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The goal of this randomized crossover study is to test the prediction that consuming carbohydrates will affect insulin release differently depending on whether Non-Nutritive Sweeteners (NNSs) are consumed simultaneously. We aim to determine whether the predicted effects are associated with oral or post-oral sweet taste receptor signaling,. Our study will focus on patients diagnosed with type 1 diabetes (T1D) who are using an artificial pancreas (AP) system, as it allows us to monitor glucose and insulin levels over time.
Participants will drink four different flavored beverages, some with sweet taste blockade and some without, in a counter-balanced order. They will then rate the sweetness of each beverage, and we will collect data from their AP system to monitor insulin and glucose level.
To achieve this, we will conduct a pilot study to assess the effectiveness and best timing of sweet taste blockade in healthy individuals. Insights gained from the pilot study will inform the main study.
Sucralose will be used as the NNS, maltodextrin as the carbohydrate, and Gymnema Sylvestre (GS) as the sweet taste receptor blocker.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sweet taste perception with/without sweet taste blockade | Other | In our study, we will use our four different novel flavored beverages, with and without a sweet taste blockade. |
| Measure | Description | Time Frame |
|---|---|---|
| Effectiveness and optimal time course of sweet test blockade on sweet taste perception in healthy individuals | our aim is to test whether the impact of consuming NNS with carbohydrates on glucose metabolism is related to oral or post-oral sweet taste receptor signaling. | from enrollment to the end of treatment at 4 weeks |
| Mean plasma glucose, basal and bolus insulin changes in individuals with T1D on AP following beverage consumption. | Consuming NNS alongside carbohydrates affects glucose metabolism differently compared to carbohydrates alone in participants with type 1 diabetes (T1D) using an artificial pancreas (AP) system for exogenous insulin production | From enrollment to the end of treatment at 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Resting Energy Expenditure (REE) and nutrient partitioning changes in individuals with T1D on AP following beverage consumptionT1D on AP following beverage consumption | To test whether the co-ingestion of the NNS with carbohydrate can result in changes in post-ingestion metabolism, we plan to employ indirect calorimetry (IC) to evaluate resting energy expenditure (REE) before and after flavoured beverages consumption. |
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Inclusion Criteria:
Exclusion Criteria:
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For the pilot study, 10 healthy participants will be recruited. For the main study, 15 potential participants with T1D will be recruited.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Golnaz Arjmand, PhD | Contact | 514-398-3020 | golnaz.arjmand@mcgill.ca |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Innovative Medicine, The Research Institute of the McGill University Health Centre | Recruiting | Montreal | Quebec | H4A 3J1 | Canada |
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| from enrollment to the end of treatment at 4 weeks |
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D006946 | Hyperinsulinism |
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