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Intervention With a GABA Supplement in Prediabetics

Not Applicable
Completed
Conditions
Prediabetes
Hypertension
Interventions
Other: Placebo
Dietary Supplement: GABA
Registration Number
NCT04303468
Lead Sponsor
Wageningen University
Brief Summary

In this double-blind parallel placebo controlled intervention study the effects of 3 times daily 500 mg gamma-aminobutyric acid (GABA) supplementation on glucose tolerance and cardiovascular health will be assessed in prediabetics.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
52
Inclusion Criteria
  • Age between 50 and 70
  • BMI higher or equal to 27 kg/m2
  • Impaired fasting glucose (fasting glucose ≥ 6.1 and ≤ 6.9 mmol/L) or/and
  • Impaired glucose tolerance (glucose levels ≥ 7.8 and ≤ 11.1 mmol/L, 2-hours after an OGTT or/and glucose levels ≥8.6 mmol/L, 1-hour after an OGTT)
Exclusion Criteria
  • Has been diagnosed with diabetes
  • Having other conditions, like liver, pancreatic, cardiovascular, gastro-intestinal or endocrine diseases, that could influence the study results
  • Use of medications or supplements that could influence the study results
  • Sensitive to medical skin adhesives
  • More than 5kg weight change in the past 12 weeks
  • Excessive alcohol consumption (>21 glasses/week for men and >14 glasses/week for women on average)
  • Being an employee of Wageningen University, division Human Nutrition and Health
  • Currently a research subject in other research

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboThe placebo consists of capsules containing powdered cellulose.
GABAGABAGABA is a nutrient commonly present in our diet in for example tomatoes and potatoes. It is also commercially sold as dietary supplement. A dose of 500 mg, 3 times daily is used
Primary Outcome Measures
NameTimeMethod
Postprandial glycaemic response during a 2 hour oral glucose tolerance test (OGTT)blood will be drawn at baseline and after 30, 60 and 120 minutes, before and after the 12 weeks intervention

A 2 hour oral glucose tolerance test with 75gr glucose

Secondary Outcome Measures
NameTimeMethod
Postprandial insulin and glucagon response during a 2 hour OGTT,blood will be drawn at baseline and after 30, 60 and 120 minutes, before and after the 12 weeks intervention

A 2 hour oral glucose tolerance test with 75gr glucose

Plasma free fatty acidsbefore and after the 12 weeks intervention
HbA1cbefore and after the 12 weeks intervention
Glucose variability5 days during which they eat their habitual diet, before and after the 12 weeks intervention

The participants wear a flash glucose monitoring sensor with which their interstitial glucose is measured every 15 minutes.

Blood pressureDynamic measurement: 24 hours, before and after the 12 weeks intervention

Single measurement and a dynamic measurement:

* Mean day systolic and diastolic blood pressure

* Mean night systolic and diastolic blood pressure

* Time below or above 120/80 mmHg

Heart ratebefore and after the 12 weeks intervention
Concentrion of markers of inflammation in bloodbefore and after the 12 weeks intervention

C-reactive protein and cytokines like IL-6 and TNF-alpha

Concentration of triglycerides in bloodbefore and after the 12 weeks intervention
Concentration of LDL and HDL cholesterol in bloodbefore and after the 12 weeks intervention
Concentration of ALAT and ASAT in bloodbefore and after the 12 weeks intervention
Acute effects of GABA on postprandial glucose2 hours, after a single administration of 500 mg GABA

Assessed with an OGTT during which interstitial glucose is measured with flash glucose monitoring

Acute effects of GABA on blood pressurefor 24 hours during which GABA is taken 3 times, each time before the main meal

Assessed with an ambulatory blood pressure monitor

Sleep qualitybefore and after the 12 weeks intervention

Pittsburgh Sleep Quality Index (PSQI) questionnaire, the outcome is a global PSQI score (range: 0-21), with higher scores indicating poorer sleep quality.

Feelings of depressionbefore and after the 12 weeks intervention

Patient Health Questionnaire (PHQ-9), the higher the score the more depressed a person is.

Feelings of anxietybefore and after the 12 weeks intervention

General Anxiety Disorder (GAD-7) questionnaire, the higher the score, the more anxious a person is.

Plasma GABA concentrationbefore and after the 12 weeks intervention
Plasma glutamate concentrationbefore and after the 12 weeks intervention

Trial Locations

Locations (1)

Wageningen University, Division of Human Nutrition

🇳🇱

Wageningen, Netherlands

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