Abstract
Objective: Assessment of postprandial glycaemic response to four nutritional feeds with different macronutrient and fibre composition.
Design: A randomized, double-blind, crossover study.
Setting: University of Maastricht, the Netherlands.
Subjects: A total of 10 healthy volunteers and 10 patients with type II diabetes.
Interventions: Subjects received 200 kcal of four enteral nutrition products (two standard products and two diabetes-specific products). Fasting and postprandial plasma glucose were measured for 2 h. Peak glucose level and area under the curve were calculated.
Results: In healthy volunteers and diabetic patients, the feed with a low carbohydrate (CHO), high monounsaturated fatty acid (MUFA) and high fibre content significantly decreased peak glucose concentration and area under the curve compared to the feeds with standard composition.
Conclusions: Special feeds with a low CHO, high MUFA and high fibre content improve glycaemic balance and therefore should be considered in diabetic patients who are in need of nutritional support.
Sponsorship: Numico Research BV, The Netherlands.
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Acknowledgements
We thank all volunteers for their participation and G van Kranenburg for his technical assistance. Royal Numico NV sponsored the study and supplied the nutritional products.
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Guarantor: Z Hofman.
Contributors: Protocol design: ZH, JDEvD and HK, Data analysis: ZH and JDEvD. Manuscript preparation: ZH, JDEvD and HK. Subject inclusion: CdL and HK. Data collection: CdL and HK.
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Hofman, Z., van Drunen, J., de Later, C. et al. The effect of different nutritional feeds on the postprandial glucose response in healthy volunteers and patients with type II diabetes. Eur J Clin Nutr 58, 1553–1556 (2004). https://doi.org/10.1038/sj.ejcn.1602007
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DOI: https://doi.org/10.1038/sj.ejcn.1602007
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