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膳食纤维对非胰岛素依赖型(2型)糖尿病患者及对照组血糖、血浆免疫反应性胰岛素、C肽和胃抑肽反应的影响。

Effect of dietary fibre on blood glucose, plasma immunoreactive insulin, C-peptide and GIP responses in non insulin dependent (type 2) diabetics and controls.

作者信息

Hagander B, Scherstén B, Asp N G, Sartor G, Agardh C D, Schrezenmeir J, Kasper H, Ahrén B, Lundquist I

出版信息

Acta Med Scand. 1984;215(3):205-13. doi: 10.1111/j.0954-6820.1984.tb04995.x.

Abstract

A high fibre and a low fibre breakfast meal were given to eight non insulin dependent diabetics ( NIDD ), and eight controls. Blood glucose response was monitored continuously for three hours and characterized using a straight line model. After the high fibre meal the rates of increase and decrease in blood glucose concentration were slower both in diabetics and controls than after the low fibre meal. The delay time, however, i.e. the time from meal intake to the start of glucose increase, hypothetically corresponding to gastric emptying time, was the same after both test meals. The postprandial glucose increment calculated as the area under the 0-120 min curve was lower after the high fibre meal in the NIDD , but not in the controls. The two-hour C-peptide and gastric inhibitory polypeptide values were lower for the diabetics after the high fibre breakfast. The results indicate a prolonged carbohydrate digestion and/or absorption after high fibre breakfast.

摘要

为8名非胰岛素依赖型糖尿病患者(NIDD)和8名对照者提供了高纤维和低纤维早餐。连续监测3小时的血糖反应,并使用直线模型进行表征。与低纤维餐相比,高纤维餐后糖尿病患者和对照者的血糖浓度上升和下降速度均较慢。然而,延迟时间,即从进食到血糖开始上升的时间,假设对应于胃排空时间,在两种测试餐后是相同的。以0至120分钟曲线下面积计算的餐后血糖增量在NIDD患者中高纤维餐后较低,但在对照者中并非如此。高纤维早餐后糖尿病患者的两小时C肽和胃抑制性多肽值较低。结果表明高纤维早餐后碳水化合物消化和/或吸收时间延长。

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