RESUMEN
Objective: To assess the effect of a novel naturally cultured rice with high resistant starch (RS) on postprandial glycemia in patients with type 2 diabetes compared to ordinary rice. Design: This study is a randomized, double-blinded controlled trial. Methods: Patients with type 2 diabetes were recruited, and postprandial glucose levels were measured at 5-time points after the ingestion of one of two types of cooked rice in random order. Paired t-tests were used to compare postprandial blood glucose changes and increment areas under the blood glucose curve between high-RS rice and ordinary rice. Results: The increments of the postprandial blood glucose levels for high-RS rice were significantly lower than that for ordinary rice, i.e., 2.80 ± 1.38 mmol/L vs. 3.04 ± 1.50 mmol/L (P = 0.043) and 3.94 ± 2.25 mmol/L vs. 4.25 ± 2.29 mmol/L (P = 0.036) at 30 min and 60 min, respectively. The incremental areas under the blood glucose curve for high-RS rice were also significantly lower than that for ordinary rice, i.e., 42.04 ± 20.65 [mmol/(L·min)] vs. 45.53 ± 22.45 [mmol/(L·min)] (P = 0.043), 143.54 ±69.63 [mmol/(L·min)] vs. 155.15 ± 73.53 [mmol/(L·min)] (P = 0.026), and 354.61 ± 191.96 [mmol/(L·min)] vs. 379.78 ± 195.30 [mmol/(L·min)] (P = 0.042) at 30, 60, and 120 min, respectively. Repeated-measures ANOVA showed that postprandial glucose levels were not affected by the test order. Conclusion: The novel high-RS rice as a staple food when substituting for widely consumed ordinary rice may provide potential health benefits by lowering blood glucose in patients with type 2 diabetes.
RESUMEN
OBJECTIVE: To investigate the effects of visfatin gene overexpression on insulin sensitivity in insulin-resistant (IR) rats induced by high-fat diet. METHODS: The recombinant visfatin plasmid was constructed and transfected into IR rats induced by high-fat diet. The euglycemic-hyperinsulinemic clamp experiments were performed for evaluation the change of insulin sensitivity before and after administration. RESULTS: The expression plasmid of visfatin were successfully constructed. After 3 days for plasmid injecting, plasma visfatin levels and glucose infusion rates were significantly increased (2.19 +/- 0.36 vs 0.98 +/- 0.27 and 32.6 +/- 1.2 vs 24.0 +/- 1.2 mg x kg(-1) x min(-1), respectively, all P < 0.01), and total cholesterol and high-density lipoprotein cholesterol (HDL-C) were significantly decreased (2.36 +/- 0.22 vs 1.60 +/- 0.21 mmol/L and 1.41 +/- 0.24 vs 0.88 +/- 0.11 mmol/L, respectively, all P < 0.05) in high-fat diet rats. CONCLUSION: The transfection of visfatin plasmid enhanced plasma visfatin level and improved insulin sensitivity in IR rats induced by high-fat diet.