Daily consumption of caffeine in coffee,
tea or soft drinks increases blood sugar levels for people
with type 2 diabetes, research suggests.
Caffeine pills equivalent to four cups
of coffee a day increased blood sugar levels by 8% over
the day, US researchers report in Diabetes Care.
Cutting caffeine out of the diet may
help diabetics control their blood sugar levels, the team
said.
But UK experts said more research was
needed before advice could be given.
The ten people who took part in the study
were monitored with a tiny glucose monitor embedded under
the skin.
The device meant that the researchers
could track the effects of caffeine over 72-hours as the
patients with type 2 diabetes went about their normal
lives.
Previous studies had shown that caffeine
increases the body's resistance to insulin, the hormone
responsible for managing the response to glucose levels
in the blood.
But in healthy people this is not really
a problem, said study leader Dr James Lane from Duke University
Medical School.
In the diabetic patients, who took caffeine
pills on one day and a placebo the next, caffeine caused
blood sugar levels to rise.
The effect was particularly strong after
meals with a rise of 9% after breakfast, 15% after lunch
and 26% after dinner.
Quitting
Dr Lane is planning to do another trial
in larger number of patients to see if cutting caffeine
from the diet can help patients control their blood sugar
levels.
He said there are two possible ways that
caffeine produces the effect.
It could be that caffeine interferes
with the process that moves glucose from the blood and
into muscle and other cells in the body.
Caffeine could also trigger the release
of adrenaline which can also boost sugar levels.
"My advice would be, if patients are
having trouble controlling their blood glucose and they
are coffee drinkers, particularly heavy coffee drinkers,
they might want to give it a try to see if it makes a
difference to them."
He said he suspects in some people it
would make a very big difference whereas others may not
be so sensitive to it.
Cathy Moulton, care advisor at Diabetes
UK, said: "Although this is interesting research, the
study only examines a sample of 10 people for a 72-hour
period, which proves very little.
"More research is needed before we ask
people with diabetes to stop drinking coffee.
"The best way to control glucose levels
is through healthy eating and exercise."