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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sugar load | Experimental | Sugar dissolved in water will be ingested during 5 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sugar | Dietary Supplement | 75 g sugar dissolved in 0.8 dl water and flavored with lemon. Ingested during 5 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline of blood glucose levels | Measurement of glucose levels in blood drawn from an intravenous needle and analyzed at the Department of Clinical Chemostry | From distribution repeatedly up to 2 hours |
| Change from baseline of gastrointestinal symptoms | 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. | From baseline and up to 2 hours, at the same time points as blood glucose is measured |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cecilia Kennback, Nurse | Department of Internal Medicine, Skåne University Hospital, Malmö | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Internal Medicine, Skåne University Hospital | Malmö | 20502 | Sweden |
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| ID | Term |
|---|---|
| C538139 | Sucrase-isomaltase deficiency, congenital |
| D043183 | Irritable Bowel Syndrome |
| ID | Term |
|---|---|
| D003109 | Colonic Diseases, Functional |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
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| ID | Term |
|---|---|
| D000073893 | Sugars |
| ID | Term |
|---|---|
| D002241 | Carbohydrates |
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Patients with normal genes and with functional variants of sucrase-isomaltase genes
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| D004066 | Digestive System Diseases |