. The investigators gene-tested those patients, and now have the full identification of all functional variants encoding sucrase-isomaltase enzymes.

The investigators will invite patients from this previous study with normal genes and functional variants of genes. The patients will come fasting over night to the department of clinical research. The participants will ingest 75 g sugar dissolved in 0.8 dl water and flavored with lemon, to ingest during 5 minutes. After that, glucose will determined repeatedly up to 2 hours afterwards. At the same time, the participants have to assess their gastrointestinal sympotms on visual analogue scales (VAS).

The investigators will compare the raise in b-glucose and symptoms between the groups of patients, divided into gene expression.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Participants of our previous clinical trial with SSRD diet (NCT03306381)
Exclusion Criteria
  • Difficulties in taking blood samples

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Sugar loadSugarSugar dissolved in water will be ingested during 5 minutes
Primary Outcome Measures
NameTimeMethod
Changes from baseline of blood glucose levelsFrom distribution repeatedly up to 2 hours

Measurement of glucose levels in blood drawn from an intravenous needle and analyzed at the Department of Clinical Chemostry

Change from baseline of gastrointestinal symptomsFrom baseline and up to 2 hours, at the same time points as blood glucose is measured

Measurment of gastrointestinal symptoms on a visual analog scale measuring symptoms, range 0-100 mm, repeatedly at the same time points as blood glucose is measured. The higher scores, the worse symptoms.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Internal Medicine, Skåne University Hospital

🇸🇪

Malmö, Sweden

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