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Trial registered on ANZCTR
Registration number
ACTRN12614001131640
Ethics application status
Approved
Date submitted
9/10/2014
Date registered
23/10/2014
Date last updated
20/12/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of protein “preloads” on postprandial glycaemia in type 2 diabetes: a 12-week, single-blind, randomised and placebo-controlled trial.
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Scientific title
The effect of a 12-week, single-blind, randomised and placebo-controlled trial of whey protein “preloads” on glycated haemoglobin in patients with type 2 diabetes.
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Secondary ID [1]
285470
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 diabetes mellitus
293247
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Condition category
Condition code
Diet and Nutrition
293515
293515
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
293516
293516
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Protein shake containing 20g whey and 5g guar gum, along with flavouring and artificial sweetener, in 150 mL water, taken 15 min twice daily (before their usual morning and evening meal) for 12 weeks. Adherence will be monitored by package counts every two weeks during the intervention and telephone calls on the alternate weeks.
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Intervention code [1]
290407
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Treatment: Other
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Comparator / control treatment
Placebo shake containing flavouring and artificial sweetener in 150 mL water, taken 15 min twice daily (before the morning and evening meal) for 12 weeks
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Glycated haemoglobin (HbA1c) - difference in the change in HbA1c after the intervention between active treatment and placebo
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Assessment method [1]
293334
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Timepoint [1]
293334
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12 weeks
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Secondary outcome [1]
310804
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Rate of gastric emptying of a standardised meal, consisting of 65g instant mashed potato and 20g glucose, reconstituted with 200 mL water and 1 egg yolk containing 100 microL 13C-octanoic acid, and evaluated using a 13C breath test
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Assessment method [1]
310804
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Timepoint [1]
310804
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0 and 12 weeks
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Secondary outcome [2]
310805
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Insulin concentrations, evaluated using plasma assay
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Assessment method [2]
310805
0
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Timepoint [2]
310805
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At 0, 15, 30, 60, 90, 120, 180 and 240 min after the standardised meal at 0 and 12 weeks
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Secondary outcome [3]
310806
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Blood glucose concentrations
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Assessment method [3]
310806
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Timepoint [3]
310806
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At 0, 15, 30, 60, 90, 120, 180 and 240 min after the standardised meal at 0 and 12 weeks
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Secondary outcome [4]
310807
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C-peptide concentrations, evaluated using plasma assay
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Assessment method [4]
310807
0
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Timepoint [4]
310807
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At 0, 15, 30, 60, 90, 120, 180 and 240 min after the standardised meal at 0 and 12 weeks
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Secondary outcome [5]
310808
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Incretin hormone concentrations, evaluated using plasma assay
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Assessment method [5]
310808
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Timepoint [5]
310808
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At 0, 15, 30, 60, 90, 120, 180 and 240 min after the standardised meal at 0 and 12 weeks
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Secondary outcome [6]
310809
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Appetite scores, evaluated using 100mm visual analogue scales
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Assessment method [6]
310809
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Timepoint [6]
310809
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At 0, 15, 30, 60, 90, 120, 180 and 240 min after the standardised meal at 0 and 12 weeks
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Secondary outcome [7]
310810
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Body composition as measured by dual energy X-ray absorptiometry
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Assessment method [7]
310810
0
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Timepoint [7]
310810
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0 and 12 weeks
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Secondary outcome [8]
310811
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Body weight, evaluated using digital weighing scales
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Assessment method [8]
310811
0
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Timepoint [8]
310811
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Week 0, 2, 4, 6, 8, 10, 12
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Secondary outcome [9]
310812
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Energy intake by 3 day diet diary
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Assessment method [9]
310812
0
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Timepoint [9]
310812
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Week 0,2,4,6,8,10,12
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Secondary outcome [10]
310813
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Urinary urea/creatinine ratio
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Assessment method [10]
310813
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Timepoint [10]
310813
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Week 0,2,4,6,8,10,12
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Eligibility
Key inclusion criteria
- Type 2 diabetes, managed with diet or metformin alone
- HbA1c between 6.0% and 7.9% inclusive
- Body mass index 19-40
- Weight stable
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Significant gastrointestinal symptoms, or history of gastrointestinal disease
- Proteinuria
- Use of medications likely to affect gastrointestinal function
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
No allocation concealment from the investigators
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Online random number generator
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/11/2014
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Actual
3/11/2014
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Date of last participant enrolment
Anticipated
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Actual
1/12/2016
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Date of last data collection
Anticipated
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Actual
1/03/2017
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Sample size
Target
70
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Accrual to date
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Final
79
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
290073
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Government body
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Name [1]
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National Health and Medical Research Council of Australia
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Address [1]
290073
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GPO Box 1421
Canberra ACT 2601
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Country [1]
290073
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Australia
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Primary sponsor type
University
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Name
University of Adelaide
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Address
North Terrace
Adelaide SA 5000
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Country
Australia
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Secondary sponsor category [1]
288765
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None
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Name [1]
288765
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Address [1]
288765
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Country [1]
288765
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291778
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Royal Adelaide Hospital Human Research Ethics Committee
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Ethics committee address [1]
291778
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Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Ethics committee country [1]
291778
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Australia
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Date submitted for ethics approval [1]
291778
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Approval date [1]
291778
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06/01/2014
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Ethics approval number [1]
291778
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313221
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Summary
Brief summary
We are undertaking a randomised, placebo-controlled trial of a twice daily protein preload (20 g whey preload mixed with 5 g guar), taken before breakfast and dinner, to test the hypothesis that glycated haemoglobin (HbA1c) will be reduced by at least 0.5% compared to baseline at 12 weeks, in patients with type 2 diabetes who have relatively good glycaemic control (HbA1c less than or equal to 7.9%) on diet or metformin therapy alone. We will also test the secondary hypothesis that the whey preload (i) will induce slowing of gastric emptying, stimulation of incretin hormones and insulin, and reduce appetite and glycaemia after a standardised meal, and that these effects are sustained over 12 weeks; (ii) will induce greater reduction in HbA1c in subjects with more rapid gastric emptying at baseline; (iii) is not associated with weight gain, due to “compensation” for the increased protein load; and (iv) will reduce HbA1c independently of changes in insulin resistance, weight, or body composition.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
51990
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A/Prof Chris Rayner
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Address
51990
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Discipline of Medicine Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Country
51990
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Australia
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Phone
51990
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+61 8 82222916
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Fax
51990
0
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Email
51990
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[email protected]
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Contact person for public queries
Name
51991
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Chris Rayner
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Address
51991
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Discipline of Medicine Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Country
51991
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Australia
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Phone
51991
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+61 8 82222916
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Fax
51991
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Email
51991
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[email protected]
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Contact person for scientific queries
Name
51992
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Chris Rayner
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Address
51992
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Discipline of Medicine Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Country
51992
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Australia
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Phone
51992
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+61 8 82222916
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Fax
51992
0
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Email
51992
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A whey/guar "preload" improves postprandial glycaemia and glycated haemoglobin levels in type 2 diabetes: A 12-week, single-blind, randomized, placebo-controlled trial.
2019
https://dx.doi.org/10.1111/dom.13604
Embase
The 'early' postprandial glucagon response is related to the rate of gastric emptying in type 2 diabetes.
2023
https://dx.doi.org/10.1016/j.peptides.2023.170941
Dimensions AI
Serum alanine transaminase is predictive of fasting and postprandial insulin and glucagon concentrations in type 2 diabetes
2023
https://doi.org/10.1016/j.peptides.2023.171092
N.B. These documents automatically identified may not have been verified by the study sponsor.
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