The acute impact of ingestion of breads of varying composition on blood glucose, insulin and incretins following first and second meals

Br J Nutr. 2009 Feb;101(3):391-8. doi: 10.1017/S0007114508003085. Epub 2008 Jun 23.

Abstract

Structural characteristics and baking conditions influence the metabolic responses to carbohydrate-containing foods. We hypothesized that consumption of whole wheat or sourdough breads would have a favourable effect on biomarkers of glucose homeostasis after first and second meals, compared with those for white bread. Ten overweight volunteers consumed 50 g available carbohydrate of each of the four breads (white, whole wheat, sourdough, whole wheat barley) followed 3 h later by a standard second meal. Blood was sampled for 3 h following bread ingestion and a further 2 h after the second meal for determination of glucose, insulin, paracetamol (indirect marker of gastric emptying), glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1). Glucose and GLP-1 responses to sourdough bread were lower (P < 0.05) than whole wheat and whole wheat barley breads. Glucose area under the curve (AUC) for sourdough bread was lower than those for whole wheat (P < 0.005) and whole wheat barley (P < 0.03) breads for the entire study. GIP AUC after sourdough bread ingestion was lower compared to white (P < 0.004) and whole wheat barley (P < 0.002) breads following the second meal. There were no significant differences in insulin and paracetamol concentrations among the test breads. Ultra-fine grind whole wheat breads did not result in postprandial responses that were lower than those of white bread, but sourdough bread resulted in lower glucose and GLP-1 responses compared to those of these whole wheat breads following both meals.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Area Under Curve
  • Biomarkers / blood
  • Blood Glucose / analysis*
  • Bread*
  • Cross-Over Studies
  • Dietary Carbohydrates / administration & dosage*
  • Gastric Emptying
  • Gastric Inhibitory Polypeptide / blood
  • Glucagon-Like Peptide 1 / blood
  • Hordeum
  • Humans
  • Hydrogen-Ion Concentration
  • Incretins / blood*
  • Insulin / blood*
  • Male
  • Middle Aged
  • Postprandial Period
  • Satiety Response
  • Single-Blind Method
  • Time Factors
  • Triticum

Substances

  • Biomarkers
  • Blood Glucose
  • Dietary Carbohydrates
  • Incretins
  • Insulin
  • Gastric Inhibitory Polypeptide
  • Glucagon-Like Peptide 1