PMID- 35631171 OWN - NLM STAT- MEDLINE DCOM- 20220531 LR - 20220716 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 14 IP - 10 DP - 2022 May 12 TI - Metabolic Effects of an Oral Glucose Tolerance Test Compared to the Mixed Meal Tolerance Tests: A Narrative Review. LID - 10.3390/nu14102032 [doi] LID - 2032 AB - The oral glucose tolerance test (OGTT) is recommended for assessing abnormalities in glucose homeostasis. Recognised as the gold standard test for diagnosing diabetes, the OGTT provides useful information about glucose tolerance. However, it does not replicate the process of absorption and digestion of complex foods, such as that which occurs with a mixed meal tolerance test (MMTT), an alternative that is still not well explored in the diagnosis of metabolic alterations. The MMTT could be an asset in detecting glucose homeostasis disorders, including diabetes since it has more similarities to the common dietary pattern, allowing early detection of subtle changes in metabolic homeostasis in response to combined nutrients. This alternative has the advantage of being more tolerable and pleasant to patients since it induces a more gradual increase in blood glucose, thus reducing the risk of rebound hypoglycemia and other related complications. The present article reviewed the clinical data available regarding the possibility of screening or diagnosing altered glucose homeostasis, including type 2 diabetes mellitus, with the MMTT. FAU - Lages, Marlene AU - Lages M AD - ciTechCare-Center for Innovative Care and Health Technology, Polytechnic of Leiria, 2410-541 Leiria, Portugal. AD - Faculty of Nutrition and Food Science, University of Porto, 4150-180 Porto, Portugal. AD - EPIUnit-Instituto de Saude Publica, Universidade do Porto, 4200-450 Porto, Portugal. FAU - Barros, Renata AU - Barros R AUID- ORCID: 0000-0002-3043-1720 AD - Faculty of Nutrition and Food Science, University of Porto, 4150-180 Porto, Portugal. AD - EPIUnit-Instituto de Saude Publica, Universidade do Porto, 4200-450 Porto, Portugal. FAU - Moreira, Pedro AU - Moreira P AUID- ORCID: 0000-0002-7035-7799 AD - Faculty of Nutrition and Food Science, University of Porto, 4150-180 Porto, Portugal. AD - EPIUnit-Instituto de Saude Publica, Universidade do Porto, 4200-450 Porto, Portugal. AD - Laboratorio Para a Investigacao Integrativa e Translacional em Saude Populacional (ITR), Portugal Centre in Physical Activity, Health and Leisure, University of Porto, 4200-450 Porto, Portugal. FAU - Guarino, Maria P AU - Guarino MP AUID- ORCID: 0000-0001-6079-1105 AD - Faculty of Nutrition and Food Science, University of Porto, 4150-180 Porto, Portugal. AD - School of Health Sciences, Polytechnic of Leiria, 2411-901 Leiria, Portugal. LA - eng GR - UI/05704/2020/Fundacao para a Ciencia e Tecnologia/ GR - 2021.07673.BD/Fundacao para a Ciencia e Tecnologia/ PT - Journal Article PT - Review DEP - 20220512 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Blood Glucose) SB - IM MH - Blood Glucose/metabolism MH - *Diabetes Mellitus, Type 2/diagnosis MH - Glucose Tolerance Test MH - Humans MH - *Hypoglycemia MH - Meals PMC - PMC9147413 OTO - NOTNLM OT - diabetes OT - diagnosis OT - fasting plasma glucose OT - impaired fasting glycemia OT - impaired glucose tolerance OT - insulin resistance COIS- The authors declare no conflict of interest. EDAT- 2022/05/29 06:00 MHDA- 2022/06/01 06:00 PMCR- 2022/05/12 CRDT- 2022/05/28 01:37 PHST- 2022/04/04 00:00 [received] PHST- 2022/05/04 00:00 [revised] PHST- 2022/05/08 00:00 [accepted] PHST- 2022/05/28 01:37 [entrez] PHST- 2022/05/29 06:00 [pubmed] PHST- 2022/06/01 06:00 [medline] PHST- 2022/05/12 00:00 [pmc-release] AID - nu14102032 [pii] AID - nutrients-14-02032 [pii] AID - 10.3390/nu14102032 [doi] PST - epublish SO - Nutrients. 2022 May 12;14(10):2032. doi: 10.3390/nu14102032.