Cameron-Smith D, Habito R, Barnett M, Collier G R
School of Nutrition and Public Health, Deakin University, Geelong Campus, Victoria, Australia.
J Nutr. 1997 Feb;127(2):359-64. doi: 10.1093/jn/127.2.359.
Although dietary recommendations for diabetics stress the need for increased carbohydrate and dietary fiber, the effectiveness of dietary fiber in improving insulin sensitivity remains controversial. The aim of this study was to compare the effects of a soluble fiber (guar gum) and an insoluble fiber (wheat bran) on insulin sensitivity in streptozotocin-induced (STZ) diabetic rats. Consequently, the rats were divided into two groups and one half were rendered diabetic with streptozotocin. The STZ diabetic and nondiabetic rats were further randomized and fed a diet containing dietary fiber (7 g/100 g diet) from either guar gum or wheat bran. The hyperinsulinemic clamp technique, combined with infusion of the glucose analog, 2-deoxyglucose (2DG), was utilized to examine insulin sensitivity. Bran-fed STZ diabetic rats were significantly (P < 0.001) hyperglycemic, which was ameliorated by guar gum. Insulin-mediated glucose disposal was increased by the guar diet compared with the bran diet in both the STZ diabetic rats [17.7 +/- 2.2 vs. 11.8 +/- 2.4 mL/(kg x min), P < 0.05] and the nondiabetic rats [20.5 +/- 2.8 vs. 15.5 +/- 1.5 mL/(kg x min), P < 0.05]. The accumulation of 2DG in peripheral muscles reflected the changes in insulin sensitivity with a trend for increased 2DG uptake in the majority of analyzed tissues in rats fed the guar diet, both nondiabetic and STZ diabetic, compared with the bran-fed rats. Accompanying these alterations in insulin sensitivity, guar gum suppressed food intake in the hyperphagic diabetic rats by 20% (P < 0.001). The present results demonstrate the effectiveness of guar gum in improving insulin sensitivity in STZ diabetic rats and suggest that reduced food intake may be an important mechanism of action of guar in hyperphagic diabetic rats.
尽管针对糖尿病患者的饮食建议强调增加碳水化合物和膳食纤维的必要性,但膳食纤维改善胰岛素敏感性的效果仍存在争议。本研究的目的是比较可溶性纤维(瓜尔胶)和不溶性纤维(麦麸)对链脲佐菌素诱导(STZ)的糖尿病大鼠胰岛素敏感性的影响。因此,将大鼠分为两组,其中一半用链脲佐菌素诱导成糖尿病大鼠。将STZ糖尿病大鼠和非糖尿病大鼠进一步随机分组,并分别喂食含有瓜尔胶或麦麸膳食纤维(7 g/100 g饲料)的饲料。采用高胰岛素-正葡萄糖钳夹技术并输注葡萄糖类似物2-脱氧葡萄糖(2DG)来检测胰岛素敏感性。喂食麦麸的STZ糖尿病大鼠血糖显著升高(P < 0.001),而瓜尔胶可改善这种情况。在STZ糖尿病大鼠[17.7 +/- 2.2 vs. 11.8 +/- 2.4 mL/(kg·min),P < 0.05]和非糖尿病大鼠[20.5 +/- 2.8 vs. 15.5 +/- 1.5 mL/(kg·min),P < 0.05]中,与喂食麦麸的大鼠相比,喂食瓜尔胶饲料的大鼠胰岛素介导的葡萄糖处置均增加。外周肌肉中2DG的积累反映了胰岛素敏感性的变化,与喂食麦麸的大鼠相比,在喂食瓜尔胶饲料的非糖尿病和STZ糖尿病大鼠的大多数分析组织中,2DG摄取有增加的趋势。伴随着这些胰岛素敏感性的改变,瓜尔胶使食欲亢进的糖尿病大鼠的食物摄入量减少了20%(P < 0.001)。目前的结果证明了瓜尔胶在改善STZ糖尿病大鼠胰岛素敏感性方面的有效性,并表明减少食物摄入量可能是瓜尔胶对食欲亢进的糖尿病大鼠发挥作用的重要机制。