Study2018Open access

An 8-week diet high in cereal fiber and coffee but free of red meat does not improve beta-cell function in patients with type 2 diabetes mellitus: a randomized controlled trial

Karusheva Y, Kunstein L, Bierwagen A, Nowotny B, Kabisch S, Groener JB, Fleitmann AK, Herder C, Pacini G, Strassburger K, Häring HU, Nawroth PP, Pfeiffer AFH, Burkart V, Müssig K, Roden M, Szendroedi J

Nutrition & metabolism · 3 citations

Review labels

Lumps processed with unprocessed meat

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
Bundesministerium für Bildung und Forschung
Government
Bundesministerium für Gesundheit
Government
Brandenburger Staatsministerium für Wissenschaft, Forschung und Kultur
University or hospital
Helmholtz Association
Government
Ministerium für Wissenschaft, Forschung und Kultur

Based on 5 listed funder(s) and full-text disclosure statement.

Publication

Published
2018-12-01 · Nutr Metab (Lond) · vol. 15 · issue 1 · p. 90
Publisher
BioMed Central
Cited
6 citations · more than 62% of similar papers · 0.4× the field average
References
41 works
Access
Open access (journal) · CC-BY
Research areas
Diet and metabolism studies · Biochemical Analysis and Sensing Techniques · Coffee research and impacts
Keywords
Medicine, Red meat, Internal medicine, Type 2 diabetes, Insulin, Diabetes mellitus, Randomized controlled trial, Meal, Type 2 Diabetes Mellitus, Endocrinology, Gastroenterology

17 authors

From DE, US, IT

  • Yanislava KarushevaDeutsches Diabetes-Zentrum e.V.; German Center for Diabetes Research; Heinrich Heine University Düsseldorf
  • Lejla KunsteinDeutsches Diabetes-Zentrum e.V.; German Center for Diabetes Research; Heinrich Heine University Düsseldorf
  • Alessandra BierwagenDeutsches Diabetes-Zentrum e.V.; German Center for Diabetes Research; Heinrich Heine University Düsseldorf
  • Bettina NowotnyDeutsches Diabetes-Zentrum e.V.; German Center for Diabetes Research; Heinrich Heine University Düsseldorf
  • Stefan KabischDeutsches Diabetes-Zentrum e.V.; German Center for Diabetes Research; German Institute of Human Nutrition; Heinrich Heine University Düsseldorf; Franklin University; Charité - Universitätsmedizin Berlin
  • Jan Benedikt GroenerHeidelberg University; University Hospital Heidelberg

Abstract

Background

Higher dietary intake of fibers and coffee, but lower red meat intake is associated with reduced risk for type 2 diabetes in epidemiological studies. We hypothesized that a calorie-restricted diet, which is high in fiber and coffee, but free of red meat, improves beta-cell function in patients with T2D.

Methods

In a randomized parallel-group pilot trial, obese type 2 diabetes patients were randomly allocated to consume either a diet high in cereal fiber and coffee, but free of red meat (n = 17) (L-RISK) or a diet low in fiber, free of coffee but high in red meat (n = 20) (H-RISK) for 8 weeks. Insulin secretion was assessed from glucagon stimulation tests (GST) and mixed-meal tolerance tests (MMTT) before and after dietary intervention.

Results

Both diets resulted in comparable reduction of fasting concentrations of insulin (H-RISK -28% vs. L-RISK -32%, both p both p p p p < 0.01). However, GST and MMTT showed no differences in insulin secretion after intervention.

Conclusions

Calorie restriction independent of the intake of fiber, coffee or meat failed to improve beta-cell function, but improved GIP secretion in obese patients with type 2 diabetes.

Trial registration

Registration at Clinicaltrials.gov, Identifier number: NCT01409330, Registered 4 August 2011 - Retrospectively registered.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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