Objective: The objective of the study was to investigate the effects of sugar beet ®ber in formula diet on blood glucose, serum insulin and serum hydroxyproline in humans. Design: Two formula test meals with and without 7 g of sugar beet ®ber, namely 5.1 g total dietary ®ber, were ingested on two mornings, in random order, by the subjects. Setting: The test meals were served in a clinic to the subjects after a 12 h fast. Subjects: Fifteen healthy male human volunteers (mean age 25 y, range 21±42) registered to participate in the study after an announcement. Methods: The test meals of formulas contained similar amounts of nutrients and gave total energy of 1778 kJ (425 kcal). Blood samples were drawn before and after the test meals. The total test time from the start of ingestion of the meal was 155 min. Results: The formula with sugar beet ®ber reduced the postprandial blood glucose response (P`0.05), serum insulin response (P`0.025) and serum hydroxyproline response (P`0.025), compared with the formula without ®ber. Conclusion: Sugar beet ®ber in a formula could thus reduce hyperglycemia in enteral nutrition and be useful in therapeutic liquid and formula diets. Sugar beet ®ber was shown to tolerate preparation for canning well, namely homogenization and heating, and to be capable of diminishing the glycemic responses in the relatively small amount used. Sponsorship: Swedish Council for Forestry and Agricultural Research (L24 and L39), the Icelandic Council of Science, and Semper AB, Sweden. Descriptors: sugar beet ®ber; blood glucose; insulin; hydroxyproline; viscosity; enteral nutrition
IntroductionHyperglycemia is a common sequela to enteral nutrition (Vanlandingham et al, 1981). With regard to arti®cial nutrition of diabetic patients the modi®cation of glucose absorption to reduce hyperglycemia is of greatest interest (Scheppach et al, 1990). Soluble ®ber preparations, such as guar gum, are known to increase viscosity and reduce postprandial glycemia in humans. However the effects were lost when a guar-containing formula was heated and homogenized to prepare the formula for canning (Thorsdottir et al, 1989). In that study the non-essential amino acid, hydroxyproline, was used as a reference substance for small bowel absorption (Thordottir et al, 1989). Hydroxyproline was added to the test meals and serum concentrations measured.Sugar beet ®ber is isolated from the sugar beet pulp and contains both soluble and insoluble dietary ®ber. If sugar beet ®ber can tolerate the preparation procedure, it can be useful in liquid and enteral diets.Sugar beet ®ber's suitability in formula and liquid nutrition has not been studied. The aim of the present study was to investigate the effects of sugar beet ®ber in formula diet on blood glucose, serum insulin and serum hydroxyproline in humans. The viscosity of the formula was measured at different pH levels prior to the study, as processing the ®ber may alter its properties and therefore change its ability to affect human physiology.
Methods
Experimental subjectsFifteen hea...