Effect of consumption of a carob pod inositol-enriched beverage on insulin sensitivity and inflammation in middle-aged prediabetic subjects.

Abstract

This study assessed the effects of an inositol-enriched beverage (IEB) on blood glucose levels and inflammation status in subjects with an impaired fasting glucose (IFG) state according to body mass index (BMI). This was a 12 week, double-blind, randomized, controlled trial employing forty-four IFG subjects (fasting glucose levels 100-125 mg dl-1) that were divided into two intervention groups: one receiving a IEB (n = 24) containing mainly pinitol (2.0 g twice a day), and the other a sweetened beverage based on sucrose (SB; n = 20). Anthropometric and biochemical measurements, postprandial and fasting nocturnal glycaemia (continuous glucose monitoring system), and inflammatory parameters (IL-6 and TNF-α) were analyzed at baseline and after intervention according to BMI (non-obese: BMI < 30 kg m-2 or obese: BMI ≥ 30 kg m-2). Non-obese subjects who consumed IEB exhibited a significant decrease in insulin (-14.4%), HOMA-IR index (-15.1%) and percentage of glucose change after postprandial and fasting nocturnal periods (-10.0% and -10.3%, respectively) compared with the SB group (-2.35% and 10.2%, respectively) although they did not show any change in inflammatory cytokine levels. By contrast, obese subjects who consumed IEB showed a smaller variation in glucose levels after nocturnal fasting (-4.34%) and a marked decrease in IL-6 and TNF-α (p < 0.05). These findings support that consumption of IEB in prediabetic subjects produces a response that is dependent on BMI, with a clear improvement of insulin resistance and postprandial and nocturnal glycemia in non-obese subjects and a marked anti-inflammatory response in obese subjects.

• Authors: Celia Bañuls, Susana Rovira-Llopis, Sandra López-Doménech, Silvia Veses, Víctor M Víctor, Milagros Rocha, Antonio Hernández-Mijares
• Journal: Food & function (Food Funct) Vol. 7 Issue 10 Pg. 4379-4387 (Oct 12 2016) ISSN: 2042-650X [Electronic] England
• PMID: 27713964 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Galactans
• Glycated Hemoglobin A
• Mannans
• Plant Gums
• Inositol
• locust bean gum

Topics

• Adult
• Aged
• Beverages
• Double-Blind Method
• Female
• Galactans (chemistry)
• Glycated Hemoglobin
• Humans
• Inflammation (drug therapy)
• Inositol (chemistry, pharmacology)
• Insulin Resistance
• Male
• Mannans (chemistry)
• Middle Aged
• Plant Gums (chemistry)
• Prediabetic State