Acute Microbial Switch
Insulin Sensitivity, Glucose Metabolism Disorders (Including Diabetes Mellitus), Hyperinsulinism
About this trial
This is an interventional basic science trial for Insulin Sensitivity focused on measuring microbiota, insulin sensitivity, fiber
Eligibility Criteria
Inclusion Criteria: Lean normoglycemic individuals: Lean (BMI ≥ 18.5 kg/m2 and ≤ 24.9 kg/m2 ); Normal fasting glucose (plasma glucose < 5.6 mmol/L) and a HOMA-IR< 2.2 Individuals with overweight/obesity and prediabetes/insulin resistance: Overweight/obesity (BMI ≥ 28 kg/m2 and ≤ 40 kg/m2 ); insulin resistance (HOMA-IR>2.2) and/or impaired fasting glucose (IFG: plasma glucose ≥ 5.6 mmol/l) For both subject groups: Aged 30 - 75 years; Normal blood pressure (systolic blood pressure 100-150mmHg, diastolic blood pressure 60-100 mmHg); Weight stable for at least 3 months (± 2 kg) Exclusion Criteria: T2DM (defined as fasting plasma glucose ≥ 7.0 mmol/L) Gastroenterological diseases Abdominal surgery affecting the GI tract; Cardiovascular diseases, cancer, liver or kidney malfunction, disease with a life expectancy shorter than five years; Abuse of products; Alcohol (> 15 standard units per week) Drugs Excessive nicotine use defined as >20 cigarettes per day; Plans to lose weight or following of a hypocaloric diet Regular supplementation of pre- or probiotic products, use of pre- or probiotics three months prior to the start of the study; Intensive exercise training more than three hours a week; Use of most medications that influence glucose or fat metabolism, like some lipid lowering-drugs (e.g., PPAR γ or PPARα (fibrates) agonists), glucose-lowering agents (including all sulfonylureas, biguanides, α-glucosidase inhibitors, thiazolidinediones, repaglinide, nateglinide and insulin), inflammation (e.g., anti-inflammatory* or immunosuppressive drugs) and anti-oxidants; Regular use of laxatives; Use of antibiotics in the last three months (antibiotics use can alter substantially the gut microbiota composition). Veganism Lactose intolerance For women: pregnancy or lactation
Sites / Locations
- Department of Human Biology, Maastricht University Medical Centre
- Maastricht University Medical Centre
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
lean normoglycaemic individuals fiber mixture
lean normoglycaemic placebo
overweight and/or obesity and prediabetes/insulin fiber mixture
overweight and/or obesity and prediabetes/insulin resistance placebo
Two day supplementation of 12 g (3 x 4 g) of the dietary fiber inulin in combination with 9.375 g (3 x 3.125 g (80% resistant starch (3 x 2.5 g)) granular potato starch
Two day supplementation of 11.43 g (3 x 3.81 g) maltodextrin
Two day supplementation of 12 g (3 x 4 g) of the dietary fiber inulin in combination with 9.375 g (3 x 3.125 g (80% resistant starch (3 x 2.5 g)) granular potato starch
Two day supplementation of 11.43 g (3 x 3.81 g) maltodextrin