Volunteers Wanted for Diabetes Study

[Researcher411]

Hello,

My name is Kinga Kwiecien and I am doing Master by Research in Nutrition and Diabetes at De Montfort University, Leicester.
I am carrying out a research study to determine the effect of different breakfast portions on appetite perception, regulation and total energy intake in individuals living with Type 2 diabetes and in individuals without diabetes.

Currently, I'm looking for volunteers to participate in my study; individuals living with type 2 diabetes and non-diabetic participants, aged 18 to 65.

The study involves self-reporting data to the researcher and is composed of 2 stages.
Both stages are optional, and you can withdraw at any time.

Stage 1 consists of an online questionnaire about your appetite perception to three photos of breakfast portions and how full you would feel if you were to consume them. You will also be asked about your eating behaviour, lifestyle and provide height and weight.
All answers are anonymous and confidential.

Stage 2 involves consuming three different portion sizes of a prescribed breakfast on alternative days in the comfort of your own home and provide appetite perception measures along with a food record for the day. In order to participate in stage to you must not be allergic or intolerant to the food provided, regularly eating breakfast (4 or more days a week), not taking insulin, not actively engaging on weight loss diets, and not medically diagnosed with eating disorders.

I would appreciate if you could spend few minutes to take part in at least the first part of the study which involves filling in an online questionnaire which can be found here: https://forms.gle/TJfFgb7u4vcEDJRp8

Please share this with someone who you think could participate in my study. 🙂

For further information please email me at: p16184914@my365.dmu.ac.uk or alternatively message me on this.

@Josh DUK

 

[Josh DUK]

This has been approved, please help if you can.

 

[grovesy]

Too old!

 

[Ljc]

Too old!

Me too plus I am on insulin .

Looking at the pic of that brekkie, it looked high carbohydrate to me.

 

[silentsquirrel]

Also too old and on insulin, but if I wasn't I doubt if I would be volunteering to eat a huge bowl of cereal sprinkled with grapes!!

 

[Drummer]

I'm too old as well - but asking diabetics to consume a high carb food surely cannot be ethical these days.

 

[Researcher411]

Thanks for your replies.

Just to let you know the picture on the poster is just for advertising purposes it is not the type of breakfast that volunteers would be required to eat if they decided to take part.

The breakfast would consist of porridge with semi skimmed milk, apple or banana (which ever you prefer) and whole meal bread toast with either jam or butter and a cup of tea/coffee with no sugar except sweetener if anyone adds sugar to their drinks.

 

[silentsquirrel]

Thanks for your replies.

Just to let you know the picture on the poster is just for advertising purposes it is not the type of breakfast that volunteers would be required to eat if they decided to take part.

The breakfast would consist of porridge with semi skimmed milk, apple or banana (which ever you prefer) and whole meal bread toast with either jam or butter and a cup of tea/coffee with no sugar except sweetener if anyone adds sugar to their drinks.

Oh my! If any younger T2 newbies are looking at this, it's a perfect example of what NOT to eat as a T2. Potentially porridge AND banana AND toast AND jam. I hope the portions are tiny. Like orange juice, jam is a pretty good hypo treatment for those on insulin, and hypo treatments aren't a good idea any other time! For any type.

 

[trophywench]

I couldn't eat porridge to save my life - it is disgusting. Thank goodness I don't qualify to be a volunteeer.!

 

[silentsquirrel]

Oh, I like porridge, but can only eat a small amount if I add lower carb flaxseed and nuts, and high fat double cream. I add a few berries as the lowest carb fruit, would not dream of eating with banana, And I certainly wouldn't eat toast as well! I suspect I can only eat this as I inject insulin, without insulin would probably be a non-starter.
The meal seems to be slanted to the old "healthy whole grains" and "low fat", unfortunately.

 

[Ljc]

Th

Thanks for your replies.

Just to let you know the picture on the poster is just for advertising purposes it is not the type of breakfast that volunteers would be required to eat if they decided to take part.

The breakfast would consist of porridge with semi skimmed milk, apple or banana (which ever you prefer) and whole meal bread toast with either jam or butter and a cup of tea/coffee with no sugar except sweetener if anyone adds sugar to their drinks.

I am sorry to say that’s not a healthy breakfast for people with T2 . Carbohydrates turn to glucose in our blood , which our body can no longer handle very well.
Though we are all different in what and how many carbs we can handle, even the time if day we eat them can make a difference in whether or not they will spike our blood glucose levels.

 

[trophywench]

Plus if you're insulin resistant - which is common in T2s - most are most resistant in the morning so it's the worst time of day to pick for shedloads of carbs.

 

[Drummer]

I'm afraid that I burst out laughing at the description of the breakfast - I mean - what?!!
Someone stop this crazy person!!
Oh deary deary me.

 

[silentsquirrel]

Looking back at the summary of the brief provided in the original post, there should not be any eligible T2 volunteers - "must not be .....intolerant to the food provided". That's the whole point we are tryimg to make. T2s ARE intolerant to carbohydrates

 

[Researcher411]

I appreciate all of your comments and raised concerns.
For the past few years there has been a great debate regarding traditional high standard starchy carbohydrate/low fat diets to manage T2D in favour to a low carb/high fat diet. The low carbohydrate diet however, has not been endorsed by the NHS.

In terms of the breakfast composition, apart from having carbohydrates, it does provide fibre which has been know to slow down the absorption of glucose. Nevertheless, the breakfast is based on a 2,000 Kcal diet plan which is suitable for most individuals that we are looking to recruit, i.e. people without diabetes and those with T2D who are NOT ON INSULIN, who are less sensitive to glycaemic changes and not to forget are not actively engaging in a weight-loss diet.

Regarding the study, if you have T2D and are interested but do not wish to consume the breakfast for any valid reason, I would appreciate if you could take part only in the first part of the study by filling in an anonymous questionnaire to which the link has been provided in the original post.

If however, you would like to participate in the second part of this study that involves consuming the breakfast, please be aware you are not obliged to eat all of the food and you can give up from the study at any time.

Lastly and to all kind participants that would like to support my dissertation by taking part in this study, a sincere thank you!

 

[Drummer]

The crazy advice to consume the very foods which are causing the problem has been remarked upon many times in various groups I am part of.
There is the added issue of the advice against using a blood glucose meter to check the effects of meals which comes from Drs and nurses who should know better.
We are waiting for the day when the powers that be admit that they have not done the right thing by many thousands of people who have suffered the consequences of poor advice and mismanagement of what could have been something other than lifechanging.
Failing that, just to tell a newly diagnosed type two, 'its the carbs' would be a blessing.

 

[Sally71]

If you are on insulin you probably could eat all of that if you wanted to, as long as you carb counted it and adjusted your dose to suit. Especially on a pump as you can make the insulin dose drip in slowly to match the slow digestion of porridge (might need a lot of trial and error to get it right though!). Whereas if you are not on insulin you’d have to be a lot more careful and probably shouldn’t be eating so many carbs at once anyway.

And I don’t have diabetes at all but couldn’t possibly eat cereal and toast and fruit all for one breakfast! Just one or the other is enough!

 

[Ljc]

Many of us here follow LCHF low carb high fat , the high fat bit is just normal healthy fats
Some follow Keto or Paleo .

I am on insulin I carb count and dose my insulin accordingly, for the carbs in that breakfast I would need 15+ units of insulin which for me is an awful lot.

We know only too well that many but by no meals all in the nhs promote the healthy eating plate formally known as the eatwell plate for us T2s , which imo is what may have got many of us into this mess in the first place.
A diabetic non insulin user could not handle all those carbs without their blood glucose spiking up into double figures, which will eventually cause serious complications to the vascular system .

 

[everydayupsanddowns]

Regarding the study, if you have T2D and are interested but do not wish to consume the breakfast for any valid reason, I would appreciate if you could take part only in the first part of the study by filling in an anonymous questionnaire to which the link has been provided in the original post.

If however, you would like to participate in the second part of this study that involves consuming the breakfast, please be aware you are not obliged to eat all of the food and you can give up from the study at any time.

Good luck with your research @Researcher411

Different members of the forum use a wide variety of dietary approaches (and varying levels of carbs) to support their blood glucose management. It is interesting to see increasing acceptance of low carbohydrate approaches within the NHS over recent years, as one of a number of options that can help people with diabetes. (eg the recently published study by GP Dr Unwin that was posted a day or so ago).

Many members here have conducted their own n=1 experiments with blood glucose monitors to evaluate their personal responses to different forms and amounts of carbohydrate in order to construct a varied and suitable meal plan that is individually tailored to their metabolism and any medications they use.

I think this goes some way to explain some of the slightly surprised responses you are receiving, because while in theory fibre helps to slow down the absorption of carbohydrate, many members are aware of the highly individual nature of glucose absorption and may have seen that it makes little appreciable difference to them.

Thanks for confirming your flexibility if people would like to take part, but have concerns about how some of the food choices might effect them, and that they can still take part in some or all of your research.

I hope you get lots of responses 🙂

 

[Drummer]

My gut obviously never got the memo about the effects of fibre.