PMID- 32698325 OWN - NLM STAT- MEDLINE DCOM- 20210315 LR - 20210315 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 12 IP - 7 DP - 2020 Jul 20 TI - Low-Glycemic-Index/Load Desserts Decrease Glycemic and Insulinemic Response in Patients with Type 2 Diabetes Mellitus. LID - 10.3390/nu12072153 [doi] LID - 2153 AB - Diabetes mellitus is a chronic disease whose prevalence is growing worldwide. Consumption of desserts with low glycemic index (GI) and low glycemic load (GL) in a balanced hypocaloric diet has a positive impact on anthropometric and metabolic parameters in patients with type 2 diabetes mellitus (T2DM). The aim of the present study was to evaluate the glycemic and insulinemic response after consumption of desserts with low GI/GL in patients with T2DM. Fifty-one patients consumed either 83 g of the conventional dessert or 150 g of the low GI/GL dessert in random order after an overnight fast. Serum glucose, triglycerides, and insulin were measured at baseline (immediately before ingestion) and at 30, 60, 90, and 120 min postprandially. Subjective appetite measurements were performed using visual analog scales (VASs). There were significant differences at 30 (p = 0.014), 60 (p < 0.001), and 90 min (p < 0.001) postprandially between the two desserts for glucose and at 30 (p = 0.014) and 60 min (p = 0.033) postprandially for insulin. Glucose iAUC was significantly lower in low-GI/GL dessert compared to control (p < 0.001). Serum triglycerides and insulin iAUC did not differ between the two trials. Fullness VAS ratings were significantly higher after consumption of the low-GI/GL dessert compared to conventional dessert. Likewise, hunger, additional food, and additional food quantity VAS ratings were significantly lower after the consumption of the low-GI/GL dessert compared to control. Consumption of low-GI/GL dessert indicates a positive impact on metabolic parameters in T2DM patients. FAU - Argiana, Vasiliki AU - Argiana V AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 15772 Athens, Greece. FAU - Kanellos, Panagiotis Tau AU - Kanellos PTau AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 15772 Athens, Greece. FAU - Eleftheriadou, Ioanna AU - Eleftheriadou I AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 15772 Athens, Greece. FAU - Tsitsinakis, Georgios AU - Tsitsinakis G AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 15772 Athens, Greece. FAU - Perrea, Despoina AU - Perrea D AD - Laboratory of Experimental Surgery and Surgical Research N.S. Christeas, National and Kapodistrian University of Athens, 15772 Athens, Greece. FAU - Tentolouris, Nikolaos K AU - Tentolouris NK AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 15772 Athens, Greece. LA - eng PT - Journal Article DEP - 20200720 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Triglycerides) RN - VCQ006KQ1E (Xylitol) SB - IM MH - Blood Glucose/metabolism MH - *Caloric Restriction MH - Diabetes Mellitus, Type 2/*diet therapy/*metabolism MH - *Diet, Carbohydrate-Restricted MH - *Diet, Reducing MH - Female MH - *Glycemic Index MH - *Glycemic Load MH - Humans MH - Insulin/blood/*metabolism MH - Male MH - Middle Aged MH - Nutritional Physiological Phenomena/*physiology MH - Postprandial Period MH - Triglycerides/blood MH - Xylitol/administration & dosage PMC - PMC7400801 OTO - NOTNLM OT - diabetes OT - glucose OT - glycemic index OT - glycemic load OT - insulin OT - xylitol COIS- The authors declare they have no conflict of interest. EDAT- 2020/07/24 06:00 MHDA- 2021/03/16 06:00 PMCR- 2020/07/01 CRDT- 2020/07/24 06:00 PHST- 2020/06/26 00:00 [received] PHST- 2020/07/10 00:00 [revised] PHST- 2020/07/16 00:00 [accepted] PHST- 2020/07/24 06:00 [entrez] PHST- 2020/07/24 06:00 [pubmed] PHST- 2021/03/16 06:00 [medline] PHST- 2020/07/01 00:00 [pmc-release] AID - nu12072153 [pii] AID - nutrients-12-02153 [pii] AID - 10.3390/nu12072153 [doi] PST - epublish SO - Nutrients. 2020 Jul 20;12(7):2153. doi: 10.3390/nu12072153.