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Postprandial GlycemiaNCT06107231

WHNRC (Western Human Nutrition Research Center) Honey Study

A study testing Honey, Sucrose and Honey plus almonds in people with Postprandial Glycemia and Metabolic Stress, run by USDA, Western Human Nutrition Research Center at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this research is to compare two snacks, one with honey and nuts and the other with sugar and nuts, on glucose levels before and after eating these snacks. The investigators hypothesize that honey and nuts will have an additive effect on the reduction of postprandial glucose response. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
What is being tested?
Honey, Sucrose and Honey plus almonds
Could I receive a placebo?
No, everyone receives an active treatment
How many people
58 participants
Where
1 siteUnited States
Study dates
16 Jan 2024to 30 Oct 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Women must be pre-menopausal
  • Willing to consume snacks that contain honey, table sugar, and tree nuts

Who cannot join

  • Body Mass Index (BMI) <18.5 or >40
  • Allergies to tree nuts
  • Current medical diagnoses of chronic diseases including cardiovascular or pulmonary diseases, renal diseases, cancer, type 1 or type 2 diabetes, thyroid disease requiring medication, inflammatory or irritable bowel diseases, or those with recent major surgeries
  • No individuals who fall in to the vulnerable categories of adults including those unable to consent, pregnant women, children, or prisoners will be eligible for this study
  • Routinely taking medications known to affect glucose response.
  • Caffeine and alcohol use will not be excluded, but should be carefully reported by each subject.
Show all 9Show fewer
  • Regarding female candidates:
  • Post-menopausal
  • Women who have been pregnant or nursing within the last 6 months or plan to become pregnant during the trial will be ineligible

Trial locations and contacts

1 site in 1 country.

United States1 site
  • USDA, ARS, Western Human Nutrition Research Center

    Davis, California, 95616

Other trials in United States

About this study

The purpose of this research is to compare two snacks, one with honey and nuts and the other with sugar and nuts, on glucose levels before and after eating these snacks.

The investigators hypothesize that honey and nuts will have an additive effect on the reduction of postprandial glucose response. The investigators further hypothesize that consumption of honey paired with nuts will retain the benefit of sugar consumption in satiety and reduction of metabolic stress.

Read the detailed description

Consuming sugar creates a feeling of satiation, and may buffer metabolic stress. However, prolonged postprandial hyperglycemia has been identified as a potential risk factor in type 2 diabetes and cardiovascular disease. Nuts, which are recommended to be consumed as part of a Mediterranean diet, up to 2 servings per day, have been shown to dramatically reduce postprandial glucose response to carbohydrates. Additionally, honey, which is typically used as an added sugar within a Mediterranean diet pattern, has a lower glycemic index than table sugar and may result in a reduced postprandial glucose response relative to other nutritive sweeteners. However, it is not yet known whether honey can work additively with nuts to further reduce postprandial glucose response over the reduction caused by nuts alone.

Honey has been shown to produce equivalent or greater satiety to regular table sugar and there is some indication that honey can improve immediate/working memory. Therefore, combined consumption of honey and nuts may offer a way to maximize the benefits of carbohydrate consumption on satiety and metabolic stress reduction while minimizing its negative effects on metabolism. However, it is not yet known whether sugars contained in the more complex food matrix of honey, consumed together with a food like nuts can impact satiety and metabolic stress in the way that has been observed for sugar.

Being tested
Honey, Sucrose, Honey plus almonds, Sucrose plus almonds
Keywords
Satiety, Cognition, Cortisol, Glucose, Honey, Nuts, Saliva, Stool, Almonds, Sucrose
Medical subject headings
Personal Satisfaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HoneyOther

    Honey representing 7% of total energy (kilocalorie) needs (40-70 grams)

  • SucroseOther

    Sucrose representing 7% of total energy (kilocalorie) needs (40-70 grams)

  • Honey plus almondsOther

    Honey representing 7% of total energy (kilocalorie) needs (40-70 grams) plus 1 ounce almonds (28 grams)

  • Sucrose plus almondsOther

    Sucrose representing 7% of total energy (kilocalorie) needs (40-70 grams) plus 1 ounce almonds (28 grams)

Study groups in NCT06107231
Study groupRoleWhat they receive
Honey alone and honey with almonds, then sucrose alone and sucrose with almondsExperimentalParticipants will be provided honey alone once each day for 3 days, then honey plus almonds for an additional 3 days while wearing a continuous glucose monitor. After a 14 day wash-out, participants will be provided sucrose alone once each day for 3 days, then sucrose plus almonds for an additional 3 days while wearing a continuous glucose monitor.
Receives: Other: Honey; Other: Sucrose; Other: Honey plus almonds; Other: Sucrose plus almonds
Sucrose alone and sucrose with almonds, then honey alone and honey with almondsExperimentalParticipants will be provided sucrose alone once each day for 3 days, then sucrose plus almonds for an additional 3 days while wearing a continuous glucose monitor. After a 14 day wash-out, participants will be provided honey alone once each day for 3 days, then honey plus almonds for an additional 3 days while wearing a continuous glucose monitor.
Receives: Other: Honey; Other: Sucrose; Other: Honey plus almonds; Other: Sucrose plus almonds

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in postprandial glucose response

    Interstitial glucose response measured by a continuous glucose monitor

    Measured: Measured continuously over days 0-8 and 23-31

Secondary outcomes (15)
  1. Change in Self-reported hunger

    Responses regarding hunger will be collected using a visual analog scale on a tablet with a 0-100 scale depicting the extremes (0= not at all to 100= extremely)

    Measured: Fasting and 30, 60, and 90 min after consumption of standard breakfast on days 4, 8, 27, and 31

  2. Change in Self-reported fullness

    Responses regarding fullness will be collected using a visual analog scale on a tablet with a 0-100 scale depicting the extremes (0= not at all to 100= extremely)

    Measured: Fasting and 30, 60, and 90 min after consumption of standard breakfast on days 4, 8, 27, and 31

  3. Change in Self-reported desire to eat

    Responses regarding desire to eat will be collected using a visual analog scale on a tablet with a 0-100 scale depicting the extremes (0= not at all to 100= extremely)

    Measured: Fasting and 30, 60, and 90 min after consumption of standard breakfast on days 4, 8, 27, and 31

  4. Change in Self-reported satisfaction with snack

    Responses regarding satisfaction with snack will be collected using a visual analog scale on a tablet with a 0-100 scale depicting the extremes (0= not at all to 100= extremely)

    Measured: Fasting and 30, 60, and 90 min after consumption of standard breakfast on days 4, 8, 27, and 31

  5. Change in Self-reported prospective consumption

    Responses regarding prospective consumption will be collected using a visual analog scale on a tablet with a 0-100 scale depicting the extremes (0= not at all to 100= extremely)

    Measured: Fasting and 30, 60, and 90 min after consumption of standard breakfast on days 4, 8, 27, and 31

  6. Change in Self-reported nausea

    Responses regarding nausea will be collected using a visual analog scale on a tablet with a 0-100 scale depicting the extremes (0= not at all to 100= extremely)

    Measured: Fasting and 30, 60, and 90 min after consumption of standard breakfast on days 4, 8, 27, and 31

  7. Change in Cognitive testing for Spatial Working Memory

    Cambridge Neuropsychological Test Automated battery (CANTAB) software will be used to assess Spatial Working Memory (SWM)

    Measured: Days 4, 8, 27, and 31

  8. Change in Cognitive testing for Paired Associates Learning

    CANTAB software will be used to assess Paired Associates Learning (PAL)

    Measured: Days 4, 8, 27, and 31

  9. Change in Cognitive testing for Rapid Visual Processing

    CANTAB software will be used to assess Rapid Visual Processing (RVP)

    Measured: Days 4, 8, 27, and 31

  10. Change in Salivary cortisol

    Metabolic stress will be analyzed by measuring cortisol in saliva samples

    Measured: Day 0 and 23 fasting only. Days 4, 8, 27, and 31 at fasting, 30, 60 and 90 min after consumption of snack provided in standard breakfast

  11. Assessment of Fasted Salivary Estradiol

    Passive drool will be assayed for estradiol as they impact metabolic stress throughout study days

    Measured: Days 0, 4, 8, 23, 27,and 31 at fasting only

  12. Assessment of Fasted Salivary Progesterone

    Passive drool will be assayed for progesterone as they impact metabolic stress throughout study days

    Measured: Days 0, 4, 8, 23, 27,and 31 at fasting only

  13. Change in Stool marker of inflammation

    Fecal calprotectin measured in stool samples

    Measured: Stool collected on study days 0, 4, 8, 23, 27, and 31

  14. Change in Stool bacterial metagenomics

    Honey responsive genes identified by metagenomics

    Measured: Stool collected on study days 0, 4, 8, 23, 27, and 31

  15. Change in Dietary Intake

    Food records collected using Automated Multi-pass Method (AMPM) on the platform ASA24

    Measured: Days 1-3, 5-7, 24-26, and 28-30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2023
  2. Study start16 Jan 2024
  3. Primary completion31 Oct 2025
  4. Study completion30 Oct 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06107231
Sponsor's protocol ID
FL118
Status last verified
May 2026
First submitted
24 Oct 2023
Last updated
29 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Anderson GH, Woodend D. Consumption of sugars and the regulation of short-term satiety and food intake. Am J Clin Nutr. 2003 Oct;78(4):843S-849S. doi: 10.1093/ajcn/78.4.843S.

    PubMed 14522748
  • Tryon MS, Stanhope KL, Epel ES, Mason AE, Brown R, Medici V, Havel PJ, Laugero KD. Excessive Sugar Consumption May Be a Difficult Habit to Break: A View From the Brain and Body. J Clin Endocrinol Metab. 2015 Jun;100(6):2239-47. doi: 10.1210/jc.2014-4353. Epub 2015 Apr 16.

    PubMed 25879513
  • Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN, Djousse L, Elkind MSV, Ferguson JF, Fornage M, Khan SS, Kissela BM, Knutson KL, Kwan TW, Lackland DT, Lewis TT, Lichtman JH, Longenecker CT, Loop MS, Lutsey PL, Martin SS, Matsushita K, Moran AE, Mussolino ME, Perak AM, Rosamond WD, Roth GA, Sampson UKA, Satou GM, Schroeder EB, Shah SH, Shay CM, Spartano NL, Stokes A, Tirschwell DL, VanWagner LB, Tsao CW; American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020 Mar 3;141(9):e139-e596. doi: 10.1161/CIR.0000000000000757. Epub 2020 Jan 29.

    PubMed 31992061
  • Gallwitz B. Implications of postprandial glucose and weight control in people with type 2 diabetes: understanding and implementing the International Diabetes Federation guidelines. Diabetes Care. 2009 Nov;32 Suppl 2(Suppl 2):S322-5. doi: 10.2337/dc09-S331. No abstract available.

    PubMed 19875573
  • Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, Medina FX, Battino M, Belahsen R, Miranda G, Serra-Majem L; Mediterranean Diet Foundation Expert Group. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011 Dec;14(12A):2274-84. doi: 10.1017/S1368980011002515.

    PubMed 22166184
  • Josse AR, Kendall CW, Augustin LS, Ellis PR, Jenkins DJ. Almonds and postprandial glycemia--a dose-response study. Metabolism. 2007 Mar;56(3):400-4. doi: 10.1016/j.metabol.2006.10.024.

    PubMed 17292730
  • Larson-Meyer DE, Willis KS, Willis LM, Austin KJ, Hart AM, Breton AB, Alexander BM. Effect of honey versus sucrose on appetite, appetite-regulating hormones, and postmeal thermogenesis. J Am Coll Nutr. 2010 Oct;29(5):482-93. doi: 10.1080/07315724.2010.10719885.

    PubMed 21504975
  • Gourdomichali T, Papakonstantinou E. Short-term effects of six Greek honey varieties on glycemic response: a randomized clinical trial in healthy subjects. Eur J Clin Nutr. 2018 Dec;72(12):1709-1716. doi: 10.1038/s41430-018-0160-8. Epub 2018 Apr 24.

    PubMed 29686412
  • Othman Z, Shafin N, Zakaria R, Hussain NH, Mohammad WM. Improvement in immediate memory after 16 weeks of tualang honey (Agro Mas) supplement in healthy postmenopausal women. Menopause. 2011 Nov;18(11):1219-24. doi: 10.1097/gme.0b013e31821e2044.

    PubMed 21926932
  • Gonzalez-Rodriguez M, Pazos-Couselo M, Garcia-Lopez JM, Rodriguez-Segade S, Rodriguez-Garcia J, Tunez-Bastida C, Gude F. Postprandial glycemic response in a non-diabetic adult population: the effect of nutrients is different between men and women. Nutr Metab (Lond). 2019 Jul 17;16:46. doi: 10.1186/s12986-019-0368-1. eCollection 2019.

    PubMed 31346341
  • Carroll JF, Kaiser KA, Franks SF, Deere C, Caffrey JL. Influence of BMI and gender on postprandial hormone responses. Obesity (Silver Spring). 2007 Dec;15(12):2974-83. doi: 10.1038/oby.2007.355.

    PubMed 18198306

Questions about this trial

What is this clinical trial studying?

A study testing Honey, Sucrose and Honey plus almonds in people with Postprandial Glycemia and Metabolic Stress, run by USDA, Western Human Nutrition Research Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 29 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in postprandial glucose response (time frame: Measured continuously over days 0-8 and 23-31). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06107231, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 May 2026.

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