Effects of non-nutritive sweeteners on glucose control in older adults with prediabetes

Non-Nutritive Sweetener Consumption (Aspartame and Sucralose) and Glucose Homeostasis in Older Adults With Prediabetes

Not applicable Interventional Virginia Polytechnic Institute and State University · NCT05337098

This study is testing whether using the sweetener sucralose can help older adults with prediabetes manage their blood sugar levels better than a regular diet without sweeteners.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment30 (estimated)
Ages40 Years and up
SexAll
SponsorVirginia Polytechnic Institute and State University Academic / other
Locations1 site (Blacksburg, Virginia)
Trial IDNCT05337098 on ClinicalTrials.gov

What this trial studies

This study investigates how the consumption of non-nutritive sweeteners, specifically sucralose, affects glucose homeostasis in middle-aged and older adults with prediabetes. Participants will follow an 8-week diet that includes either sucralose or a eucaloric diet without non-nutritive sweeteners. The study aims to establish proof-of-concept for the impact of these sweeteners on glucose levels and related inflammatory markers. By comparing the effects of sucralose to aspartame and a control diet, the research seeks to clarify the role of non-nutritive sweeteners in glycemic control.

Who should consider this trial

Good fit: Ideal candidates are adults aged 40 and older who are prediabetic and have a stable weight.

Not a fit: Patients with diabetes or those on diabetes medication will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide insights into dietary recommendations for managing glucose levels in older adults with prediabetes.

How similar studies have performed: While some studies have explored the effects of non-nutritive sweeteners, this specific investigation into sucralose's impact on glucose homeostasis in older adults with prediabetes is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 40+ years
* Prediabetic (fasting glucose concentration of 100-125 mg/dL, 2-hour oral glucose tolerance test glucose concentration of 140-199 mg/dL, or a HbA1c value of 5.7% to 6.4%)
* Weight stable for previous 6 months (±2 kg)
* BMI \<40 kg/m2
* Sedentary to recreationally active
* No plans to gain/lose weight or change physical activity level
* Willing to pick up food daily and consume foods provided for an 8-week period
* Verbal and written informed consent
* Approval by Medical Director
* Consume less than one serving of non-nutritive sweetener per week

Exclusion Criteria:

* BMI \>40 kg/m2
* Diabetes or diabetes medication
* Antibiotic, prebiotic or prebiotic use in prior 3 months
* Uncontrolled hypertension (blood pressure (BP) \> 159/99 mmHg)
* Diagnosed inflammatory bowel disease
* Past or current heart diseases, stroke, respiratory disease, endocrine or metabolic disease, or hematological-oncological disease
* Vegetarian or vegan
* Pregnant or plans to become pregnant
* Breastfeeding
* Food allergies or aversions, Phenylketonuria (PKU)
* Estrogen or testosterone usage

Where this trial is running

Blacksburg, Virginia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Continuous Glucose MonitoringOral Glucose ToleranceInsulin SensitivityInflammatory Markers
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.