Research Article

Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes

Volume: 6 Number: 1 April 30, 2024
EN

Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes

Abstract

This study was conducted to determine the effect of prebiotic fiber intake on glycemia and lipemia in individuals with Type 2 Diabetes Mellitus (Type 2 DM). Over a 8-week period, 14 individuals with Type 2 DM between the ages of 20-50 with a Body Mass Index (BMI) above 25 kg/m² were randomly assigned to either an intervention group, in which participants were given additional prebiotic fiber with diabetic diet (n = 8, consuming 10 g/d of oligofructose-enriched inulin to diabetic diet) or to a control group, in which participants were given only with a diabetic diet (n = 6, consuming only diabetic diet). Fasting Plasma Glucose (FPG), fasting insulin, insulin resistance (HOMA-IR), glycosylated hemoglobin (HbA1c), Triglyceride (TG), Total Cholesterol (Total-C), High-Density Lipoprotein Cholesterol (HDL-C), Low-Density Lipoprotein Cholesterol (LDL-C) and Very Low-Density Lipoprotein Cholesterol (VLDL-C) values were measured at the beginning and end of the study. There was no significant difference between the initial and last measurements in HbA1c, fasting insulin, HOMA-IR, and HDL-C values only in the diabetic diet group (p>0.05); whereas FPG, TG, Total-C, LDL-C, and VLDL-C levels decreased (p<0.05). In the group that received additional prebiotics in the diet, the FPG, HbA1c, TG, Total-C, VLDL-C, and LDL-C levels decreased significantly (p<0.05) at the end of the study compared to the beginning; HDL-C (p<0.05) was elevated. Prebiotics can be used as a new option in the treatment of many metabolic diseases, especially diabetes. Prebiotics will make a positive contribution to metabolic markers by changing the composition of the microbiota.

Keywords

Ethical Statement

The study has been approved by the ethics committee of Gazi University (Decision No: 14.06.2021 / 578).

Thanks

The authors would like to thank Gazi University Academic Writing Application and Research Center for proofreading the article.

References

  1. Baigent, C., Keech, A., Kearney, P. M., Blackwell, L., Buck, G., Pollicino, C., Kirby, A., Sourjina, T., Peto, R., Collins, R., Simes, R., & Cholesterol Treatment Trialists, C. (2005). Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet, 366(9493), 1267-1278. https://doi.org/10.1016/S0140-6736(05)67394-1
  2. Birkeland, E., Gharagozlian, S., Gulseth, H. L., Birkeland, K. I., Hartmann, B., Holst, J. J., Holst, R., & Aas, A. M. (2021). Effects of prebiotics on postprandial GLP-1, GLP-2 and glucose regulation in patients with type 2 diabetes: A randomised, double-blind, placebo-controlled crossover trial. Diabetic Medicine, 38(10), e14657. https://doi.org/10.1111/dme.14657
  3. Brighenti, F. (2007). Dietary fructans and serum triacylglycerols: a meta-analysis of randomized controlled trials. The Journal of Nutrition, 137(11 Suppl), 2552S-2556S. https://doi.org/10.1093/jn/137.11.2552S
  4. Cani, P. D., Lecourt, E., Dewulf, E. M., Sohet, F. M., Pachikian, B. D., Naslain, D., De Backer, F., Neyrinck, A. M., & Delzenne, N. M. (2009). Gut microbiota fermentation of prebiotics increases satietogenic and incretin gut peptide production with consequences for appetite sensation and glucose response after a meal. The American Journal of Clinical Nutrition, 90(5), 1236-1243. https://doi.org/10.3945/ajcn.2009.28095
  5. Davani-Davari, D., Negahdaripour, M., Karimzadeh, I., Seifan, M., Mohkam, M., Masoumi, S. J., Berenjian, A., & Ghasemi, Y. (2019). Prebiotics: Definition, Types, Sources, Mechanisms, and Clinical Applications. Foods, 8(3). https://doi.org/10.3390/foods8030092
  6. Dehghan, P., Farhangi, M. A., Tavakoli, F., Aliasgarzadeh, A., & Akbari, A. M. (2016). Impact of prebiotic supplementation on T-cell subsets and their related cytokines, anthropometric features and blood pressure in patients with type 2 diabetes mellitus: A randomized placebo-controlled Trial. Complementary Therapies in Medicine, 24, 96-102. https://doi.org/10.1016/j.ctim.2015.12.010
  7. Dehghan, P., Pourghassem Gargari, B., & Asghari Jafar-abadi, M. (2014). Oligofructose-enriched inulin improves some inflammatory markers and metabolic endotoxemia in women with type 2 diabetes mellitus: a randomized controlled clinical trial. Nutrition, 30(4), 418-423. https://doi.org/10.1016/j.nut.2013.09.005
  8. ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M. L., Prahalad, P., Pratley, R. E., Seley, J. J., Stanton, R. C., . . . on behalf of the American Diabetes, A. (2023). 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes-2023. Diabetes Care, 46(Supple 1), S68-S96. https://doi.org/10.2337/dc23-S005

Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Research Article

Publication Date

April 30, 2024

Submission Date

December 2, 2023

Acceptance Date

February 19, 2024

Published in Issue

Year 2024 Volume: 6 Number: 1

APA
Demirtaş, A. A., & Acar Tek, N. (2024). Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes. Journal of Gazi University Health Sciences Institute, 6(1), 1-10. https://doi.org/10.59124/guhes.1399261
AMA
1.Demirtaş AA, Acar Tek N. Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes. GUHES. 2024;6(1):1-10. doi:10.59124/guhes.1399261
Chicago
Demirtaş, Ayşe Ayda, and Nilüfer Acar Tek. 2024. “Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals With Type 2 Diabetes”. Journal of Gazi University Health Sciences Institute 6 (1): 1-10. https://doi.org/10.59124/guhes.1399261.
EndNote
Demirtaş AA, Acar Tek N (April 1, 2024) Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes. Journal of Gazi University Health Sciences Institute 6 1 1–10.
IEEE
[1]A. A. Demirtaş and N. Acar Tek, “Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes”, GUHES, vol. 6, no. 1, pp. 1–10, Apr. 2024, doi: 10.59124/guhes.1399261.
ISNAD
Demirtaş, Ayşe Ayda - Acar Tek, Nilüfer. “Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals With Type 2 Diabetes”. Journal of Gazi University Health Sciences Institute 6/1 (April 1, 2024): 1-10. https://doi.org/10.59124/guhes.1399261.
JAMA
1.Demirtaş AA, Acar Tek N. Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes. GUHES. 2024;6:1–10.
MLA
Demirtaş, Ayşe Ayda, and Nilüfer Acar Tek. “Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals With Type 2 Diabetes”. Journal of Gazi University Health Sciences Institute, vol. 6, no. 1, Apr. 2024, pp. 1-10, doi:10.59124/guhes.1399261.
Vancouver
1.Ayşe Ayda Demirtaş, Nilüfer Acar Tek. Effect of Additional Prebiotics on Glycemia and Lipid Profile in Individuals with Type 2 Diabetes. GUHES. 2024 Apr. 1;6(1):1-10. doi:10.59124/guhes.1399261