Effect of apple cider vinegar on delayed gastric emptying in patients with type 1 diabetes mellitus: a pilot study
Open accessAbstract
BACKGROUND: Previous studies on healthy people show that vinegar delays gastric emptying and lowers postprandial blood glucose and insulin levels. The aim of this study was to investigate the effect of apple cider vinegar on delayed gastric emptying rate on diabetes mellitus patients. METHODS: Ten patients with type 1 diabetes and diabetic gastroparesis, including one patient who had undergone vagotomy, were included and completed the investigator blinded crossover trial. The gastric emptying rate (GER) was measured using standardized real-time ultrasonography. The GER was calculated as the percentage change in the antral cross-sectional area 15 and 90 minutes after ingestion of 300 g rice pudding and 200 ml water (GER1), or 300 g rice pudding and 200 ml water with 30 ml apple cider vinegar (GER2). The subjects drank 200 ml water daily before breakfast one week before the measurement of GER1. The same subjects drank 200 ml water with 30 ml vinegar daily before breakfast for two weeks before the measurement of GER2. RESULTS: The median values of GER1 and GER2 were 27% and 17%, respectively. The effect of vinegar on the rate of gastric emptying was statistically significant (p < 0.05). CONCLUSION: This study shows that vinegar affects insulin-dependent diabetes mellitus patients with diabetic gastroparesis by reducing the gastric emptying rate even further, and this might be a disadvantage regarding to their glycaemic control. TRIAL REGISTRATION NUMBER: ISRCTN33841495.
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Acetic acid consumption delays gastric emptying in healthy subjects and in people with diabetes.
“Acetic acid consumption has been shown to delay gastric emptying in healthy subjects and in people with diabetes [386,405].”
From Effects of diet, lifestyle, Chrononutrition and alternative dietary interventions on postprandial Glycemia and insulin resistance (2022) · cites this paper as [405]
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- Authors
- Hlebowicz, J., Darwiche, G., Björgell, O., & Almér, L.-O.
- Affiliations
- Lund University (SE)
- Corresponding author
- Hlebowicz, Joanna
- ORCID
- Hlebowicz, Joanna
- Venue
- BMC Gastroenterology
- Published
- 2007-12
- Volume
- 7
- Issue
- 1
- Pages
- 46-46
- ISSN
- 1471-230X (ISSN-L)
- PMC
- PMC2245945
- OpenAlex
- W2090958559
- Cited by
- 76
- References
- 39
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 3 · 2020: 7 · 2019: 8 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Gastroenterology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- apple cider vinegar, gastric emptying, diabetic gastroparesis, type 1 diabetes, postprandial blood glucose, glycemic control, vagotomy, rice pudding
- MeSH terms
- Aged, Diabetes Mellitus, Type 1, Female, Gastric Emptying, Humans, Male, Phytotherapy, Middle Aged, Pilot Projects, Gastroparesis, Acetic Acid, Postprandial Period, Malus, Plant Preparations
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