Dietary guar gum improves insulin sensitivity in streptozotocin-induced diabetic rats.

Although dietary recommendations for diabetics stress the need for increased carbohydrate and dietary fiber, the effectiveness of dietary fiber in improving insulin sensitivity remains controversial. The aim of this study was to compare the effects of a soluble fiber (guar gum) and an insoluble fiber (wheat bran) on insulin sensitivity in streptozotocin-induced (STZ) diabetic rats. Consequently, the rats were divided into two groups and one half were rendered diabetic with streptozotocin. The STZ diabetic and nondiabetic rats were further randomized and fed a diet containing dietary fiber (7 g/100 g diet) from either guar gum or wheat bran. The hyperinsulinemic clamp technique, combined with infusion of the glucose analog, 2-deoxyglucose (2DG), was utilized to examine insulin sensitivity. Bran-fed STZ diabetic rats were significantly (P < 0.001) hyperglycemic, which was ameliorated by guar gum. Insulin-mediated glucose disposal was increased by the guar diet compared with the bran diet in both the STZ diabetic rats [17.7 +/- 2.2 vs. 11.8 +/- 2.4 mL/(kg x min), P < 0.05] and the nondiabetic rats [20.5 +/- 2.8 vs. 15.5 +/- 1.5 mL/(kg x min), P < 0.05]. The accumulation of 2DG in peripheral muscles reflected the changes in insulin sensitivity with a trend for increased 2DG uptake in the majority of analyzed tissues in rats fed the guar diet, both nondiabetic and STZ diabetic, compared with the bran-fed rats. Accompanying these alterations in insulin sensitivity, guar gum suppressed food intake in the hyperphagic diabetic rats by 20% (P < 0.001). The present results demonstrate the effectiveness of guar gum in improving insulin sensitivity in STZ diabetic rats and suggest that reduced food intake may be an important mechanism of action of guar in hyperphagic diabetic rats.

[1]  G. Denyer,et al.  Development of insulin resistance in the rat is dependent on the rate of glucose absorption from the diet. , 1996, The Journal of nutrition.

[2]  D. Cameron-Smith,et al.  Reduction in Hyperglycemia by Mild Food Restriction in Streptozotocin Induced Diabetic Rats Improves Insulin Sensitivity , 1994, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme.

[3]  D. Cameron-Smith,et al.  Effect of soluble dietary fibre on the viscosity of gastrointestinal contents and the acute glycaemic response in the rat , 1994, British Journal of Nutrition.

[4]  M. Krempf,et al.  Role of viscous guar gums in lowering the glycemic response after a solid meal. , 1994, The American journal of clinical nutrition.

[5]  U. Smith,et al.  Guar gum improves insulin sensitivity, blood lipids, blood pressure, and fibrinolysis in healthy men. , 1992, The American journal of clinical nutrition.

[6]  Goldstein Dj Beneficial health effects of modest weight loss , 1992 .

[7]  A. Vaag,et al.  Insulin Resistance in Skeletal Muscles in Patients With NIDDM , 1992, Diabetes Care.

[8]  C. Lang Rates and Tissue Sites of Noninsulin- and Insulin-Mediated Glucose Uptake in Diabetic Rats , 1992, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine.

[9]  J. Vasselli,et al.  Beneficial effects of dietary acarbose in the streptozotocin-induced diabetic rat. , 1991, Metabolism: clinical and experimental.

[10]  J. Anderson,et al.  Metabolic effects of high-carbohydrate, high-fiber diets for insulin-dependent diabetic individuals. , 1991, The American journal of clinical nutrition.

[11]  S. Grundy Dietary Therapy in Diabetes Mellitus: Is There a Single Best Diet? , 1991, Diabetes Care.

[12]  K. Minaker,et al.  High-carbohydrate, high-fiber diets increase peripheral insulin sensitivity in healthy young and old adults. , 1990, The American journal of clinical nutrition.

[13]  M. Kondo,et al.  Dietary treatment ameliorates overt diabetes and decreased insulin secretion to glucose, induced by overeating in impaired glucose tolerant mice. , 1990, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme.

[14]  V. Marks,et al.  The effect of soluble- and insoluble-fibre supplementation on post-prandial glucose tolerance, insulin and gastric inhibitory polypeptide secretion in healthy subjects , 1990, British Journal of Nutrition.

[15]  P. Winocour,et al.  Placebo‐controlled Trial of the Effects of Guar Gum and Metformin on Fasting Blood Glucose and Serum Lipids in Obese, Type 2 Diabetic Patients , 1990, Diabetic medicine : a journal of the British Diabetic Association.

[16]  T. Wolever,et al.  Nibbling versus gorging: metabolic advantages of increased meal frequency. , 1989, The New England journal of medicine.

[17]  P. Wood,et al.  Effect of dietary fibers on glycemia and insulinemia and on gastrointestinal function in rats. , 1989, Canadian journal of physiology and pharmacology.

[18]  H. Yki-Järvinen,et al.  Glucose and lipid metabolism and insulin sensitivity in type 1 diabetes: the effect of guar gum. , 1988, The American journal of clinical nutrition.

[19]  R. DeFronzo,et al.  Correction of hyperglycemia with phlorizin normalizes tissue sensitivity to insulin in diabetic rats. , 1987, The Journal of clinical investigation.

[20]  T. Wolever,et al.  Concurrent ingestion of fat and reduction in starch content impairs carbohydrate tolerance to subsequent meals. , 1987, The American journal of clinical nutrition.

[21]  K. Alberti,et al.  Preservation of islet function and morphology after transplantation into high dose streptozotocin-diabetic rats. , 1986, Diabetes research.

[22]  H. Wallenburg,et al.  LOW-DOSE ASPIRIN PREVENTS PREGNANCY-INDUCED HYPERTENSION AND PRE-ECLAMPSIA IN ANGIOTENSIN-SENSITIVE PRIMIGRAVIDAE , 1986, The Lancet.

[23]  M. Cassader,et al.  Moderate guar-gum addition to usual diet improves peripheral sensitivity to insulin and lipaemic profile in NIDDM. , 1985, Diabete & metabolisme.

[24]  J. Olefsky,et al.  Glycemic effects of intensive caloric restriction and isocaloric refeeding in noninsulin-dependent diabetes mellitus. , 1985, The Journal of clinical endocrinology and metabolism.

[25]  L. Thompson,et al.  Effect of Guar Enriched Pasta on Blood Glucose Control in Diabetics , 1985 .

[26]  D. James,et al.  Dose-response curves for in vivo insulin sensitivity in individual tissues in rats. , 1985, The American journal of physiology.

[27]  M. Krotkiewski Effect of guar gum on body-weight, hunger ratings and metabolism in obese subjects , 1984, British Journal of Nutrition.

[28]  N. Track,et al.  Improved carbohydrate tolerance in fibre-fed rats: studies of the chronic effect. , 1982, Canadian journal of physiology and pharmacology.

[29]  J. Mann,et al.  A HIGH CARBOHYDRATE LEGUMINOUS FIBRE DIET IMPROVES ALL ASPECTS OF DIABETIC CONTROL , 1981, The Lancet.

[30]  G. W. Snedecor STATISTICAL METHODS , 1967 .

[31]  N. Read,et al.  Effect of guar gum on hunger and satiety after meals of differing fat content: relationship with gastric emptying. , 1994, The American journal of clinical nutrition.

[32]  J. Blundell,et al.  The effect of high and low-fibre breakfasts on hunger, satiety and food intake in a subsequent meal. , 1987, International journal of obesity.

[33]  K. Alberti,et al.  Decrease in postprandial insulin and glucose concentrations by guar and pectin. , 1977, Annals of internal medicine.