Impact of Breakfast Composition on Glycemic and Incretin Responses in Individuals With Type 2 Diabetes
Effect of a High Protein Breakfast on Glycemic Control, Insulin Sensitivity, and Beta Cell Function in Individuals With Type 2 Diabetes (T2D)
1 other identifier
interventional
12
0 countries
N/A
Brief Summary
This study examined the effect of a high protein or high carbohydrate breakfast on the glucose and insulin response following the breakfast meal, as well as the subsequent response following the lunch meal.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable type-2-diabetes
Started Dec 2011
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
June 30, 2014
CompletedFirst Posted
Study publicly available on registry
July 3, 2014
CompletedResults Posted
Study results publicly available
January 18, 2017
CompletedOctober 3, 2019
October 1, 2019
1.3 years
June 30, 2014
September 30, 2016
October 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Plasma Glucose Level Post-meal (AUC [0-4])
AUC for 4 hr after breakfast and after lunch
0-240 and 240-480
Secondary Outcomes (1)
Post-meal Level of Glucose-dependent Insulinotropic Peptide (GIP) (AUC)
0-240 and 240-480
Other Outcomes (2)
Post-meal Insulin Level (AUC [0-4])
0-240 and 240-480
Post-meal Glucagon-like Peptide-1 (GLP-1) Level (AUC )
0-240 and 240-480
Study Arms (2)
High Carb then High Protein Breakfast
ACTIVE COMPARATORA high carbohydrate breakfast - 500 kcal (15% protein, 65% CHO, 20% fat) followed by a 7-day washout period, and then 7 days of eating a high protein breakfast - 500 kcal (35% protein, 45% CHO, 20% fat).
High Protein then High Carb Breakfast
ACTIVE COMPARATORA high protein breakfast - 500 kcal followed by a 7-day washout period, and then 7 days of eating a high carbohydrate breakfast - 500 kcal (35% protein, 45% CHO, 20% fat)
Interventions
a high protein breakfast - 500 kcal (35% protein, 45% CHO, 20% fat)
a high carbohydrate breakfast - 500 kcal (15% protein, 65% CHO, 20% fat)
Eligibility Criteria
You may qualify if:
- y of age
- body mass index (BMI) between 30-40 kg/m2
- weight stable for the prior 6 months
- non-smokers
- minimal alcohol consumption (\< 2 drinks per day)
- type 2 diabetic (diagnosed ≥ 2 y)
- a fasting glucose level above 120 mg/dL
- HbA1c between 6.5-9.0%
You may not qualify if:
- insulin
- β-blockers
- GLP-1 agonists (e.g. exenatide)
- dipeptidyl peptidase (DPP) inhibitors
- weight loss
- using weight-loss medications
- pregnant or lactating
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Missouri-Columbialead
- American Egg Boardcollaborator
Related Publications (1)
Park YM, Heden TD, Liu Y, Nyhoff LM, Thyfault JP, Leidy HJ, Kanaley JA. A high-protein breakfast induces greater insulin and glucose-dependent insulinotropic peptide responses to a subsequent lunch meal in individuals with type 2 diabetes. J Nutr. 2015 Mar;145(3):452-8. doi: 10.3945/jn.114.202549. Epub 2014 Dec 24.
PMID: 25733459DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr Jill Kanaley
- Organization
- University of Missouri
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- professor
Study Record Dates
First Submitted
June 30, 2014
First Posted
July 3, 2014
Study Start
December 1, 2011
Primary Completion
April 1, 2013
Study Completion
April 1, 2013
Last Updated
October 3, 2019
Results First Posted
January 18, 2017
Record last verified: 2019-10