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Metabolic advantages of spreading the nutrient load: effects of increased meal frequency in non-insulin-dependent diabetes
Abstract
The acute effect of increasing meal frequency as a model of slow absorption was studied for 1 d in 11 patients with non-insulin-dependent diabetes. On 1 d they took 13 snacks (the nibbling diet) and on another day the same diet was taken as three meals and one snack (the three-meal diet). The nibbling diet reduced mean blood glucose, serum insulin, and C peptide concentrations over the 9.5 h of observation and 24-h urinary C peptide output by 12.7 +/- 3.7% (mean +/- SE) (P = 0.0062), 20.1 +/- 5.8% (P = 0.0108), 9.2 +/- 2.6% (P = 0.0073), and 20.37 +/- 8.12% (P = 0.039), respectively, compared with the three-meal diet. Serum triglyceride concentrations were lower by 8.5 +/- 3.2% (P = 0.037). Despite lower insulin concentrations on the nibbling diet, the concentrations of free fatty acids, 3-hydroxybutyrate, and the insulin-sensitive branched-chain amino acids responded similarly on both treatments. Metabolic benefits seen with increased meal frequency may explain the success of similar agents that prolong absorption, including fiber and enzyme inhibitors.
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“It is known for both solid and liquid test meals, in normal and diabetic subjects, that prolonging the time of ingestion from a few minutes to several hours markedly flattens the glycaemic response (Jenkins et al. 1990(Jenkins et al. , 1992)).”
From Glycaemic index methodology (2005) · cites this paper as Jenkins et al. 1992
In the citing paper
“Clinical trials, both short-term (14–28 days) [321,325,328,329,330,331,332] and long-term [323,324] with no caloric restriction in non-obese and obese women with PCO syndrome at an early or late stage IGT or overt early-stage T2DM, and long-term studies with caloric restriction in T2DM without [333] or with antidiabetic treatment [320,326], have produced contradictory results regarding the associ”
From Effects of diet, lifestyle, Chrononutrition and alternative dietary interventions on postprandial Glycemia and insulin resistance (2022) · cites this paper as [325]
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Metadata
- Authors
- Jenkins, D., Ocana, A., Jenkins, A., Wolever, T., Vuksan, V, Katzman, L., Hollands, M., Greenberg, G., Corey, P., & Patten, R.
- Affiliations
- St. Michael's Hospital (CA)
- Corresponding author
- Jenkins, DJ
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1992-02
- Volume
- 55
- Issue
- 2
- Pages
- 461-467
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2105262749
- Cited by
- 123
- References
- 37
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 8 · 2014: 4 · 2013: 6 · 2012: 5
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- type 2 diabetes, blood glucose, serum insulin, C-peptide, urinary C-peptide, serum triglycerides, free fatty acids, beta-hydroxybutyrate, branched-chain amino acids, dietary fiber, enzyme inhibitors
- MeSH terms
- Adult, Aged, Aged, 80 and over, Amino Acids, Blood Glucose, C-Peptide, Creatinine, Diabetes Mellitus, Type 2, Fasting, Feeding Behavior, Female, Hormones, Humans, Male, Middle Aged, Nutritional Physiological Phenomena, Osmolar Concentration, Time Factors
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