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Diabetes Care, Vol 11, Issue 1 72-76, Copyright © 1988 by American Diabetes Association

ARTICLES

Quantitative importance of dietary constituents other than glucose as insulin secretagogues in type II diabetes

FQ Nuttall and MC Gannon
Section of Endocrinology and Metabolism, Minneapolis VA Medical Center, MN 55417.

In seven type II (non-insulin-dependent) diabetic patients, given either 50 g glucose or a mixed meal potentially containing 61 g glucose as starch and sucrose, the postmeal plasma glucose area integrated over 4 h was less after the mixed meal. The insulin area was considerably greater (2.1-fold). The greater increase in insulin could be explained largely, but not entirely, by the protein and fructose in the mixed meal (85%) which, in addition to glucose, are known insulin secretagogues. The residual unexplained increase may be due to a synergistic interaction of these secretagogues, an unidentified insulin secretagogue, or by a reduced insulin removal rate. These possibilities remain to be explored.
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Copyright © 1988 by the American Diabetes Association.