Effects of Dietary Modification on Plasma Glucose and Insulin Sensitivity in Streptozotocin-induced Diabetic Rats

  • Choi, Hyun-Ju (Department of Human Nutrition and Food Science, Chungnam Sanup University)
  • Published : 1997.11.01

Abstract

There is substantial evidence that insulin sensitivity can be enhanced through appropriate dietary management . In this study, insulin sensitivity was evaluated using and insulin suppression test. Male Sprague-Dawley rats, were caused to be in a diabetic condition by the injection of streptozotocin, and divided into four groups. They were fed one of the following diets for 2 weeks : (group 1) a high-carbohydrate(CHO) low-fat low-fiber diet, (group 2) a high CHO low-fat and high-fiber diet, (group 3) a low-CHO high-fat and low-fiber diet, and (group 4) a low-CHO low-fat diet groups (as comparison between group 1 and group 2 shows). In the low-CHO high-fat diet groups, dietary fiber tended to decrease plasma glucose levels at the end of the experiment, but not significantly (as comparison between group 3 and group 4 shows). The average steady state plasma glucose level in rats on the group 3 diet was the highest among all four groups(p<0.05), indicating the poorest insulin sensitivity . However, high fiber increased insulin sensitivity in rats on the low-CHO high-fat diets(as shows by a comparison between group 3 and group 4). On the other hand , the high-CHO low-fat enhanced insulin sensitivity in rats on the low fiber diet(group 1 and group 3). The degree of enhancement of insulin sensitivity depends on the combination of CHO, fat , and fiber in the diet. In conclusion, this study demonstrates that a low-CHO high-fat low -fiber diet may be deleterious to diabetic rats. In view of insulin sensitivity enhancement , dietary fiber level is irrelevant, as long as the diet has a high-CHO and low-fat level.

Keywords

References

  1. J Am Diet Assoc v.97 Translation of the diabetes nutrition recommendations for health care institutions : technical review Schafer,R.G.;Bohannon,B.;Franz,M.;Fressman,J.;Holmes,A.;McLaughin,S.;Haas,L.B.;Kruger,D.F.;Larenz,R.A.;McMahon,M.M.
  2. Diabetes Care v.10 Position Statement : nutritional recommendations and principles for individuals with diabetes mellitus Vinik,A.L.;Crapo,P.A.;Brink,S.J.;Farnz,M.J.;Gohdes,D.M.;Hansen,B.C.;Horton,E.S.;Jenkins,D.;Kissebah,A.;Lasichak,A.;Wylie-Rosett,J.
  3. Diabetes Care v.14 Dietary therapy in diabets mellitus. Is there a single best diet? Grundy,S.M.
  4. Diabetes Care v.12 Diet low in saturated fat and cholesterol for diabetes Bieman,E.L.;Brunzell,J.D.
  5. Diabetes Research and Clinical Practice v.13 Effects of long-term high-fiber diet on macrovascular changes and lipid and glucose levels in STZ-induced diabetic SD rats Yoshida,M.;Sawa,J.;Hozumi,T.;Mimoto,H.;Ishida,Y.;Kazumi,T.;Doi,K.;Baba,S.
  6. Am J Clin Nutr v.47 Dietary fiber decrased fasting blood glucose levels and plasma LDL concentration in noninsulin-dependent diabetes mellitus patients Hagander,B.;Asp,N.G.;Efendic,S.;Nilsson-Ehle,P.;Schersten,B.
  7. J Am Diet Assoc v.89 The effects of diet differing in fat, carbohydrate, and fiber on carbohydrate and lipid metabolism in type II diabetes O'Ddea,K.;Tranianedes,K.;Ireland,P.;Niall,M.;Sadler,J.;Hopper,J.;De Luise M.
  8. Diabetes Care v.11 Dietary fiber in management of diabetes Vinik,A.J.;Jenkins,D.J.A.
  9. Am J Clin Nutr v.54 Metabolic effects of high-carbohydrate, high-fiber diets for insulin-dependent diabetic individuals Anderson,J.W.;Zeigler,J.A.;Deakins,D.A.;Floore,T.L.;Dillon,D.W.;Wood,C.L.;Oeltgen,P.R.;Whitley,R.J.
  10. Lancet v.3 A high carbohydrate leguminous fiber diet improves all aspects of diabetic control Simpson,H.C.R.;Simpson,R.W.;Lousley,S.;Carter,R.D.;Geekie,M.;Hockaday,T.D.R.;Mann,J.I
  11. Horm Meta Res v.22 Dietary treatment ameliorates overt diabetes and decreased insulin secretion to glucose, induced by overeating in impaired glucose tolerant mice Hasegawa,G.;Mori,H.;Sawada,M.;Takagi,S.;Shiegeta,H.;Kitagawa,Y.;Nakano,K.;Kanatsuna,K.;Kondo,M.
  12. Am J Vet Res v.52 Effects of dietary fiber supplementation on glycemic control in dogs with alloxaninduced diabetes mellitus Nelson,R.W.;Ihle,S.L.;Lewis,L.D.;Salisbury,S.K.;Miller,T.;Bergdall,V.;Bottoms,G.D.
  13. European J Clin Nutr v.42 Soluble and insoluble dietary fiber in diabetic diets Del Toma,E.;Lintas,C.;Clementi,A.;Marcelli,M.
  14. Diabetes v.42 Dietary fiber in the management of diabetes Nuttal,F.Q.
  15. Am J Clin Nutr v.34 Soluble and insoluble plant fiber in selected cereals and vegetables Chen,W.L.;Anderson,J.W.
  16. Am Associ of Cereal Chemists Nutrition quality of cereal grains. Cereal'78 : better nutrition for the world's millions Lockhart,H.B.;Nesheim,R.O.
  17. Am J cli Nutr v.38 Sucrose-induced insulin resistance in the rat : modulation by exercise and diet Wright,D.W.;Hanse,R.I.;Mondon,C.E.;Reaven,G.M.
  18. J Nutr v.127 Dietary guar gum improves insulin sensitivity in streptozotocin-induced diabetic rats Cameron-Smith,D.;Habito,R.;Barnett,M.;Collier,G.R.
  19. Diabetologia v.15 Effect of diet on the cellular insulin binding and the insulin sensitivity in young health subjects Beck-Nielsen,H.;Pederson,O.;Schwartz,S.N.
  20. European J Clin Nutr v.42 Effects of four meals with different kinds of dietary fiber on glucose metabolism in healthy subjects and non-insulin-dependent diabetic patiens Karlstrom,B.;Vessby,B.;Asp,N.G.;Ytterfors,A.
  21. J Nutr v.126 Source and amount of carbohydrate affect postprandial glucose and insulin in normal subjects Wolever,T.M.S.;Bolognesi,C.
  22. British J Nutr v.75 Effects of long-term low-glycaemic index starchy food on plasma glucose and lipid concentrations and adipose tissue cellularity in normal and diabetic rats Lerer-Metzger,M.;Rizkalla,S.W.;Luo,J.;Champ,M.;Kabir,M.;Bruzzo,F.;Bornet,F.;Slama,G.
  23. Am J Clin Nutr v.48 Sustained pectin ingestion : effect on gastric emptying and glucose tolerance in non-insulin-dependent didabetic patients Schwartz,S.E.;Levine,R.A.;Weinstock,R.S.;Petokas,S.;Mills,C.A.;Thomas,F.D.
  24. Annals of Internal Medicine v.86 Decrease in postprandial insulin and glucose concentrations by guar and pectin Jenkins,D.J.A.;Leeds,A.R.;Gassull,M.A.;Cochet,B.;Alberti,K.G.M.M.
  25. Diabetologia v.19 Improved glucose tolerance four hous after taking guar with glucose Jenkins,D.J.A.;Wolever,T.M.S.;Nineham,R.;Sarson,D.L.Bloom,S.R.;Ahern,J.;Alberti,K.G.M.M.;Hockaday,T.D.R.
  26. Diabetologia v.21 Improved diabetic control and hypocholesterolemic effect induced by long-term dietary supplementation with guar gum in type 2(insulin-independent) diabetes Aro,A.;Uusitupa,M.;Voutilainen,E.;Hersio,K.;Korhonen,T.;Siitonen,O.
  27. Lancet v.24 Unabsorbable carbohydrate and diabetes :decreased postprandial hyperglycemia Jenkins,D.J.A.;Goff,D.V.;Leeds,A.R.;Alerti,K.G.M.M.;Wolever,T.M.S.;Gassull,M.A.;Hockaday,T.D.R.
  28. Am J Nutr v.60 Resistant starch : the effect on postprandial glycemia, hormonal response, and satiety Raben,A.;Tagliabue,A.;Christesen,N.J.;Madsen,J.;Holst,J.J.;Astrup,A.
  29. J Nutr v.125 Amylpectin starch promotes the development of insulin resistance in rats Byrnes,S.E.;Miller,J.C.B.;Denyer,G.S.
  30. J Clin Nutr v.40 Long-term evolution of the effect of bran ingestion on meal-induced glucose and insulin responses in healthy man Villaume,C.;Gariot,B.B.P.;Desalme,A.;Debry,G.
  31. British J Nutr v.76 A new breakfast cereal containing guar gum reduced postprandial plasma glucose and insulin concentrations in normal-weight human subjects Fairchild,R.M.;Ellis,P.R.;Byrne,A.J.;Luzio,S.D.;Mir,M.A.
  32. Diabetes v.28 Effects of dietary fiber on glucose tolerance of normal men Nunoz,J.M.;Sandstead,H.H.;Jacob,R.A.
  33. Digestion v.24 In vitro inhibition of pancreatic enzyme activities by dietary fiber Isaksson,G.;Lundquist,I.;Ihse,I.
  34. Am J Clin Nutr v.47 Food fiber choices for diabetic diets Del Toma,E.;Clementi,A.;Marcelli,M.;Cappelloni,M.;Lintas,C.
  35. Gastroenterlolgy v.79 Effects of dietary fiber on interstinal glucose absorption and glucose tolerance in rats Schwartz,S.E.;Levine,G.D.
  36. British J Nutr v.75 Effects of varying content of soluble dietary fibre from wheat flour and oat milling fractions on gastric emptying in pigs Johansen,H.N.;Knudsen,K.E.B.;Sandstrom,B.;Skjoth,F.
  37. J Clin Endocrinol Metab v.78 Role of human skeletal muscle insulin receptor kinase in the in vivo inulin resistance of non-insulin dependent diabetes mellitus and obesity Nolan,J.J.;Freidenberg,G.;Henry,R.;Reichart,D.;Olefsky,J.M.
  38. Am J Clin Nutr no.SUP.61 Insulin resistance and non-insulin-dependent diabetes mellitus : cellular and molecular mechanisms Olefsky,J.M.;Nolan,J.J.
  39. Diabetes v.26 Insulin binding in diabetes, relationships with plasma insulin levels and insulin sensitivity Olefsky,J.M.;Reaven,G.M.
  40. Diabetes Care v.5 Increased insulin receptor binding to monocytes from insulin-dependent diabetic patients after a low-fat, high-starch, high-fiber diet Pedersen,O.;Hjollund,E.;Lindskov,H.O.;Helms,P.;Sorensen,N.S.;Ditzel,J.
  41. European J Clin Invest v.12 Insulin receptor binding increased by high carbohydrate low fat diet in non-insulin-dependent diabetics Ward,G.M.;Simpson,R.W.;Simpson,H.C.R.;Naylor,B.A.;Mann,J.I.;Turner,R.E.
  42. Am J Clin Nutr v.48 Temporal study of metabolic change when poorly controlled non-insulin-dependent diabetics change from low to high carbohydrate and fiber diet Simpson,R.W.;McDonald,J.;Wahlqvist,M.L.;Balasz,N.;Sissons,M.;Atley,L.
  43. European J clin Nutr v.43 Dietary fiber enrichment, blood pressure, lipoprotein profile and gut hormone in NIDDM patients Hagander,B.;Asp,N.G.;Ekman,R.;Nilsson-Ehle,P.;Schersten,B.
  44. Diabetologia v.20 Diets rich in natural fiber improve carbohydrate tolerance in maturity-onset, non-insulin dependent diabetics Kay,R.M.;Grobin,W.;Track,N.S.
  45. Diabetologia v.17 The effect of unabsorbable carbohydrate on gut hormone : modification of postprandial GIP secretion by guar Morgan,L.M.;Goulder,T.J.;Tsiolakis,D.;Marks,V.;Alberti,K.G.M.M.
  46. Diabetes Care v.3 The effect of dietary on glucose and hormone responses to a mixed meal in normal subjects and in diabetic subjects with and without antonomic neuropathy Levitt,N.S.;Vinki,A.I.;Sive,A.A.;Child,P.T.;Jackson,W.P.U.
  47. J Clin Invest v.75 Carbohydrate fermentation in the human colon and its relation to acetate concentration in venous blood Pomare,E.W.;Branch,W.J.;Cummings.J.H.
  48. British J Nutr v.55 Fermentation of dietary fiber in the intestinal tract : compariosn between man and rat Nyman,M.;Asp,N.G.
  49. Am J Clin Nutr v.61 Resistant starch in the diet increase breath hydrogen and serum acetate in human subjects Muir,J.G.;Lu,Z.X.;Young,G.P.;Cameron-Smith,D.;Collier,G.R.;O'dea,K.
  50. Am J Gastroenterology v.84 Changes in plasma acetate levels in diabetic subjects on mixed high fiber diets Akanji,A.O.;Peterson,D.B.;Humphreys,S.;Hochaday,T.D.R.
  51. Int J Biochem v.14 The effects of lactate and acetate on fatty acid and cholesterol biosynthesis by isolated rat hepatocytes Beynen,A.C.;Buechler,K.F.;Van Der Molen,A.J.;Geelen,M.J.H.
  52. Proc Soc Exp Biol Med v.177 Short-chain fatty acid farmentation products of plant fiber affect glucose metabolism of isolated rat hepatocytes Anderson,J.W.;Bridges,S.R.
  53. Metabolism v.28 Effect of ethanol and its metabolites on glucose mediated insulin release from isolated islets of rats Patel,D.G.;Singh,S.P.
  54. Diabetes v.26 Effect of ethanol on stimulus-induced insulin secretion and glucose tolerance, a study of mechanism Shah,J.H.;Wongsurawat,N.;Aran,P.P.
  55. Clinical Science v.75 Effect of gut-derived acetate on oral glucose tolerance in man Scheppach,W.;Cummings,J.H.;Branch,W.J.;Schrezenmeir,J.
  56. British J Nutr v.76 Influence of orally rectally administered propionate on cholesterol and glucose metabolism in obese rats Berggren,A.M.;Nyman,E.M.G.L.;Lundquist,I.;Bjorck,I.M.E.
  57. Am J Clin Nutr v.54 Propionate lowers blood glucose and alters lipid metabolism in healthy subjects Todesco,T.;Venketshwer,R.;Bosello,O.;Jenkins,D.J.A.