PMID- 27734127 OWN - NLM STAT- MEDLINE DCOM- 20180827 LR - 20221207 IS - 1436-6215 (Electronic) IS - 1436-6207 (Linking) VI - 57 IP - 1 DP - 2018 Feb TI - Controlling type-2 diabetes by inclusion of Cr-enriched yeast bread in the daily dietary pattern: a randomized clinical trial. PG - 259-267 LID - 10.1007/s00394-016-1315-9 [doi] AB - PURPOSE: Chromium (Cr)-enriched yeast supplementation to whole wheat bread (WWCrB) has been shown to ameliorate postprandial glycemic response in healthy subjects. The present study investigates the long-term benefit of WWCrB consumption for patients with type-2 diabetes mellitus (T2DM). METHODS: Thirty patients with T2DM were randomly assigned to a group receiving WWCrB or the plain whole wheat bread (WWB) group. Plasma glucose, insulin, glycosylated hemoglobin (HbA(1c)) and insulin resistance were determined, and oral glucose tolerance test (OGTT) was performed at the beginning and the end of the dietary intervention, which lasted for 12 weeks. Biochemical parameters related to the disease, markers of inflammation as well as body weight and energy balance were examined. RESULTS: At the end of the study, subjects of WWCrB group exerted lower levels of glucose, insulin and HbA(1c) and improved insulin resistance (P < 0.05 against before treatment). Area under the glucose curve attained during OGTT decreased after the intervention (28,117.5 +/- 1266.4 vs. 31,588.5 +/- 1187.5 mg min/dL before treatment, P < 0.05) with significantly lower values of glucose concentration at 0 and 60 min. A significant reduction in body weight and systolic blood pressure (SBP) was observed (P < 0.05 against before treatment). Markers of inflammation and lipid profiles were not affected by WWCrB consumption. CONCLUSIONS: Inclusion of WWCrB in the daily dietary pattern of diabetic patients resulted in improvement of glucose tolerance and insulin resistance, significant reduction in HbA(1c), weight loss and lower SBP. Patients with inadequate glycemic control may benefit from the consumption of WWCrB. FAU - Yanni, Amalia E AU - Yanni AE AD - Laboratory of Chemistry-Biochemistry-Physical Chemistry of Foods, Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El. Venizelou Ave, 176 71, Athens, Greece. ayanni@hua.gr. FAU - Stamataki, Nikoleta S AU - Stamataki NS AD - Laboratory of Chemistry-Biochemistry-Physical Chemistry of Foods, Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El. Venizelou Ave, 176 71, Athens, Greece. FAU - Konstantopoulos, Panagiotis AU - Konstantopoulos P AD - Laboratory of Experimental Surgery and Surgery Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. FAU - Stoupaki, Maria AU - Stoupaki M AD - Diabetes Laboratory, 1st Pathological Clinic, Laiko University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. FAU - Abeliatis, Athanasios AU - Abeliatis A AD - ELBISCO S.A. Industrial and Commercial Food Company, 21st km Pikermi, Attiki, Greece. FAU - Nikolakea, Irene AU - Nikolakea I AD - Laboratory of Chemistry-Biochemistry-Physical Chemistry of Foods, Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El. Venizelou Ave, 176 71, Athens, Greece. FAU - Perrea, Despoina AU - Perrea D AD - Laboratory of Experimental Surgery and Surgery Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. FAU - Karathanos, Vaios T AU - Karathanos VT AD - Laboratory of Chemistry-Biochemistry-Physical Chemistry of Foods, Department of Nutrition and Dietetics, Harokopio University of Athens, 70 El. Venizelou Ave, 176 71, Athens, Greece. FAU - Tentolouris, Nikolaos AU - Tentolouris N AD - Diabetes Laboratory, 1st Pathological Clinic, Laiko University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20161012 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Placebos) RN - 0R0008Q3JB (Chromium) SB - IM MH - Aged MH - Blood Glucose/analysis MH - *Bread/analysis MH - Chromium/*administration & dosage/analysis/blood MH - Diabetes Mellitus, Type 2/blood/*diet therapy MH - Diet MH - Female MH - Food, Fortified MH - Glucose Tolerance Test MH - Glycated Hemoglobin/analysis MH - Humans MH - Insulin Resistance MH - Male MH - Middle Aged MH - Placebos MH - *Saccharomyces cerevisiae/chemistry/metabolism MH - Single-Blind Method MH - Triticum OTO - NOTNLM OT - Bread OT - Cr-enriched yeast OT - Glucose tolerance OT - Insulin resistance OT - Type-2 diabetes mellitus OT - Weight management EDAT- 2016/10/14 06:00 MHDA- 2018/08/28 06:00 CRDT- 2016/10/14 06:00 PHST- 2016/06/15 00:00 [received] PHST- 2016/09/25 00:00 [accepted] PHST- 2016/10/14 06:00 [pubmed] PHST- 2018/08/28 06:00 [medline] PHST- 2016/10/14 06:00 [entrez] AID - 10.1007/s00394-016-1315-9 [pii] AID - 10.1007/s00394-016-1315-9 [doi] PST - ppublish SO - Eur J Nutr. 2018 Feb;57(1):259-267. doi: 10.1007/s00394-016-1315-9. Epub 2016 Oct 12.