Acute effects of raisin consumption on glucose and insulin reponses in healthy individuals

Amin Esfahani, Joanne Lam, Cyril W C Kendall, Amin Esfahani, Joanne Lam, Cyril W C Kendall

Abstract

Raisins are popular snacks with a favourable nutrient profile, being high in dietary fibre, polyphenols and a number of vitamins and minerals, in addition to being rich in fructose. In light of evidence demonstrating improvements in glycaemic control with moderate fructose intake and low-glycaemic index (GI) fruits, our aim was to determine the GI, insulin index (II) and postprandial responses to raisins in an acute feeding setting. A total of ten healthy participants (four male and six female) consumed breakfast study meals on four occasions over a 2- to 8-week period: meal 1: white bread (WB) (108 g WB; 50 g available carbohydrate) served as the control and was consumed on two separate occasions; meal 2: raisins (R50) (69 g raisins; 50 g available carbohydrate); and meal 3: raisins (R20) (one serving, 28 g raisins; 20 g available carbohydrate). Postprandial glucose and insulin were measured over a 2 h period for the determination of GI, glycaemic load (GL) and II. The raisin meals, R50 and R20, resulted in significantly reduced postprandial glucose and insulin responses when compared with WB (P < 0·05). Furthermore, raisins were determined to be low-GI, -GL and -II foods. The favourable effect of raisins on postprandial glycaemic response, their insulin-sparing effect and low GI combined with their other metabolic benefits may indicate that raisins are a healthy choice not only for the general population but also for individuals with diabetes or insulin resistance.

Keywords: Dried fruit; GI, glycaemic index; GL, glycaemic load; Glycaemic index; Glycaemic load; R20, raisins (20 g available carbohydrate); R50, raisins (50 g available carbohydrate); Raisins; WB, white bread; iAUC, incremental AUC.

Figures

Fig. 1.
Fig. 1.
Postprandial glucose responses to three meals containing 50, 50 and 20 g of available carbohydrates from white bread (○), raisins (•) and raisins (∆), respectively. Values are means, with standard errors represented by vertical bars. a,b,cMean values at a specific time point with unlike letters were significantly different (P < 0·05).
Fig. 2.
Fig. 2.
Incremental AUC (iAUC) for glucose after consumption of three meals containing 50, 50 and 20 g of available carbohydrates from white bread (WB), raisins (R50) and raisins (R20), respectively. Values are means, with standard errors represented by vertical bars. a,b,cMean values with unlike letters were significantly different (P < 0·05).
Fig. 3.
Fig. 3.
Postprandial insulin responses to three meals containing 50, 50 and 20 g of available carbohydrates from white bread (♦), raisins () and raisins (■), respectively. Values are means, with standard errors represented by vertical bars. a,b,cMean values at a specific time point with unlike letters were significantly different (P < 0·05).
Fig. 4.
Fig. 4.
Incremental AUC (iAUC) for insulin after consumption of three meals containing 50, 50 and 20 g of available carbohydrates from white bread (WB), raisins (R50) and raisins (R20), respectively. Values are means, with standard errors represented by vertical bars. a,b,cMean values with unlike letters were significantly different (P < 0·05).

References

    1. Lambert JD, Hong J, Yang GY, et al. (2005) Inhibition of carcinogenesis by polyphenols: evidence from laboratory investigations. Am J Clin Nutr 81, Suppl. 1, 284S–291S
    1. Erdman JW, Balentine D, Arab L, et al. (2007) Flavonoids and heart health: Proceedings of the ILSI North America flavonoids workshop, May 31–June 1, 2005, Washington, DC. J Nutr 137, Suppl., 718S–737S
    1. Dubick MA & Omaye ST (2001) Grape wine and tea polyphenols in the modulation of atherosclerosis and heart disease In Handbook of Nutraceuticals and Functional Foods, 2nd ed., pp. 101–130 [Wildman REC, editor]. Boca Raton, FL: CRC Press
    1. Todd S, Woodward M, Tunstall-Pedoe H, et al. (1999) Dietary antioxidants and fiber in the etiology of cardiovascular disease and all-cause mortality: results from the Scottish Heart Health Study. Am J Epidemiol 150, 1073–1080
    1. Bruce B, Spiller GA & Farquhar JW (1997) Effects of a plant-based diet rich in whole grains, sun-dried raisins and nuts on serum lipoproteins. Veg Nutr Int J 1, 58–63
    1. Sievenpiper JL, Chiavaroli L, de Souza RJ, et al. (2012) ‘Catalytic’ doses of fructose may benefit glycaemic control without harming cardiometabolic risk factors: a small meta-analysis of randomised controlled feeding trials. Br J Nutr 108, 418–423
    1. Jenkins DJA, Srichaikul K, Kendall CWC, et al. (2011) The relation of low glycaemic index fruit consumption to glycaemic control and risk factors for CHD in type 2 diabetes. Diabetologia 54, 271–279
    1. Moore MC, Cherrington AD, Mann SL, et al. (2000) Acute fructose administration decreases the glycemic response to an oral glucose tolerance test in normal adults. J Clin Endocrinol Metab 85, 4515–4519
    1. Hawkins M, Gabriely H, Wozniak R, et al. (2002) Fructose improves the ability of hyperglycemia per se to regulate glucose production in type 2 diabetes. Diabetes 51, 606–614
    1. Akerblom HK, Siltanen I & Kallio AK (1972) Does dietary fructose affect the control of diabetes in children? Acta Med Scand Suppl 542, 195–202
    1. Crapo PA, Kolterman OG & Olefsky JM (1980) Effects of oral fructose in normal, diabetic, and impaired glucose tolerance subjects. Diabetes Care 3, 575–581
    1. Akgün S & Ertel NH (1980) A comparison of carbohydrate metabolism after sucrose, sorbitol, and fructose meals in normal and diabetic subjects. Diabetes Care 3, 582–585
    1. Jenkins DJ, Wolever TM, Taylor RH, et al. (1981) Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr 34, 362–366
    1. Kim Y, Hertzler SR, Byrne HK, et al. (2008) Raisins are a low to moderate glycemic index food with a correspondingly low insulin index. Nutr Res 28, 304–308
    1. Jenkins DJ, Kendall CW, McKeown-Eyssen G, et al. (2008) Effect of a low-glycemic index or a high-cereal fiber diet on type 2 diabetes: a randomized trial. JAMA 300, 2742–2753
    1. Liu S, Willett WC, Stampfer MJ, et al. (2000) A prospective study of dietary glycemic load, carbohydrate intake, and risk of coronary heart disease in US women. Am J Clin Nutr 71, 1455–1461
    1. Salmeron J, Ascherio A, Rimm EB, et al. (1997) Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care 20, 545–550
    1. Salmeron J, Manson JE, Stampfer MJ, et al. (1997) Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA 277, 472–477
    1. Bantle JP (2009) Dietary fructose and metabolic syndrome and diabetes. J Nutr 139, 1263S–1268S
    1. Crapo PA, Scarlett JA & Kolterman OG (1982) Comparison of the metabolic responses to fructose and sucrose sweetened foods. Am J Clin Nutr 36, 256–261
    1. Teff KL, Elliott SS, Tschop M, et al. (2004) Dietary fructose reduces circulating insulin and leptin, attenuates postprandial suppression of ghrelin, and increases triglycerides in women. J Clin Endocrinol Metab 89, 2963–2972
    1. Chong MFF, Fielding BA & Frayn KN (2007) Mechanisms for the acute effect of fructose on postprandial lipemia. Am J Clin Nutr 85, 1511–1520
    1. Bantle JP, Swanson JE, Thomas W, et al. (1992) Metabolic effects of dietary fructose in diabetic subjects. Diabetes Care 15, 1468–1476
    1. Osei K, Falko J, Bossetti BM, et al. (1987) Metabolic effects of fructose as a natural sweetener in the physiologic meals of ambulatory obese patients with type 2 diabetes. Am J Med 83, 249–255
    1. Stanhope KL, Schwarz JM, Keim NL, et al. (2009) Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans. J Clin Invest 119, 1322–1334
    1. Swanson JE, Laine DC, Thomas W, et al. (1992) Metabolic effects of dietary fructose in healthy subjects. Am J Clin Nutr 55, 851–856
    1. Atkinson FS, Foster-Powell K & Brand-Miller JC (2008) International tables of glycemic index and glycemic load values: 2008. Diabetes Care 31, 2281–2283

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