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| Name | Class |
|---|---|
| Singapore Institute of Food and Biotechnology Innovation | OTHER_GOV |
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The primary objective is to determine which among high vs low Glycemic Index (GI) / Glycemic Responses (GR) interventions at breakfast or at dinner is the most effective for lowering glycemic response of the subsequent standard meal.
Consumption of low Glycemic Index (GI) foods has been shown to not only attenuate blood glucose response during the postprandial period immediately following a meal but to have also positive metabolic effects at the subsequent meal, known as the "second-meal effect" by reducing glucose excursion beyond actual meal. The relative importance of the timing of the glycemic load variation (e.g., breakfast or dinner) on the overall, 24h, glycemic control has not been investigated in detail.
We hypothesize that eating low GI foods in a single meal either for breakfast or for dinner would have different consequential effects on glycemic control over the following meal and thereafter during 24 hours. In order to establish the relative importance of breakfast or dinner in predicting glycemic control/response of the following meal and for a 24-hour period this study will use comprehensive methods including Continuous Glucose Monitoring Systems (CGMS) as well as measuring postprandial blood glucose and insulin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low GI Rice Breakfast | Experimental | Intake of low GI breakfast |
|
| High GI rice Breakfast | Experimental | Intake of High GI breakfast |
|
| Low GI Rice Dinner | Experimental | Intake of low GI dinner |
|
| High GI Rice Dinner | Experimental | Intake of High GI dinner |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low GI Breakfast | Other | Intake of low GI breakfast |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemia | Incremental areas under curve (iAUC) of glycemia in the 3 hours following meal intake | 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemia | Incremental areas under curve (iAUC) of glycemia over 24 hours | 24h |
| Plasma glucagon | Measure of plasma glucagon over a 3-h period following meal intake |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christiani Jeyakumar Henry, Prof | Centre for Translational Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Nutrition Research Center | Singapore | 117599 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32327444 | Derived | Haldar S, Egli L, De Castro CA, Tay SL, Koh MXN, Darimont C, Mace K, Henry CJ. High or low glycemic index (GI) meals at dinner results in greater postprandial glycemia compared with breakfast: a randomized controlled trial. BMJ Open Diabetes Res Care. 2020 Apr;8(1):e001099. doi: 10.1136/bmjdrc-2019-001099. |
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| High GI Breakfast |
| Other |
Intake of high GI breakfast |
|
| Low GI Dinner | Other | Intake of Low GI dinner |
|
| High GI Dinner | Other | Intake of high GI dinner |
|
| 3 hours |
| Plasma insulin | Measure of plasma insulin over a 3-h period following meal intake | 3 hours post meal intake |
| Plasma triglycerides | Measure of plasma triglycerides over a 3-h period following meal intake | 3 hours post meal intake |
| Plasma glycerol | Measure of plasma glycerol over a 3-h period following meal intake | 3 hours post meal intake |
| Plasma free fatty acids | Measure of plasma free fatty acids over a 3-h period following meal intake | 3 hours |
| Satiety | Satiety will be assessed by Visual Analog Scales | Every 30 minutes over the 3 hours post meal intake |
| Hunger | Hunger will be assessed by Visual Analog Scales | Every 30 minutes over the 3 hours post meal intake |