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- Title
Beneficial glycaemic effects of high-amylose barley bread compared to wheat bread in type 2 diabetes.
- Authors
Bohl, Mette; Gregersen, Søren; Zhong, Yuyue; Hebelstrup, Kim Henrik; Hermansen, Kjeld
- Abstract
Background: Cereals foods with a high content of dietary fibres or amylose have potential to lower postprandial glucose levels. Optimisation of cereal foods may improve management of type 2 diabetes (T2D). Methods: We investigated the impact on 4 h postprandial glucose responses given as incremental area under curve (iAUC) of bread made of either 50% RNAi-based (genetically modified) amylose-only barley flour (AmOn) (and 50% wheat flour), 50% hulless barley flour (and 50% wheat flour) or 75% hulless barley (and 25% wheat flour) in subjects with T2D compared with 100% wheat flour bread. Design: Twenty adults with T2D were randomly allocated to one of four breads at four separate visits. We measured fasting and 4 h postprandial responses of glucose, insulin, glucagon, triacylglycerol (TG), free fatty acids (FFA), glucagon-like peptide-1 (GLP-1) and gastric inhibitory polypeptide (GIP). Mixed model ANOVA was used to examine the differences. Results: Bread made from 50% AmOn lowered the 4 h postprandial glucose by 34%, 27%, 23% (P < 0.05) compared with 100% wheat, 50% or 75% hulless barley, respectively. Bread made from 75% hulless barley reduced the postprandial glucose response (iAUC) by 11% (P < 0.05) compared to 100% wheat bread. Postprandial insulin responses (iAUC) were reduced for 50% AmOn compared with 100% wheat and 50% hulless barley and for 75% hulless compared to 50% hulless barley bread (P < 0.05). 4 h postprandial glucagon (tAUC) did not differ between the four bread types (P > 0.05). Lower postprandial GIP (iAUC) was observed after all barley breads compared to 100% wheat (P < 0.05), whereas no difference was seen in postprandial GLP-1. Postprandial TG and FFA (tAUC) were difficult to judge due to differences in fasting values. Conclusions: Bread made by replacing wheat flour with either 50% high-amylose or 75% hulless barley flour lowered postprandial glucose responses compared to 100% wheat bread indicating a beneficial impact on glucose regulation in T2D subjects. This trial was registered at clinicaltrials.gov as NCT04646746.
- Subjects
BLOOD sugar analysis; BREAD; WHEAT; FOOD consumption; RESEARCH funding; STATISTICAL sampling; BARLEY; TREATMENT effectiveness; DESCRIPTIVE statistics; INSULIN; RANDOMIZED controlled trials; TYPE 2 diabetes; DIETARY fiber; ANALYSIS of variance; COMPARATIVE studies
- Publication
European Journal of Clinical Nutrition, 2024, Vol 78, Issue 3, p243
- ISSN
0954-3007
- Publication type
Article
- DOI
10.1038/s41430-023-01364-x