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Effect of oral pre-meal administration of betaglucans on glycaemic control and variability in subjects with type 1 diabetes

Frid, Anders LU ; Tura, Andrea; Pacini, Giovanni and Ridderstråle, Martin LU (2017) In Nutrients 9(9).
Abstract

We conducted a double-blind placebo-controlled crossover pilot study to investigate the effect of oat betaglucans (β-glucan) on glycaemic control and variability in adults with type 1 diabetes (T1D; n = 14). Stomacol® tablets (1.53 g of β-glucan) or placebo (Plac) were administered three times daily before meals for two weeks. Glucose levels were monitored during the second week by continuous glucose monitoring (CGM). There was an increase in basic measures of glycaemic control (maximal glucose value 341 ± 15 vs. 378 ± 13 mg/dL for Plac and β-glucan, p = 0.004), and average daily risk range (62 ± 5 vs. 79 ± 4 mg/dL for Plac and β-glucan, p = 0.003) favouring Plac over β-glucan, but no increase in the M-value (the weighted average of the... (More)

We conducted a double-blind placebo-controlled crossover pilot study to investigate the effect of oat betaglucans (β-glucan) on glycaemic control and variability in adults with type 1 diabetes (T1D; n = 14). Stomacol® tablets (1.53 g of β-glucan) or placebo (Plac) were administered three times daily before meals for two weeks. Glucose levels were monitored during the second week by continuous glucose monitoring (CGM). There was an increase in basic measures of glycaemic control (maximal glucose value 341 ± 15 vs. 378 ± 13 mg/dL for Plac and β-glucan, p = 0.004), and average daily risk range (62 ± 5 vs. 79 ± 4 mg/dL for Plac and β-glucan, p = 0.003) favouring Plac over β-glucan, but no increase in the M-value (the weighted average of the glucose values) or other more complex measures. Basic measures of glucose variability were also slightly increased during β-glucan treatment, with no difference in more complex measures. However, glycaemic variability increased between the first and last two CGM days on Plac, but remained unchanged on β-glucan. In conclusion, in this pilot study we were unable to demonstrate a general positive effect of β-glucan before meals on glucose control or variability in T1D.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Betaglucan, Diabetes, Glucose control, Glucose variability, Viscous fiber
in
Nutrients
volume
9
issue
9
publisher
MDPI AG
external identifiers
  • scopus:85029394865
  • wos:000411973200087
ISSN
2072-6643
DOI
10.3390/nu9091004
language
English
LU publication?
yes
id
3f8c4d4c-ff81-43ae-9444-8e01b536027c
date added to LUP
2017-09-29 13:45:37
date last changed
2018-01-16 13:20:04
@article{3f8c4d4c-ff81-43ae-9444-8e01b536027c,
  abstract     = {<p>We conducted a double-blind placebo-controlled crossover pilot study to investigate the effect of oat betaglucans (β-glucan) on glycaemic control and variability in adults with type 1 diabetes (T1D; n = 14). Stomacol® tablets (1.53 g of β-glucan) or placebo (Plac) were administered three times daily before meals for two weeks. Glucose levels were monitored during the second week by continuous glucose monitoring (CGM). There was an increase in basic measures of glycaemic control (maximal glucose value 341 ± 15 vs. 378 ± 13 mg/dL for Plac and β-glucan, p = 0.004), and average daily risk range (62 ± 5 vs. 79 ± 4 mg/dL for Plac and β-glucan, p = 0.003) favouring Plac over β-glucan, but no increase in the M-value (the weighted average of the glucose values) or other more complex measures. Basic measures of glucose variability were also slightly increased during β-glucan treatment, with no difference in more complex measures. However, glycaemic variability increased between the first and last two CGM days on Plac, but remained unchanged on β-glucan. In conclusion, in this pilot study we were unable to demonstrate a general positive effect of β-glucan before meals on glucose control or variability in T1D.</p>},
  articleno    = {1004},
  author       = {Frid, Anders and Tura, Andrea and Pacini, Giovanni and Ridderstråle, Martin},
  issn         = {2072-6643},
  keyword      = {Betaglucan,Diabetes,Glucose control,Glucose variability,Viscous fiber},
  language     = {eng},
  month        = {09},
  number       = {9},
  publisher    = {MDPI AG},
  series       = {Nutrients},
  title        = {Effect of oral pre-meal administration of betaglucans on glycaemic control and variability in subjects with type 1 diabetes},
  url          = {http://dx.doi.org/10.3390/nu9091004},
  volume       = {9},
  year         = {2017},
}