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Small particle size of a solid meal increases gastric emptying and late postprandial glycaemic response in diabetic subjects with gastroparesis.
Diabetes Res Clin Pract. 2008 May; 80(2):231-7.DR

Abstract

Our goal was to investigate if food of small particle size increases the gastric emptying rate and lessens the fall in postprandial blood glucose in seven subjects with Type 1 diabetes and gastroparesis. Two solid meals of identical composition but of different particle size, with 5MBq (99m)Tc added to the meals, were ingested in randomized order in seven subjects with Type 1 Diabetes Mellitus and gastroparesis and seven healthy subjects. During 180min blood glucose and insulin concentrations were measured and gastric emptying of the ingested meals was registered by a gamma camera. The lag phase in the stomach was significantly shorter, the radioactivity remaining in the stomach after 120min (T(120)) was significant less and the postprandial blood glucose dip was less and of shorter duration after a small particle (SP) meal, compared to a large particle (LP) meal in diabetic subjects. Gastric emptying did not differ significantly between groups after an SP meal. Food of small particle size increases the gastric emptying rate and reduces the postprandial blood glucose dip in both magnitude and duration in Type 1 diabetic subjects with gastroparesis, which is likely to be of importance in achieving good metabolic control.

Authors+Show Affiliations

Diabetic Centre, Institute of Internal Medicine, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18237818

Citation

Olausson, Eva A., et al. "Small Particle Size of a Solid Meal Increases Gastric Emptying and Late Postprandial Glycaemic Response in Diabetic Subjects With Gastroparesis." Diabetes Research and Clinical Practice, vol. 80, no. 2, 2008, pp. 231-7.
Olausson EA, Alpsten M, Larsson A, et al. Small particle size of a solid meal increases gastric emptying and late postprandial glycaemic response in diabetic subjects with gastroparesis. Diabetes Res Clin Pract. 2008;80(2):231-7.
Olausson, E. A., Alpsten, M., Larsson, A., Mattsson, H., Andersson, H., & Attvall, S. (2008). Small particle size of a solid meal increases gastric emptying and late postprandial glycaemic response in diabetic subjects with gastroparesis. Diabetes Research and Clinical Practice, 80(2), 231-7. https://doi.org/10.1016/j.diabres.2007.12.006
Olausson EA, et al. Small Particle Size of a Solid Meal Increases Gastric Emptying and Late Postprandial Glycaemic Response in Diabetic Subjects With Gastroparesis. Diabetes Res Clin Pract. 2008;80(2):231-7. PubMed PMID: 18237818.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Small particle size of a solid meal increases gastric emptying and late postprandial glycaemic response in diabetic subjects with gastroparesis. AU - Olausson,Eva A, AU - Alpsten,Magne, AU - Larsson,Annhild, AU - Mattsson,Håkan, AU - Andersson,Henrik, AU - Attvall,Stig, Y1 - 2008/01/30/ PY - 2007/01/17/received PY - 2007/12/08/accepted PY - 2008/2/2/pubmed PY - 2008/8/7/medline PY - 2008/2/2/entrez SP - 231 EP - 7 JF - Diabetes research and clinical practice JO - Diabetes Res Clin Pract VL - 80 IS - 2 N2 - Our goal was to investigate if food of small particle size increases the gastric emptying rate and lessens the fall in postprandial blood glucose in seven subjects with Type 1 diabetes and gastroparesis. Two solid meals of identical composition but of different particle size, with 5MBq (99m)Tc added to the meals, were ingested in randomized order in seven subjects with Type 1 Diabetes Mellitus and gastroparesis and seven healthy subjects. During 180min blood glucose and insulin concentrations were measured and gastric emptying of the ingested meals was registered by a gamma camera. The lag phase in the stomach was significantly shorter, the radioactivity remaining in the stomach after 120min (T(120)) was significant less and the postprandial blood glucose dip was less and of shorter duration after a small particle (SP) meal, compared to a large particle (LP) meal in diabetic subjects. Gastric emptying did not differ significantly between groups after an SP meal. Food of small particle size increases the gastric emptying rate and reduces the postprandial blood glucose dip in both magnitude and duration in Type 1 diabetic subjects with gastroparesis, which is likely to be of importance in achieving good metabolic control. SN - 1872-8227 UR - https://www.unboundmedicine.com/medline/citation/18237818/Small_particle_size_of_a_solid_meal_increases_gastric_emptying_and_late_postprandial_glycaemic_response_in_diabetic_subjects_with_gastroparesis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8227(07)00620-1 DB - PRIME DP - Unbound Medicine ER -