Dietary breads: myth or reality?
OBJECTIVE
To assess the differences in acute effects of whole wheat bread, wheat bran bread and rye bread--perceived as dietary (Low caloric!) breads--on glucose and insulin levels in patients with type 2 diabetes, as compared to white wheat bread.


METHODS
One hundred twenty one type 2 diabetic patients were randomized into three groups as whole wheat, wheat bran and rye bread groups. Each group ate 100 g of bread with water with in 10 min. Blood glucose measurements were made at every 30 min in 2 h. Insulin was measured at fasting and at the second hour in the patients who do not use insulin. The same processes were repeated on the following day, with white wheat bread for each group.


RESULTS
No significant difference was found in either glycemic or insulinemic effects between four types of breads when compared to each other (p=0.093 for glycemic effect and p=0.297 for insulinemic effect).


CONCLUSIONS
Three different bread types consumed as an alternative to white bread in Turkey, increase blood glucose levels of diabetic patients similar to white bread.
Mesci
Banu
B
Goztepe Training and Research Hospital, Diabetes Clinic, Turkey. banualpaslan@gmail.com
Oguz
Aytekin
A
Sagun
Hatice Gul
HG
Uzunlulu
Mehmet
M
Keskin
Elmas Biberci
EB
Coksert
Damla
D
D001786:Blood Glucose / Q000378:metabolism*; D015992:Body Mass Index; D049628:Body Size; D001939:Bread; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000178:diet therapy*; D003927:Diet, Diabetic; D004040:Dietary Carbohydrates; D004043:Dietary Fiber; D004044:Dietary Proteins; D005260:Female; D038321:Glycemic Index; D006801:Humans; D008297:Male; D008875:Middle Aged; D012434:Secale; D014908:Triticum; D014421:Turkey
D001786:Blood Glucose; D004040:Dietary Carbohydrates; D004043:Dietary Fiber; D004044:Dietary Proteins