Diabetes Care
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Diabetes Care 29:976-981, 2006
DOI: 10.2337/dc05-2012
© 2006 by the American Diabetes Association
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Clinical Care/Education/Nutrition
Original Article

Consumption of Both Resistant Starch and ß-Glucan Improves Postprandial Plasma Glucose and Insulin in Women

Kay M. Behall, PHD1, Daniel J. Scholfield, MS1, Judith G. Hallfrisch, PHD1 and Helena G.M. Liljeberg-Elmståhl, PHD2

1 Diet and Human Performance Laboratory, Beltsville Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture, Beltsville, Maryland
2 Center for Chemistry and Chemical Engineering, Lund University, Lund, Sweden

Address correspondence and reprint requests to Kay M. Behall, Building 307B, BARC-East, Diet and Human Performance Laboratory, Beltsville Human Nutrition Research Center, ARS, USDA, Beltsville, MD 20705-2350. E-mail: behallk{at}ba.ars.usda.gov

OBJECTIVE—Consumption of a meal high in resistant starch or soluble fiber (ß-glucan) decreases peak insulin and glucose concentrations and areas under the curve (AUCs). The objective was to determine whether the effects of soluble fiber and resistant starch on glycemic variables are additive.

RESEARCH DESIGN AND METHODS—Ten normal-weight (43.5 years of age, BMI 22.0 kg/m2) and 10 overweight women (43.3 years of age, BMI 30.4 kg/m2) consumed 10 tolerance meals in a Latin square design. Meals (1 g carbohydrate/kg body wt) were glucose alone or muffins made with different levels of soluble fiber (0.26, 0.68, or 2.3 g ß-glucan/100 g muffin) and three levels of resistant starch (0.71, 2.57, or 5.06 g/100 g muffin).

RESULTS—Overweight subjects had plasma insulin concentrations higher than those of normal-weight subjects but maintained similar plasma glucose levels. Compared with low ß-glucan–low resistant starch muffins, glucose and insulin AUC decreased when ß-glucan (17 and 33%, respectively) or resistant starch (24 and 38%, respectively) content was increased. The greatest AUC reduction occurred after meals containing both high ß-glucan–high resistant starch (33 and 59% lower AUC for glucose and insulin, respectively). Overweight women were somewhat more insulin resistant than control women.

CONCLUSIONS—Soluble fiber appears to have a greater effect on postprandial insulin response while glucose reduction is greater after resistant starch from high-amylose cornstarch. The reduction in glycemic response was enhanced by combining resistant starch and soluble fiber. Consumption of foods containing moderate amounts of these fibers may improve glucose metabolism in both normal and overweight women.

Abbreviations: AUC, area under the curve • HOMA, homeostasis model assessment


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Copyright © 2006 by the American Diabetes Association.