PMID- 37836472 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231023 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 15 IP - 19 DP - 2023 Sep 28 TI - Aronia in the Type 2 Diabetes Treatment Regimen. LID - 10.3390/nu15194188 [doi] LID - 4188 AB - Aronia melanocarpa berries are rich in antioxidants and possess a high antioxidant capacity. Aronia berries have shown potential in type 2 diabetes mellitus (T2DM) treatment, and previous studies indicate improvements in glycemia after supplementation. Unfortunately, the effectiveness of aronia berries is limited by the low bioavailability of aronia, which fermentation could potentially overcome. The objective of this study was to compare the effects of fermented or non-fermented aronia pulp with placebo in subjects with T2DM. This study was a triple-blinded, triple-crossover study with eight-week intervention periods with fermented aronia extract (FAE), non-fermented aronia extract (AE), and placebo. Extracts were incorporated in snack bars with 37% aronia (FAE or AE) or wheat bran (placebo) and 63% raisins and coconut oil. Pre- and post-treatment period, we did fasting blood samples, including hemoglobin A1c, fructosamine, insulin, glucose, glucagon-like peptide-1, glucose-dependent insulinotropic peptide (GIP) and glucagon, oral glucose tolerance tests, and anthropometric measurements. Of 36 randomized participants, 23 completed the trial. Aside from a higher increase in GIP after FAE supplementation compared to after placebo supplementation, aronia extracts had no effect. The increase in GIP levels after FAE supplementation may hold potential benefits, but the overall clinical impact remains unclear. FAU - Christiansen, Christine B AU - Christiansen CB AUID- ORCID: 0000-0001-6381-5360 AD - Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 11, 8200 Aarhus N, Denmark. FAU - Jeppesen, Per B AU - Jeppesen PB AUID- ORCID: 0000-0001-8042-7554 AD - Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 11, 8200 Aarhus N, Denmark. FAU - Hermansen, Kjeld AU - Hermansen K AD - Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 11, 8200 Aarhus N, Denmark. AD - Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark. FAU - Gregersen, Soren AU - Gregersen S AD - Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 11, 8200 Aarhus N, Denmark. AD - Steno Diabetes Center Aarhus, Palle Juul-Jensens Boulevard 11, 8200 Aarhus N, Denmark. LA - eng GR - 9065-00126B/Innovation Fund Denmark/ GR - NNF17SA0031406/Danish Diabetes Academy/ GR - 2019-04/Ekhaga Foundation/ GR - 19-B-0179/Helsefonden/ GR - Future Food innovation/ GR - Aase og Ejnar Danielsens Fond/ GR - A.P. Moller og Hustru Chastine Mc-Kinney Mollers Fond/ GR - Frode V. Nyegaard og Hustru's Fond/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20230928 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Antioxidants) RN - 0 (Insulin) RN - 0 (Plant Extracts) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Photinia MH - Cross-Over Studies MH - Antioxidants/therapeutic use/pharmacology MH - Insulin MH - Plant Extracts/therapeutic use/pharmacology PMC - PMC10574687 OTO - NOTNLM OT - Aronia melanocarpa OT - anthocyanins OT - antioxidants OT - dietary supplement OT - polyphenols OT - randomized controlled trial OT - type 2 diabetes COIS- The authors declare no conflict of interest. EDAT- 2023/10/14 10:48 MHDA- 2023/10/23 01:18 PMCR- 2023/09/28 CRDT- 2023/10/14 01:18 PHST- 2023/09/13 00:00 [received] PHST- 2023/09/22 00:00 [revised] PHST- 2023/09/24 00:00 [accepted] PHST- 2023/10/23 01:18 [medline] PHST- 2023/10/14 10:48 [pubmed] PHST- 2023/10/14 01:18 [entrez] PHST- 2023/09/28 00:00 [pmc-release] AID - nu15194188 [pii] AID - nutrients-15-04188 [pii] AID - 10.3390/nu15194188 [doi] PST - epublish SO - Nutrients. 2023 Sep 28;15(19):4188. doi: 10.3390/nu15194188.