Skip to main content
Top
Published in: Trials 1/2015

Open Access 01-12-2015 | Study protocol

Mulberry extract to modULate Blood glucosE Responses in noRmoglYcaemic adults (MULBERRY): study protocol for a randomised controlled trial

Authors: Mark Lown, Richard Fuller, Helen Lightowler, Ann Fraser, Andrew Gallagher, Beth Stuart, Christopher D. Byrne, George Lewith

Published in: Trials | Issue 1/2015

Login to get access

Abstract

Background

Worldwide sugar consumption has tripled during the last fifty years. High sugar intake is associated with weight gain and increased incidence of diabetes and has been linked with increased cardiovascular mortality. Reducing the health impact of dietary sugar and poor quality carbohydrate intake is a public health priority. IminoNorm®, a proprietary mulberry leaf extract (ME), may reduce blood glucose responses following dietary sugar and carbohydrate intake by reducing absorption of glucose from the gut. Previous research has shown that ME can reduce blood glucose and improve insulin responses in healthy subjects and also in subjects with raised fasting blood glucose levels. Mulberry leaf has an excellent safety profile. This pilot study will test a novel, safe, water soluble product in normoglycaemic adults in the UK to determine if it can reduce glucose absorption without increasing plasma insulin concentration.

Methods/design

The trial will be a double-blind, individually randomised, four-arm single-dose crossover design to test the effect of three doses of ME in order to determine efficacy, dose response relationship and gastrointestinal side effects with respect to placebo. A total of 40 subjects will participate in this study and attend for four visits receiving each of the four interventions in random order.

Discussion

We aim to test the evidence that mulberry leaf extract can reduce blood glucose without a disproportionate increase in blood insulin responses in healthy individuals in a high-quality research study based in the UK. It is hoped that this will lead to further randomised controlled trials and an effective dietary supplement to lower blood glucose concentrations.

Trial registration

ISRCTN: ISRCTN14597438 (21 April 2015)
Literature
1.
go back to reference TeMorenga L, Mallard M, Mann J. Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies. BMJ. 2012;346:e7492. doi:10.1136/bmj.e7492.CrossRef TeMorenga L, Mallard M, Mann J. Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies. BMJ. 2012;346:e7492. doi:10.​1136/​bmj.​e7492.CrossRef
2.
go back to reference National Institute for Health and Care Excellence. NICE Guideline CG43. Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. December 2006. https://www.nice.org.uk/guidance/cg43. Accessed 15 July 2015. National Institute for Health and Care Excellence. NICE Guideline CG43. Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. December 2006. https://​www.​nice.​org.​uk/​guidance/​cg43. Accessed 15 July 2015.
5.
go back to reference InterAct Consortium, Romaguera D, Norat T, Wark PA, Vergnaud AC, Schulze MB, et al. Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct. Diabetologia. 2013;56(7):1520–30. doi:10.1007/s00125-013-2899-8.CrossRef InterAct Consortium, Romaguera D, Norat T, Wark PA, Vergnaud AC, Schulze MB, et al. Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct. Diabetologia. 2013;56(7):1520–30. doi:10.​1007/​s00125-013-2899-8.CrossRef
8.
10.
go back to reference Oku T, Yamada M, Nakamura M, Sadamori N, Nakamura S. Inhibitory effects of extractives from leaves of Morusalba on human and rat small intestinal disaccharidase activity. Br J Nutr. 2006;95(5):933–8.CrossRefPubMed Oku T, Yamada M, Nakamura M, Sadamori N, Nakamura S. Inhibitory effects of extractives from leaves of Morusalba on human and rat small intestinal disaccharidase activity. Br J Nutr. 2006;95(5):933–8.CrossRefPubMed
11.
go back to reference Bensky D, Gamble A. Chinese herbal medicine: materiamedica, revised edition. Seattle: Eastland Press; 1993. Bensky D, Gamble A. Chinese herbal medicine: materiamedica, revised edition. Seattle: Eastland Press; 1993.
12.
go back to reference Srivastava S, Kapoor R, Thathola A, Srivastava RP. Mulberry (Morusalba) leaves as human food: a new dimension of sericulture. Int J Food Sci Nutr. 2003;54(6):411–6.CrossRefPubMed Srivastava S, Kapoor R, Thathola A, Srivastava RP. Mulberry (Morusalba) leaves as human food: a new dimension of sericulture. Int J Food Sci Nutr. 2003;54(6):411–6.CrossRefPubMed
13.
go back to reference Chau CF, Wu SH. The development of regulations of Chinese herbal medicines for both medicinal and food uses. Trends Food Sci Technol. 2006;17:313–23.CrossRef Chau CF, Wu SH. The development of regulations of Chinese herbal medicines for both medicinal and food uses. Trends Food Sci Technol. 2006;17:313–23.CrossRef
14.
go back to reference Kimura T, Nakagawa K, Kubota H, Kojima Y, Goto Y, Yamagishi K, et al. Food-grade mulberry powder enriched with 1-deoxynojirimycin suppresses the elevation of postprandial blood glucose in humans. J Agric Food Chem. 2007;55(14):5869–74.CrossRefPubMed Kimura T, Nakagawa K, Kubota H, Kojima Y, Goto Y, Yamagishi K, et al. Food-grade mulberry powder enriched with 1-deoxynojirimycin suppresses the elevation of postprandial blood glucose in humans. J Agric Food Chem. 2007;55(14):5869–74.CrossRefPubMed
15.
go back to reference Mudra M, Ercan-Fang N, Zhong L, Furne J, Levitt M. Influence of mulberry leaf extract on the blood glucose and breath hydrogen response to ingestion of 75 g sucrose by type 2 diabetic and control subjects. Diabetes Care. 2007;30(5):1272–4.CrossRefPubMed Mudra M, Ercan-Fang N, Zhong L, Furne J, Levitt M. Influence of mulberry leaf extract on the blood glucose and breath hydrogen response to ingestion of 75 g sucrose by type 2 diabetic and control subjects. Diabetes Care. 2007;30(5):1272–4.CrossRefPubMed
16.
go back to reference Monnier L, Mas E, Ginet C, Michael F, Villon L, Cristol JP, et al. Activation of oxidative stress by acute glucose fluctuations compared with sustained chronic hyperglycemia in patients with type 2 diabetes. JAMA. 2006;295(14):1681–7.CrossRefPubMed Monnier L, Mas E, Ginet C, Michael F, Villon L, Cristol JP, et al. Activation of oxidative stress by acute glucose fluctuations compared with sustained chronic hyperglycemia in patients with type 2 diabetes. JAMA. 2006;295(14):1681–7.CrossRefPubMed
17.
go back to reference Kawamori R, Tajima N, Iwamoto Y, Kashiwagi A, Shimamoto K, Kaku K, et al. Voglibose for prevention of type 2 diabetes mellitus: a randomised, double-blind trial in Japanese individuals with impaired glucose tolerance. Lancet. 2009;373(9675):1607–14. doi:10.1016/S0140-6736(09)60222-1.CrossRefPubMed Kawamori R, Tajima N, Iwamoto Y, Kashiwagi A, Shimamoto K, Kaku K, et al. Voglibose for prevention of type 2 diabetes mellitus: a randomised, double-blind trial in Japanese individuals with impaired glucose tolerance. Lancet. 2009;373(9675):1607–14. doi:10.​1016/​S0140-6736(09)60222-1.CrossRefPubMed
20.
go back to reference Andallu B, Suryakantham V, Lakshmi B, Reddy GK. Effect of mulberry (Morusindica L.) therapy on plasma and erythrocyte membrane lipids in patients with type 2 diabetes. Clin Chim Acta. 2001;314(1–2):47–53.CrossRefPubMed Andallu B, Suryakantham V, Lakshmi B, Reddy GK. Effect of mulberry (Morusindica L.) therapy on plasma and erythrocyte membrane lipids in patients with type 2 diabetes. Clin Chim Acta. 2001;314(1–2):47–53.CrossRefPubMed
Metadata
Title
Mulberry extract to modULate Blood glucosE Responses in noRmoglYcaemic adults (MULBERRY): study protocol for a randomised controlled trial
Authors
Mark Lown
Richard Fuller
Helen Lightowler
Ann Fraser
Andrew Gallagher
Beth Stuart
Christopher D. Byrne
George Lewith
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Trials / Issue 1/2015
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-015-0997-2

Other articles of this Issue 1/2015

Trials 1/2015 Go to the issue