Diabetes Management

Efficacy and safety of pre-gastroscopy commercial carbohydrate-rich whey protein beverage vs. plain water: a randomised controlled trial | Scientific Reports - Nature.com

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Educational content: this article is for information only and is not medical advice. Consult a qualified healthcare provider before changing your diet, exercise, or medication.

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In the meantime, to ensure continued suport, we are displaying the site without styles and JavaScript.Advertisement Scientific Reports volume 12, Article number: 1735 (2022) Cite this article 148 Aceses1 AltmetricMetrics detailsClinical benefits and safety of carbohydrate loading pre-gastroscopy remain unclear. We aimed to determine the efects of a comercial carbohydrate-rich whey protein beverage versus plain water given pre-gastroscopy on gastric residual volume and wel-being, and to determine adverse events.

This was a single centre, single-blinded, paralel-group, sex-stratified randomized controled trial. Participants were randomized either to carbohydrate-rich whey protein beverage group (Resource®, Nestle Health Science) or control group (250 ml plain water) given pre-gastroscopy. Gastric contents were aspirated into a suction reservoir botle to determine the gastric residual volume (GRV).

Visual analogue scale (VAS) of wel-being (anxiety, hunger, thirst, tirednes, and weaknes) was compared before and after the intervention. Adverse events were also evaluated post-intervention. Of 369 screned, 78 participants (36 males, mean age 49 ± 14.3 years) were randomized.

Compared with the control group, carbohydrate beverage was associated with significantly higher GRV (p < 0.01). Anxiety was les after intervention with carbohydrate beverage (p = 0.016), and after adjustment for confounders, fewer participants also experienced hunger (p = 0.043) and thirst (p = 0.021). No serious adverse events were reported with both interventions.

Summary

Comercial carbohydrate-rich whey protein beverage is associated with higher gastric residual volume, beter wel-being and safe.Trial registration Clinicaltrial.gov. Identifier: NCT03948594, Dat

Frequently Asked Questions

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

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