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The goal of this randomized crossover trial is to evaluate the impact of meal macronutrient composition on the glycemic response following exercise in males with type 2 diabetes. The main question it aims to answer is:
• Is the consumption of a glucose enriched meal associated with a bigger reduction in plasma glucose following a 1-hour exercise session than other meals Researchers will compare different meal macronutrient composition to see how it affects the glycemic response after exercise.
Participants will
Meals The meals will be equivalent in terms of total calories (with the exception of the aspartame meal) and the percentage of protein will be the same in all four conditions. Only the fat and carbohydrates percentages will vary in the four meal conditions.
Exercise protocol Each subject will perform a maximal aerobic capacity (VO2peak) test on an ergocycle at the start of the protocol. Subsequently, at one-week intervals, each patient will perform an exercise session consisting of one hour of ergocycle at a capacity corresponding to 60% of each individual's VO2peak. The prescribed workload will be established based on the VO2peak test. Exercise will be monitored using heart rate, work, and oxygen consumption measured using an indirect calorimetry system. The five conditions will be randomized and performed at one-week intervals. Each exercise session will be supervised by a physician. Patients taking oral hypoglycemic agents will not take their medication on the morning of the exercise.
Blood samples Samples will be taken to measure glucose, free fatty acids, insulin, glucagon, and plasma catecholamines. In addition, an indirect calorimetry system will allow us to measure total substrate oxidation. For each blood sample period, there will be a 5-minute assessment as described above.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fasting | Experimental | Fasting before the exercise intervention |
|
| Sucrose | Experimental | Sucrose enriched meal, consumed 2 hours before the exercise intervention |
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| Fructose | Experimental | Fructose meal, consumed 2 hours before the exercise intervention. |
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| Aspartame | Experimental | Aspartame enriched meal, consumed 2 hours before the exercise intervention. |
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| Fat | Experimental | Fat enriched meal, consumed 2 hours before the exercise intervention. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fasting | Dietary Supplement | No meal |
| |
| Sucrose enriched meal |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemic response during and following intervention | Plasma glucose and insulin levels following consumption of different meal compositions and following a 1-hour exercise session. | Plasma glucose and insulin levels from blood samples taken at -15, 0, 15, 30, 45, 60, 75 and 90 minutes from the beginning of the exercise. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval | Québec | Quebec | G1V4G5 | Canada |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C407088 | Angptl4 protein, mouse |
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Single-blind randomized crossover design with 5 conditions.
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| Dietary Supplement |
175 ml of oatmeal cereal, one slice of bread, 30g of cheese, 22g sucrose |
|
| Fructose enriched meal | Dietary Supplement | 175 ml of oatmeal cereal, one slice of bread, 30g of cheese, 22g fructose |
|
| Fat enriched meal | Dietary Supplement | 175 ml of oatmeal cereal, one slice of bread, 30g of cheese, 15g fat |
|
| Aspartame enriched meal | Dietary Supplement | 175 ml of oatmeal cereal, one slice of bread, 30g of cheese, aspartame (matched for taste) |
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| Exercise session | Other | A 60-minutes exercise session on a cycle ergometer (Corival 400, Quinton Instruments, Seattle, WA, USA) at 60% of the VO2peak (determined at a baseline visit) |
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| D004700 | Endocrine System Diseases |
| D001519 | Behavior |