PMID- 23179201 OWN - NLM STAT- MEDLINE DCOM- 20140424 LR - 20211021 IS - 1436-6215 (Electronic) IS - 1436-6207 (Linking) VI - 52 IP - 6 DP - 2013 Sep TI - Postprandial glucose, insulin and gastrointestinal hormones in healthy and diabetic subjects fed a fructose-free and resistant starch type IV-enriched enteral formula. PG - 1569-78 LID - 10.1007/s00394-012-0462-x [doi] AB - BACKGROUND: Reducing the dietary glycaemic response has been proposed as a means of reducing the risk of diabetes. AIM: To evaluate the effects of a new diabetes-specific formula (DSF) enriched with resistant starch type IV and fructose-free on postprandial glycaemia, insulinaemia and gastrointestinal hormones in healthy volunteers and in outpatient type 2 diabetics. METHODS: (1) Twenty-four healthy volunteers were divided into two groups: Group 1 ( n = 10) was provided 50 g of the carbohydrate (CHO) constituent of the new product and 50 g of glucose separated by 1 week; Group 2 ( n = 14) was provided 400 ml of the new DSF (T-Diet Plus((R)) Diabet NP) and 400 ml of a control product separated by 1 week. (2) Ten type 2 diabetic patients received 400 ml of the new DSF and two other commercially available DSF (Glucerna((R)) SR and Novasource((R)) Diabet) on three occasions separated by 1 week. Venous blood samples were drawn at time 0 and at different times until 120 min. Glucose, insulin and gastrointestinal hormones were determined. Glycaemic and insulinaemic indices and glycaemic load were calculated. RESULTS: The CHO constituent and the new DSF showed low glycaemic index and glycaemic load. In healthy subjects, insulin and C-peptide release were lower after administration of the CHO constituent as well as after the new DSF (P < 0.001). Ghrelin, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP) production were lower after intake of the CHO constituent (P ranging from <0.001 to 0.019) compared with glucose, and GIP was lower after ingestion of the new DSF (P = 0.002) than after the control product. In type 2 diabetic patients, glucose AUC was lower after the administration of the new DSF (P = 0.037) compared with the others. CONCLUSIONS: Our results indicate that this new product could be beneficial for diabetic patients. FAU - Garcia-Rodriguez, Cruz Erika AU - Garcia-Rodriguez CE AD - Department of Biochemistry and Molecular Biology II, Institute of Nutrition and Food Technology "Jose Mataix", Biomedical Research Centre, University of Granada, Avenida del Conocimiento s/n, 18100 Armilla, Granada, Spain. erikagr@ugr.es FAU - Mesa, Maria Dolores AU - Mesa MD FAU - Olza, Josune AU - Olza J FAU - Buccianti, Gilda AU - Buccianti G FAU - Perez, Milagros AU - Perez M FAU - Moreno-Torres, Rosario AU - Moreno-Torres R FAU - Perez de la Cruz, Antonio AU - Perez de la Cruz A FAU - Gil, Angel AU - Gil A LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20121123 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - 0 (Blood Glucose) RN - 0 (C-Peptide) RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats, Unsaturated) RN - 0 (Fatty Acids, Omega-3) RN - 0 (Ghrelin) RN - 0 (Glucerna) RN - 0 (Insulin) RN - 0 (Lipids) RN - 30237-26-4 (Fructose) RN - 59392-49-3 (Gastric Inhibitory Polypeptide) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - 9005-25-8 (Starch) SB - IM MH - Adult MH - Area Under Curve MH - Blood Glucose/metabolism MH - C-Peptide/metabolism MH - Diabetes Mellitus, Type 2/blood/*diet therapy MH - Dietary Carbohydrates/administration & dosage MH - Dietary Fats, Unsaturated/administration & dosage MH - *Dietary Supplements MH - *Enteral Nutrition MH - Fatty Acids, Omega-3/administration & dosage MH - Female MH - Fructose/*administration & dosage MH - Gastric Inhibitory Polypeptide/blood MH - Ghrelin/blood MH - Glucagon-Like Peptide 1/blood MH - Glycemic Index MH - Healthy Volunteers MH - Humans MH - Insulin/blood MH - Lipids/blood MH - Male MH - Middle Aged MH - *Postprandial Period MH - Starch/*administration & dosage MH - Young Adult EDAT- 2012/11/28 06:00 MHDA- 2014/04/25 06:00 CRDT- 2012/11/27 06:00 PHST- 2012/07/25 00:00 [received] PHST- 2012/11/05 00:00 [accepted] PHST- 2012/11/27 06:00 [entrez] PHST- 2012/11/28 06:00 [pubmed] PHST- 2014/04/25 06:00 [medline] AID - 10.1007/s00394-012-0462-x [doi] PST - ppublish SO - Eur J Nutr. 2013 Sep;52(6):1569-78. doi: 10.1007/s00394-012-0462-x. Epub 2012 Nov 23.