Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-24T12:11:07.376Z Has data issue: false hasContentIssue false

Enrichment of an Israeli ethnic food with fibres and their effects on the glycaemic and insulinaemic responses in subjects with non-insulin-dependent diabetes mellitus

Published online by Cambridge University Press:  09 March 2007

Nira Feldman
Affiliation:
Department of Biochemistry and Human Nutrition, Faculty of Agriculture, The Hebrew University, Rehovot, Israel
Clara Norenberg
Affiliation:
Diabetic Unit, Kupat Holim, Netanya, Israel
Hillary Voet
Affiliation:
Department of Biochemistry and Human Nutrition, Faculty of Agriculture, The Hebrew University, Rehovot, Israel
Ester Manor
Affiliation:
Diabetic Unit, Kupat Holim, Netanya, Israel
Yishal Berner
Affiliation:
Department of Biochemistry and Human Nutrition, Faculty of Agriculture, The Hebrew University, Rehovot, Israel
Zecharia Madar
Affiliation:
Department of Biochemistry and Human Nutrition, Faculty of Agriculture, The Hebrew University, Rehovot, Israel
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The effects of various sources of dietary fibre on the high glycaemic index of an Israeli ethnic food, melawach, were investigated in subjects with non-insulin-dependent diabetes mellitus (NIDDM). Locust-bean (Ceratonia siliqua) gum significantly decreased the glucose response to, and glycaemic index of, melawach in these diabetic subjects (P < 0·05). It also tended to decrease their insulinaemic response and insulinaemic index, but differences were not significant. Dietary fibre from lupin (Lupinus albus) and insoluble maize-cob fibre did not affect glucose and insulin levels in NIDDM volunteers. Subjects with a BMI < 30 kg/m2 exhibited similar glucose, but not insulin, responses to fibre. Locust-bean gum had no significant effect on glycaemic response in NIDDM subjects with a BMI > 30 kg/m2, whereas insulinaemic response decreased. The results indicate that foods containing the same nutrients in almost the same amounts, but differing in added dietary fibre, lead to different physiological responses in diabetic subjects. Furthermore, insulin response should be considered when fibre is incorporated into the diabetic's diet.

Type
Locust-gum fibre lowers glycaemic response
Copyright
Copyright © The Nutrition Society 1995

References

Braaten, T., Wood, P. J., Scott, F. W., Riedel, K. D., Poste, C. M. & Collins, M. W. (1991). Oat gum lowers glucose and insulin after an oral glucose load. American Journal of Clinical Nutrition 53, 14251430.CrossRefGoogle ScholarPubMed
Crapo, P. A., Insel, J., Sperling, M. & Kolterman, O. G. (1981). Comparison of serum glucose, insulin and glucagon responses to different types of complex carbohydrates in non-insulin-dependent diabetic patients. American Journal of Clinical Nutrition 34, 184190.CrossRefGoogle Scholar
Crapo, P. A., Kolterman, O. G., Waldeck, N., Reaven, G. & Olefsky, J. (1980). Postprandial hormonal responses to different types of complex carbohydrates in individuals with impaired glucose tolerance. American Journal of Clinical Nutrition 33, 17231728.CrossRefGoogle ScholarPubMed
Crapo, P. A., Reaven, G. & Olefsky, J. (1976). Plasma glucose and insulin responses to orally administered simple and complex carbohydrates. Diabetes 25, 741747.Google Scholar
Crapo, P. A., Reaven, G. & Olefsky, J. (1977). Postprandial plasma glucose and insulin responses to different complex carbohydrates. Diabetes 26, 11781183.Google Scholar
Desbuquois, R. (1971). Use of polyethylene glycol to separate free and antibody-bound peptide hormones in radioimmunoassay. Journal of Clinical Endocrinology 33, 732738.CrossRefGoogle Scholar
Dreher, M. L. (1987). Dietary fiber. In Handbook of Dietary Fiber, pp. 145246 [Dreher, M. L. editor]. New York and Basel: Marcel Dekker Inc.Google Scholar
Ebelling, P., Yaki-Jarvinen, H., Aro, A., Helve, E., Sinisalo, M. & Koivisto, V. A. (1988). Glucose and lipid metabolism and insulin sensitivity in type I diabetes: the effect of guar gum. American Journal of Clinical Nutrition 48, 98103.CrossRefGoogle Scholar
Edwards, C. A., Blackburn, N. A., Craigen, P., Davidson, P., Tomlin, J., Sugden, K., Johnson, I. T. & Read, N. W. (1987). Viscosity of food gums determined in vitro related to their hypoglycemic actions. American Journal of Clinical Nutrition 46, 7277CrossRefGoogle ScholarPubMed
Indar-Brown, K., Norenberg, C. & Madar, Z. (1992). Glycemic and insulinemic responses after ingestion of ethnic foods by NIDDM and healthy subjects. American Journal of Clinical Nutrition 54, 8995.CrossRefGoogle Scholar
Jenkins, A. L. & Jenkins, D. J. A. (1984). The clinical implication of dietary fiber. Advances in Nutrition Research 6, 169197.CrossRefGoogle ScholarPubMed
Jenkins, D. J. A, Wolever, T. M. S. & Jenkins, A. L. (1988). Starchy foods and glycemic index. Diabetes Care 11,149159.Google Scholar
Jenkins, D. J. A, Wolever, T. M. S., Taylor, R. H., Barker, H., Fielden, H., Baldwin, J. M., Bowling, A. C., Newman, H. C., Jenkins, A. L. & Biol, D. V. G. (1981). Glycemic index of foods: a physiological basis for carbohydrate exchange. American Journal of Clinical Nutrition 34, 362366.Google Scholar
Jenkins, D. J. A., Wolever, T. M. S., Thorne, M. J., Lee, R., Kalmusky, J., Reichert, R. & Wong, G. S. (1983). The glycemic index of foods test in diabetic patients: new basis for carbohydrate exchange favouring the use of legumes. Diabetologia 24, 257264.CrossRefGoogle ScholarPubMed
Krezowski, P. A, Nuttall, F. Q., Gannon, M. C., Billington, C. J. & Parker, S. (1987). Insulin and glucose responses to various starch-containing foods in type II diabetic subjects. Diabetes Care 10, 205212.CrossRefGoogle ScholarPubMed
Laine, D. C., Thomas, W., Levitt, M. D. & Bantle, J. P. (1987). Comparison of predictive capabilities of diabetic exchange lists and glycemic index of foods. Diabetes Care 10, 387394.CrossRefGoogle ScholarPubMed
Madar, Z. & Shomer, I. (1990). Polysaccharide composition of a fraction derived from fenugreek and its effect on starch digestion and bile acid absorption in rats. Journal of Agricultural and Food Chemistry 38, 15351539.CrossRefGoogle Scholar
Madar, Z., Timar, B., Nyska, A. & Zusman, E. (1993). Effect of high-fiber diets on pathological changes in DMH- induced rat colon cancer. Nutrition and Cancer 20, 8796.CrossRefGoogle ScholarPubMed
Mahalko, J. R., Sandstead, H. H., Johnson, L. K., Milne, D. B., Warner, R. C. & Haunz, E. A. (1983). Effect of consuming fiber from corn bran, soyhulls or apple powder on glucose tolerance and plasma lipids in type II diabetes. American Journal of Clinical Nutrition 39, 2533.CrossRefGoogle Scholar
Prosky, L., Asp, N. & Furda, I. (1985). Determination of total dietary fiber in foods and food products: collaboration study. Journal of the Association of Official Analytical Chemists International 68, 677679.Google Scholar
Samish, S., Borges, G. & Madar, Z. (1990). Nutritional and metabolic aspects of lupine seeds and their fraction in feeding experiments with rats. In Proceedings of Joint CEC-NECRO 89–14, pp. 131141 [Birk, Y., Dovrat, A., Waldman, M. and Uzureau, H., editors]. Poznań, Poland.Google Scholar
Wolever, T. M. S. (1990). Relationship between dietary fiber content and composition in foods and the glycemic index. American Journal of Clinical Nutrition 51, 7275.CrossRefGoogle ScholarPubMed
Wolever, T. M. S. & Jenkins, D. J. A. (1986). The use of the glycemic index in predicting the blood glucose response to a mixed meal. American Journal of Clinical Nutrition 54, 167172.Google Scholar
Wolever, T. M. S., Nguyen, P. M., Chiasson, J. L., Hunt, J. A., Josse, R. G., Palmason, C., Rodger, N. W., Ross, S. A., Ryan, E. A. & Tan, M. H. (1994). Determinants of diet glycemic index calculated retrospectively from diet records of 342 individuals with non-insulin-dependent diabetes mellitus. American Journal of Clinical Nutrition 59, 12651269.CrossRefGoogle ScholarPubMed
Yalow, R. S. & Berson, S. A. (1959). Assay of plasma insulin in human subjects by immunological methods. Nature 184, 16481649.Google Scholar