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Cited by 33Diabetes Management and ResearchFood composition and propertiesDiabetes Treatment and Management

Effect on the postprandial glycaemic level of the addition of water to a meal ingested by healthy subjects and Type 2 (non-insulin-dependent) diabetic patients

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Torsdottir, I., Andersson, H.·1989·Diabetologia
DOI 10.1007/bf00285289
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Abstract

The effects on postprandial glycaemic reactions of adding a glass of water to a meal were studied in 7 healthy male subjects and 20 Type 2 (non-insulin-dependent) diabetic patients for a period of up to 3 h. The subjects were served a meal of potatoes and meat, with or without 300 ml of water, in random order on two mornings after a 12-h fast. The diabetic patients were considered as well-controlled or not well-controlled according to HbA1c and blood glucose fasting values. Water addition increased the peak blood glucose (p less than 0.02) and serum insulin (p less than 0.02) levels in healthy subjects, and the blood glucose concentration in well-controlled diabetic patients (p less than 0.02). The addition of water also increased the overall blood glucose response, calculated as the positive incremental area, in healthy subjects by 68 +/- 25% (p less than 0.02) and in well-controlled diabetic patients by 40 +/- 14% (p less than 0.01). In poorly-controlled diabetic patients, however, the addition of water did not display significant effects, probably due to the varying fasting glycaemia in these patients. Thus, altering the physical property of a meal by dilution with water can affect the physiological responses; the results are considered to be relevant for the on-going discussion concerning the use of physiological responses to foods as a basis for diet instructions to diabetic patients.

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  • Other studies have observed or indicated a relationship between the volume of water or food and postprandial responses, including incremental areas.

    “whereas others observed or indicate a relationship between the volume of water or food and postprandial responses, and sometimes incremental areas (Torsdottir & Anderson, 1989;Young & Wolever, 1998;Sievenpiper et al. 2001).”

    From Glycaemic index methodology (2005) · cites this paper as Torsdottir & Anderson, 1989

  • Studies that have examined how volume affects glycaemic response have produced contradictory results.

    “Unfortunately, the results of studies undertaken to date to evaluate the effect of volume on glycaemic response are contradictory.”

    From Glycaemic index methodology (2005) · cites this paper as Torsdottir & Anderson, 1989

    The introduction says earlier abstracts reported increased glycaemic responses when water was added to meals, and the Discussion reports an increase in two groups in this study but no significant effect in poorly controlled Type 2 diabetic patients. Those are differences between groups, not evidence that studies of meal volume produced contradictory results. No passage found makes that broader comparison across studies; page numbers are unavailable in our copy. (LLM, conf=0.76)

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Research works printed but not linked: 1

  1. Torsdottir I, Halferkamps ICH, Andersson H (1985) Effects of water and particle size in composite meals on blood glucose and serum insulin responses in non-diabetic subjects. Third Interna- tional Symposium Diabetes and Nutrition Study Group of the EASD. (Booklet of abstracts)

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Authors
Torsdottir, I., & Andersson, H.
Affiliations
Sahlgrenska University Hospital (SE)
ORCID
Andersson, H.
Venue
Diabetologia
Publisher
Springer Science and Business Media LLC
Published
1989-04
Volume
32
Issue
4
Pages
231-235
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
DOI
10.1007/bf00285289
OpenAlex
W1968657108
Cited by
33
References
33
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 2 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 1
FWCI
0.82
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Diabetologia (publishedVersion)
  • PubMed (publishedVersion)
Funders
Skogs- och Jordbrukets Forskningsråd
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
water intake, postprandial blood glucose, type 2 diabetes, serum insulin, glycemic response, HbA1c, glycemic control, healthy volunteers
MeSH terms
Blood Glucose, Diabetes Mellitus, Type 2, Drinking, Eating, Fasting, Glycated Hemoglobin, Humans, Kinetics, Reference Values, Water

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