[Comparison of guar gum, wheat bran and placebo on carbohydrate and lipid metabolism in type II diabetics]. 1990

M Stahl, and W Berger
Departement Innere Medizin, Abteilung Endokrinologie und Stoffwechsel, Kantonsspital Basel.

10 non-insulin-dependent (NIDDM) diabetic patients of the University Hospital Basle completed a placebo-controlled open crossover study of three 3-month periods in which the response to 30 g wheat bran and 15 g guar gum daily, respectively, was compared with placebo response. No significant difference occurred in blood glucose or HbA1c. Only postprandial plasma insulin levels were significantly lower in the afternoon at the end of both treatments (p less than 0.05). Serum total cholesterol levels decreased under guar gum by 10% (p less than 0.01), as did LDL cholesterol and the ratio of total to HDL cholesterol (p less than 0.05). Triglycerides were significantly lower (p less than 0.05) after 8 weeks. We conclude that neither guar gum nor wheat bran improves the metabolic control of NIDDM, but guar gum may be useful in patients with high serum total cholesterol levels.

UI MeSH Term Description Entries
D007328 Insulin A 51-amino acid pancreatic hormone that plays a major role in the regulation of glucose metabolism, directly by suppressing endogenous glucose production (GLYCOGENOLYSIS; GLUCONEOGENESIS) and indirectly by suppressing GLUCAGON secretion and LIPOLYSIS. Native insulin is a globular protein comprised of a zinc-coordinated hexamer. Each insulin monomer containing two chains, A (21 residues) and B (30 residues), linked by two disulfide bonds. Insulin is used as a drug to control insulin-dependent diabetes mellitus (DIABETES MELLITUS, TYPE 1). Iletin,Insulin A Chain,Insulin B Chain,Insulin, Regular,Novolin,Sodium Insulin,Soluble Insulin,Chain, Insulin B,Insulin, Sodium,Insulin, Soluble,Regular Insulin
D008297 Male Males
D008351 Mannans Polysaccharides consisting of mannose units. Mannan
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010919 Placebos Any dummy medication or treatment. Although placebos originally were medicinal preparations having no specific pharmacological activity against a targeted condition, the concept has been extended to include treatments or procedures, especially those administered to control groups in clinical trials in order to provide baseline measurements for the experimental protocol. Sham Treatment
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D002784 Cholesterol The principal sterol of all higher animals, distributed in body tissues, especially the brain and spinal cord, and in animal fats and oils. Epicholesterol
D003924 Diabetes Mellitus, Type 2 A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY. Diabetes Mellitus, Adult-Onset,Diabetes Mellitus, Ketosis-Resistant,Diabetes Mellitus, Maturity-Onset,Diabetes Mellitus, Non-Insulin-Dependent,Diabetes Mellitus, Slow-Onset,Diabetes Mellitus, Stable,MODY,Maturity-Onset Diabetes Mellitus,NIDDM,Diabetes Mellitus, Non Insulin Dependent,Diabetes Mellitus, Noninsulin Dependent,Diabetes Mellitus, Noninsulin-Dependent,Diabetes Mellitus, Type II,Maturity-Onset Diabetes,Noninsulin-Dependent Diabetes Mellitus,Type 2 Diabetes,Type 2 Diabetes Mellitus,Adult-Onset Diabetes Mellitus,Diabetes Mellitus, Adult Onset,Diabetes Mellitus, Ketosis Resistant,Diabetes Mellitus, Maturity Onset,Diabetes Mellitus, Slow Onset,Diabetes, Maturity-Onset,Diabetes, Type 2,Ketosis-Resistant Diabetes Mellitus,Maturity Onset Diabetes,Maturity Onset Diabetes Mellitus,Non-Insulin-Dependent Diabetes Mellitus,Noninsulin Dependent Diabetes Mellitus,Slow-Onset Diabetes Mellitus,Stable Diabetes Mellitus
D004043 Dietary Fiber The remnants of plant cell walls that are resistant to digestion by the alimentary enzymes of man. It comprises various polysaccharides and lignins. Fiber, Dietary,Roughage,Wheat Bran,Bran, Wheat,Brans, Wheat,Dietary Fibers,Fibers, Dietary,Roughages,Wheat Brans
D005260 Female Females

Related Publications

M Stahl, and W Berger
June 1979, The Journal of nutrition,
M Stahl, and W Berger
January 1983, Beitrage zu Infusionstherapie und klinische Ernahrung,
M Stahl, and W Berger
May 1986, Diabetic medicine : a journal of the British Diabetic Association,
M Stahl, and W Berger
April 1990, Archives of internal medicine,
M Stahl, and W Berger
August 1987, Drug and therapeutics bulletin,
M Stahl, and W Berger
May 1983, International journal of sports medicine,
M Stahl, and W Berger
July 1988, The American journal of clinical nutrition,
M Stahl, and W Berger
January 1995, BMJ (Clinical research ed.),
Copied contents to your clipboard!