Type 2 & other diabetes

Association between tea consumption and glucose metabolism and insulin secretion in the Shanghai High-risk Diabetic Screen (SHiDS) study

BMJ Open Diabetes Res CarePublished Cross-sectional study

Authors' conclusion

Tea intake is associated with an increased risk of glucose intolerance in a large high-risk diabetic Chinese population. Habitual tea consumption subjects might have lower pancreatic β-cell function.

Study context

Population
Chinese subjects at high risk of diabetes, Shanghai High-risk Diabetic Screen project, enrolled 2014–2019; 75 g oral glucose tolerance test (OGTT) with five-point glucose and insulin
Participants
2,337 subjects
Exposure
Tea consumption vs no tea consumption
Outcome
Impaired glucose regulation (worsening glucose tolerance), insulin secretion and sensitivity

Main finding

As reported in the abstract

Worsening glucose tolerance
Tea consumption associated with worsening glucose tolerance, OR
1.21 (1.01-1.44); p=0.034 (95% CI)
Tea consumption positively associated with plasma glucose levels during OGTT after adjusting for confounder
Ps <0.05
Strong tea consumption or long-term tea intake (>10 years): increased risk of glucose intolerance
all p<0.05

Observational data: associations, not effects.

Further findings

Insulin secretion indexes decreased in tea consumption group
7.0%-13.0%
Tea consumption and lower HOMA-β, OR (95% CI), fully adjusted
0.81 (0.68-0.97); p=0.021
Tea consumption and lower Stumvoll first-phase index, OR (95% CI), fully adjusted
0.81 (0.68-0.97); p=0.020
Green tea consumption and HOMA-β, OR
0.77 (0.62-0.96); p=0.019 (95% CI)
  • Fully adjusted model

Original publication

Association between tea consumption and glucose metabolism and insulin secretion in the Shanghai High-risk Diabetic Screen (SHiDS) study. BMJ Open Diabetes Res Care. Published 17 March 2023. doi:10.1136/bmjdrc-2022-003266

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