Many patients with Parkinson's Disease (PD) report an increased consumption of fast-acting sugars. This tendency to consume sweet, high-sugar foods occurs in some patients even before the onset of cardinal motor symptoms. Some recent studies have demonstrated that PD patients have an increased consumption of fast-acting carbohydrates compared to healthy controls. However, the reason for this change in eating behavior has not yet been adequately explained. It is discussed that the increased sugar intake leads to an increased dopamine release in the brain via an increase in insulin and thus to an improvement in clinical symptoms. This study investigates the influence of fast-acting carbohydrates on insulin and glucose blood levels as well as motor and non-motor symptoms in patients with PD using an oral glucose tolerance test and a placebo oral glucose tolerance test in a crossover design.
Study Type
OBSERVATIONAL
Enrollment
50
Application of 82,5 g of glucose monohydrate solved in 300ml water
Application of 125mg sucralose solved in 300ml water
Department for Neurology, University of Kiel
Kiel, Germany
RECRUITINGConcentration of Insulin in µU/mL
Blood value
Time frame: immediately before Application of oral glucose tolerance test and placebo as well as 30, 60, 90 and 120 minutes after application
Motor function
assessed by Unified Parkinson's Disease Rating Scale Part III, 0-132 points, higher points indicate worse motor function
Time frame: immediately before Application of oral glucose tolerance test and placebo as well as 30, 60 and 120 minutes after application
Concentration of Blood Glucose in mg/dL
Blood value
Time frame: immediately before Application of oral glucose tolerance test and placebo as well as 30, 60, 90 and 120 minutes after application
Cognitive function
assessed by Montreal-Cognitive-Assessment-Test (MoCa), 0-30 points, higher points indicate better cognitive function
Time frame: immediately before Application of oral glucose tolerance test and placebo as well as 60 minutes after application
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