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Ingestion of a 15 gram dose of carbohydrate followed by a blood glucose test 15 minutes later is a mnemonic used by the American Diabetes Association and many others. It is considered the “rule of 15” – consuming 15 grams of carbohydrate followed by a 15-minute wait and repeated again if blood glucose remains low.
TORQ have worked extensively with Team Blood Glucose to incorporate the latest Sports Science research (see ‘research’ tab) into a great tasting carbohydrate gel containing precisely 15-grams of fast-acting carbohydrate (Patent App: 1518259.5). The Sports Science research upon which we rely has been fundamental to the development and formulation of our cutting-edge TORQ Fuelling System products, used by athletes and physically active people for many years.
The 15 gram dose of carbohydrate is delivered via a smooth, great tasting gel formulation, packaged in a conveniently transportable tube with an easy-tear top.
Team Blood Glucose (Team BG) are a not-for-profit patient advocacy organisation providing education, support, access and opportunity for all those with, or at risk of, diabetes. Their ambition is to help all be more active and live well with diabetes. For further information on Team BG, click HERE.
Matt from TORQ and Paul from Team BG first started talking back in 2012, because Paul (then recently diagnosed with Type 1 diabetes) was having significant success with TORQ products, using them as fuel source during his regular exercise sessions. Matt had also previously received feedback over the years from other people with Type 1 diabetes praising the TORQ Gel (one of our long-standing performance nutrition products) for its convenience and fast-acting nature.
It soon became apparent that a parallel existed between the needs of an athlete whilst exercising and a person with Type 1 diabetes during a hypoglycaemic episode – they both need the fastest possible delivery of carbohydrate – a formulation that will deliver carbohydrate quicker than any other. Naturally, and as a consequence, the A1c Gel was born from this a joint initiative between TORQ and Team BG.
Unlike the TORQ Gel, the A1c Gel isn’t primarily intended for use during exercise, but for the specific purpose of delivering carbohydrate in the fastest possible manner during a hypoglycaemic episode. That said, there is clear logic surrounding the regular consumption of a smaller 15 gram dose of fast-acting carbohydrate during exercise rather than the hefty 30 gram dose the standard TORQ Gel supplies if you have Type 1 diabetes.
The use of a 2:1 Maltodextrin:Fructose formulation in this product is based on exactly the same research that we have used in the development of our TORQ Gels, which are designed to deliver carbohydrate extremely quickly albeit in an entirely different set of circumstances.
The reason 2:1 Maltodextrin:Fructose works faster than glucose-only preparations is most easily explained by following the two animations below. Maltodextrin is a low-osmolality glucose-derivative (many glucose molecules bonded together in a chain) and although glucose-derivatives do deliver glucose more quickly into the blood than fructose (fruit sugar), the SGLT1 transporter in the lining of the intestine (responsible for glucose absorption) quickly becomes saturated, causing the glucose molecules to queue up for absorption. Play the very short animation below, which shows how the maximum absorption rate of glucose is limited to 60 grams per hour (1 gram per minute):
On the other hand, if fructose is combined with glucose at a 2:1 ratio, notice how utilisation of the GLUT5 transporter trickles fructose into the bloodstream independently of glucose, allowing a total absorption of 90 grams of carbohydrate per hour (1.5 grams per minute). Take a look at the second animation to understand this process:
For people with diabetes, the approach recognised by the American Diabetes Association and many others, to rapidly raise blood glucose levels in order to manage the recovery from hypoglycaemia, is to consume 15g of fast acting carbohydrates, wait 15 minutes, re-test your blood glucose and then repeat if needed. To deliver A1c’s 15g dose of fast-acting carbohydrates, tear off top of gel packaging and consume all the contents of the tube. Take a blood glucose measurement 15 minutes later and repeat with an additional dose if necessary.
Please Note: From a long term health perspective, accomplished ‘blood glucose control’ should be the primary objective of anyone living with diabetes and this involves far more planning and education than simply taking a product like our gel in emergency situations. Please explore the educational pages on this website as they go live in the coming months as we tackle the entire subject of nutrition and diabetes in much greater detail.
What does this product give me that a few jelly babies or a bottle of sugary drink doesn’t? The answer is clear when you look at the detail. The A1c Gel gives you:
1. A faster access to carbohydrate (we can’t think of a quicker way to get 15g of carbohydrate into your stomach, especially if you’re in a position whereby you need assistance to administrate it).
2. A precise 15 gram dose of fast-acting carbohydrate, formulated with reference to a significant and growing body of peer-reviewed published research (see ‘research’ tab).
3. A clean and simple delivery system in a strong compact pack that’s easy to store and transport without the risk of damage or contamination.
4. Amazing flavours and a smooth texture, making the product extremely palatable.
Nutritional Information for all flavours of TORQ a1C gels are supplied under this tab
Ingredients: Maltodextrin (Glucose Polymers 43%), Water, Fructose (21%), Citric Acid, Electrolytes (Sodium Chloride, Potassium Chloride, Calcium Lactate, Magnesium Carbonate), Natural Flavour (0.2%), Preservative (Potassium Sorbate).
|per 23.5g serving||per 100g|
|of which saturates (g)||0||0|
|of which sugars (g)||5||21.3|
Allergy Information: No allergens. No gluten containing ingredients used.
No Preservatives // No Colours // No Artificial Sweeteners // Natural Flavouring // Wheat-Free // Dairy-Free // Suitable for Vegans
If you would like to discuss your diabetes, or would like any further information, please don’t hesitate in contacting us on email@example.com or by telephone on 0344 332 0852.
The following extensive references support the use of multiple-transportable carbohydrates and forms the basis upon which all of TORQ’s fuelling products are formulated. The technology we use to enhance the performance of athletes Worldwide is now being used to help people with diabetes:
- Stellingwerff, T & Cox, GR. (2014)
Systematic review: Carbohydrate supplementation on exercise performance or capacity of varying durations. Appl Physiol Nutr Metab. 2014 Sep;39(9):998-1011.
- Wilson. PB., Ingraham, SJ. (2015)
Glucose-fructose likely improves gastrointestinal comfort and endurance running performance relative to glucose-only. Scand J Med Sci Sports. [Epub ahead of print].
- Currell, K & Jeukendrup, A.E. (2008)
Superior endurance performance with ingestion of multiple transportable carbohydrates. Med Sci Sports Exerc. 40(2):275–81.
- Triplett, D., Doyle, D., Rupp, J., Benardot, D. (2010)
An isocaloric glucose-fructose beverage’s effect on simulated 100-km cycling performance compared with a glucose-only beverage. Int J Sport Nutr Exerc Metab. 20(2):122–31
- Tarpey, M.D., Roberts, J.D., Kass, L.S., Tarpey, R.J., Roberts, M.G. (2013)
The ingestion of protein with a maltodextrin and fructose beverage on substrate utilisation and exercise performance. Appl Physiol Nutr Metab. 38(12):1245–53.
- Rowlands, D.S., Swift, M., Ros, M., Green, J.G. (2012)
Composite versus single transportable carbohydrate solution enhances race and laboratory cycling performance. Appl Physiol Nutr Metab. 37(3):425–36.
- Baur, D.A., Schroer, A.B., Luden, N.D., Womack, C.J., Smyth, S.A., Saunders, M.J. (2014)
Glucose-fructose enhances performance versus isocaloric, but not moderate, glucose. Med Sci Sports Exerc. 46(9):1778–86.
- Rowlands, D.S., Thorburn, M.S., Thorp, R.M., Broadbent, S.M., Shi, X. (2008)
Effect of graded fructose co-ingestion with maltodextrin on exogenous 14C-fructose and 13C-glucose oxidation efficiency and high-intensity cycling performance. J Appl Physiol. 104:1709–19.
- O’Brien, W.J & Rowlands, D.S. (2011)
Fructose-maltodextrin ratio in a carbohydrate-electrolyte solution differentially affects exogenous carbohydrate oxidation rate, gut comfort, and performance. Am J Physiol Gastrointest Liver Physiol. 300(1):G181–9.
- O’Brien, W.J., Stannard, S.R., Clarke, J.A., Rowlands, D.S. (2013)
Fructose–maltodextrin ratio governs exogenous and other CHO oxidation and performance. Med Sci Sports Exerc. 45(9):1814–24.
- Rowlands, D.S., Swift, M., Ros, M., Green, J.G. (2012)
Composite versus single transportable carbohydrate solution enhances race and laboratory cycling performance. Applied Physiology, Nutrition, and Metabolism. 37(3): 425-436.
- Smith, J.W., Pascoe, D.D., Passe, D., Ruby, B.C., Stewart, L.K., Baker, L.B., et al. (2013)
Curvilinear dose-response relationship of carbohydrate (0–120 g·h−1) and performance. Med Sci Sports Exerc. 45(2):336–41.
- Roberts, J.D., Tarpey, M.D., Kass, L.S., Tarpey, R.J., Roberts, M.G. (2014)
Assessing a commercially available sports drink on exogenous carbohydrate oxidation, fluid delivery and sustained exercise performance. J Int Soc Sports Nutr. 11(1):1–14.
- Jentjens, R.L., Underwood, K., Achten, J., Currell, K., Mann, C.H., Jeukendrup, A.E. (2006)
Exogenous carbohydrate oxidation rates are elevated after combined ingestion of glucose and fructose during exercise in the heat. J Appl Physiol. 100(3):807–16.
- Jeukendrup, A.E & Moseley, L. (2010)
Multiple transportable carbohydrates enhance gastric emptying and fluid delivery. Scand J Med Sci Sports. 20(1):112–21.
- Davis, J.M., Burgess, W.A., Slentz, C.A., Bartoli, W.P. (1990)
Fluid availability of sports drinks differing in carbohydrate type and concentration. Am J Clin Nutr. 51(6):1054–7.
- Jentjens, R.L., Venables, M.C., Jeukendrup, A.E. (2004)
Oxidation of exogenous glucose, sucrose, and maltose during prolonged cycling exercise. J Appl Physiol. 96(4):1285–91.
- Jentjens, R.L., Achten, J., Jeukendrup, A.E. (2004)
High oxidation rates from combined carbohydrates ingested during exercise. Med Sci Sports Exerc. 36(9):1551–8.
- Wallis, G.A., Rowlands, D.S., Shaw, C., Jentjens, R.L., Jeukendrup, A.E. (2005)
Oxidation of combined ingestion of maltodextrins and fructose during exercise. Med Sci Sports Exerc. 37(3):426–32.
- Jentjens, R.L., Moseley, L., Waring, R.H., Harding, L.K., Jeukendrup, A.E. (2004)
Oxidation of combined ingestion of glucose and fructose during exercise. J Appl Physiol. 96(4):1277–84.
- Jentjens, R.L & Jeukendrup, A.E. (2005)
High rates of exogenous carbohydrate oxidation from a mixture of glucose and fructose ingested during prolonged cycling exercise. Brit J Nutr. 93:485–92.
- Fuchs, C.J., Gonzalez, J.T., Beelen, M., Cermak, N.M., Smith, F.E., Thelwall, P.E., Taylor, R., Trenell, M.I., Stevenson, E.J., van Loon, L.J. (2016)
Sucrose ingestion after exhaustive exercise accelerates liver, but not muscle glycogen repletion compared with glucose ingestion in trained athletes. J Appl Physi. [Epub ahead of print].
For reviews see…
Jeukendrup, A.E. (2010) Carbohydrate and exercise performance: the role of multiple transportable carbohydrates. Curr Opin Clin Nutr Metab Care. Jul;13(4):452-7.
Rowlands, D.S., Houltham, S., Musa-Veloso, K., Brown, F., Paulionis, L., Bailey, D. (2015) Fructose-Glucose Composite Carbohydrates and Endurance Performance: Critical Review and Future Perspectives. Sports Med. Nov;45(11):1561-76.