Sartorius Tina, Weidner Andrea, Dharsono Tanita, Boulier Audrey, Wilhelm Manfred, Schön Christiane
BioTeSys GmbH, Schelztorstr. 54-56, 73728 Esslingen, Germany.
Ingredia S.A., 51 Avenue F. Lobbedez CS 60946, 62033 Arras CEDEX, France.
Nutrients. 2020 Apr 29;12(5):1266. doi: 10.3390/nu12051266.
Milk proteins have been hypothesized to protect against type 2 diabetes (T2DM) by beneficially modulating glycemic response, predominantly in the postprandial status. This potential is, amongst others, attributed to the high content of whey proteins, which are commonly a product of cheese production. However, native whey has received substantial attention due to its higher leucine content, and its postprandial glycemic effect has not been assessed thus far in prediabetes. In the present study, the impact of a milk protein hydrolysate of native whey origin with alpha-glucosidase inhibiting properties was determined in prediabetics in a randomized, cross-over trial. Subjects received a single dose of placebo or low- or high-dosed milk protein hydrolysate prior to a challenge meal high in carbohydrates. Concentration-time curves of glucose and insulin were assessed. Incremental areas under the curve (iAUC) of glucose as the primary outcome were significantly reduced by low-dosed milk peptides compared to placebo (p = 0.0472), and a minor insulinotropic effect was seen. A longer intervention period with the low-dosed product did not strengthen glucose response but significantly reduced HbA1c values (p = 0.0244). In conclusion, the current milk protein hydrolysate of native whey origin has the potential to modulate postprandial hyperglycemia and hence may contribute in reducing the future risk of developing T2DM.
有人提出,乳蛋白可通过有益地调节血糖反应(主要是餐后状态下的血糖反应)来预防2型糖尿病(T2DM)。这种潜力尤其归因于乳清蛋白的高含量,乳清蛋白通常是奶酪生产的产物。然而,天然乳清因其较高的亮氨酸含量而受到广泛关注,并且其对糖尿病前期患者餐后血糖的影响迄今尚未得到评估。在本研究中,通过一项随机交叉试验,测定了具有α-葡萄糖苷酶抑制特性的天然乳清来源的乳蛋白水解物对糖尿病前期患者的影响。受试者在食用高碳水化合物挑战餐之前,接受单剂量的安慰剂或低剂量或高剂量的乳蛋白水解物。评估了葡萄糖和胰岛素的浓度-时间曲线。与安慰剂相比,低剂量的乳肽显著降低了作为主要结果的葡萄糖曲线下增量面积(iAUC)(p = 0.0472),并观察到轻微的促胰岛素作用。低剂量产品的较长干预期并未增强葡萄糖反应,但显著降低了糖化血红蛋白(HbA1c)值(p = 0.0244)。总之,目前这种天然乳清来源的乳蛋白水解物有调节餐后高血糖的潜力,因此可能有助于降低未来患2型糖尿病的风险。