PMID- 27504897 OWN - NLM STAT- MEDLINE DCOM- 20170329 LR - 20170330 IS - 1421-9867 (Electronic) IS - 0012-2823 (Linking) VI - 94 IP - 2 DP - 2016 TI - Association of Intestinal Microbiota with Metabolic Markers and Dietary Habits in Patients with Type 2 Diabetes. PG - 66-72 AB - BACKGROUND/AIMS: Evidence suggests that intestinal microbiota, along with factors such as diet and host genetics, contributes to obesity, metabolic dysfunction and diabetes. Therefore, we examined the relationship between gut microbiota, blood metabolic markers, dietary habits and fecal short-chain fatty acids (SCFAs) in patients with type 2 diabetes mellitus (T2DM). METHODS: Dietary habits, blood and fecal samples from 59 T2DM patients were recruited, and the association of intestinal microbiota with metabolic markers and dietary habits was analyzed. RESULTS: Total energy intake was 1,692 +/- 380 kcal/day. Carbohydrate, fat and protein intakes were 57.5 +/- 5.2, 23.2 +/- 5.3 and 13.2 +/- 2.2%, respectively. Dietary habits - high carbohydrate, fat, and protein intake - were associated with increased counts of Clostridium clusters IV and XI and decreased counts of Bifidobacterium spp., order Lactobacillales and Clostridium cluster IV. Protein intake was negatively correlated with fecal acetate and total SCFAs. Total SCFAs, propionate and acetate were negatively correlated with blood insulin levels and the homeostasis model of insulin resistance. CONCLUSION: Diets low in protein and carbohydrates favor a healthy gut microbiome and improve glucose tolerance in T2DM patients, although further elucidation of the role of the gut microbiome could lead to better therapies and prophylaxes. CI - (c) 2016 S. Karger AG, Basel. FAU - Yamaguchi, Yoshiharu AU - Yamaguchi Y AD - Department of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan. FAU - Adachi, Kazunori AU - Adachi K FAU - Sugiyama, Tomoya AU - Sugiyama T FAU - Shimozato, Akihiro AU - Shimozato A FAU - Ebi, Masahide AU - Ebi M FAU - Ogasawara, Naotaka AU - Ogasawara N FAU - Funaki, Yasushi AU - Funaki Y FAU - Goto, Chiho AU - Goto C FAU - Sasaki, Makoto AU - Sasaki M FAU - Kasugai, Kunio AU - Kasugai K LA - eng PT - Journal Article DEP - 20160810 PL - Switzerland TA - Digestion JT - Digestion JID - 0150472 RN - 0 (Biomarkers) RN - 0 (Fatty Acids, Volatile) RN - 0 (Insulin) SB - IM MH - Aged MH - Biomarkers/metabolism MH - Diabetes Mellitus, Type 2/blood/*metabolism MH - Energy Intake MH - Fatty Acids, Volatile/analysis MH - Feces/microbiology MH - *Feeding Behavior MH - Female MH - *Gastrointestinal Microbiome MH - Gastrointestinal Tract/*microbiology MH - Humans MH - Insulin/blood MH - Insulin Resistance MH - Japan MH - Male MH - Middle Aged EDAT- 2016/10/19 06:00 MHDA- 2017/03/31 06:00 CRDT- 2016/08/10 06:00 PHST- 2016/04/18 00:00 [received] PHST- 2016/06/17 00:00 [accepted] PHST- 2016/10/19 06:00 [pubmed] PHST- 2017/03/31 06:00 [medline] PHST- 2016/08/10 06:00 [entrez] AID - 000447690 [pii] AID - 10.1159/000447690 [doi] PST - ppublish SO - Digestion. 2016;94(2):66-72. doi: 10.1159/000447690. Epub 2016 Aug 10.