Discussion of diabetes management in day to day life

Anybody controling their diabetes with apples?

I saw a "nutrition" program on television yesterday where the expert said
that apples are great for controlling blood sugar in diabetics–something
to do with pectin.

Anyone familiar with this bit of wisdom?  Sounds like utter nonsense to
me, but I was curious to know if there is some history to the apple
theory and blood glucose control.

R. Harwood
rharw…@utk.edu

Comments (2)




2 Responses to “Anybody controling their diabetes with apples?”

  1. admin says:

    In article <40nbma$…@martha.utk.edu>, "Richard L. Harwood" <rharw…@utk.edu> writes…

    >I saw a "nutrition" program on television yesterday where the expert said
    >that apples are great for controlling blood sugar in diabetics–something
    >to do with pectin.

    >Anyone familiar with this bit of wisdom?  Sounds like utter nonsense to
    >me, but I was curious to know if there is some history to the apple
    >theory and blood glucose control.

    >R. Harwood
    >rharw…@utk.edu

    It sounded like total nonsense to me, too, but it turns out that
    at least one laboratory study has attributed hypoglycemic effects
    to pectin in the specific case of rats.  In particular:

    %A Gomathy-R
    %A Vijayalekshmi-NR
    %A Kurup-PA
    %D 1990
    %T HYPOGLYCEMIC ACTION OF THE PECTIN PRESENT IN THE JUICE OF THE INFLORESCENCE
    STALK OF PLANTAIN (MUSA-SAPIENTUM) – MECHANISM OF ACTION
    %J JOURNAL OF BIOSCIENCES
    %V 15
    %N 4
    %X The pectin isolated from the juice of the inflorescence stalk of plantain
    (Musa sapientum) has been found to show significant hypoglycemic effect both in
    normoglycemic and alloxan diabetic rats.  After its administration at a dose of
    20 mg/100 g body weight, there was increase in the concentration of hepatic
    glycogen, increased glycogenesis as evident from the increased activity of
    glycogen synthetase and in normoglycemic rats increased incorporation of
    labelled glucose into hepatic glycogen.  Glycogenolysis and glyconeogenesis
    were lower as was evident from the decreased activity of glycogen phosphorylase
    and gluconeogenic enzymes.
    %K GLUCOSE-TOLERANCE
    %K DIETARY FIBER
    %K RATS
    %K MUSA-SAPIENTUM
    %K HEPATIC GLYCOGEN
    %K GLYCOGEN SYNTHETASE
    %K GLYCOGENOLYSIS
    %K GLUCONEOGENESIS
    %K GLYCOGEN PHOSPHORYLASE
    %P 297-303

    On the other hand, a study is mentioned in the following article
    (a "well-controlled" study using humans,
    not rats) which claims that there are no beneficial effects of pectin
    in humans:

    %A Nuttall-FQ
    %D 1993
    %T DIETARY FIBER IN THE MANAGEMENT OF DIABETES
    %J DIABETES
    %V 42
    %N 4
    %X It generally is accepted that a diet high in fiber, particularly soluble
    fiber, is useful in the management of the plasma glucose concentration in
    individuals with diabetes. This is one of the reasons several national diabetes
    associations have recommended that diabetic individuals ingest a diet high in
    fiber-containing foods. However, more recent data obtained in carefully
    controlled studies with more definitive end points, indicate this may not be
    the case.  It has been shown clearly that addition of water-soluble,
    gel-forming fiber in the form of guar gum and perhaps gum tragacanth to an
    ingested glucose solution or to a mixed meal will reduce the expected rise in
    glucose concentration. This has been demonstrated in both normal subjects and
    subjects with IDDM and NIDDM. However, it is only observed when large amounts
    of fiber are added. The fiber also must be mixed with the administered glucose
    or food.  Other less viscous soluble fiber sources such as the pectins and
    psyllium powder are not effective. In long-term, well-controlled trials, guar
    gum, pectin, beet fiber, or cereal bran fiber ingested with meals has been of
    little or no value in controlling the plasma glucose concentration in
    individuals with NIDDM. Several studies have been conducted in which a
    high-carbohydrate diet has been reported to reduce the plasma glucose
    concentration. In these diets, foods with a high fiber content have been
    emphasized. In general, they were not well controlled, and several confounding
    variables such as weight loss, decreased food energy intake, different food
    sources with potential for differences in starch digestibility, and decreased
    dietary fat content were present. Thus, it has not been possible to determine
    if dietary fiber was playing a significant role. The results of studies in
    which specific, defined fibers have been added to the diet would suggest that
    the naturally occurring fiber in foods is likely to play only a minor role.
    %K INSULIN-DEPENDENT DIABETICS
    %K GLUCOSE-TOLERANCE
    %K GUAR GUM
    %K GLYCEMIC RESPONSE
    %K METABOLIC CONTROL
    %K HIGH-CARBOHYDRATE
    %K PLASMA-GLUCOSE
    %K SERUM-INSULIN
    %K PECTIN
    %K SUPPLEMENTATION
    %P 503-508

    Tim. (sho…@altair.krl.caltech.edu)

  2. admin says:

    In article <14AUG199509530…@almach.caltech.edu>, sho…@almach.caltech.edu (Timothy D. Shoppa) writes:
    =%X The pectin isolated from the juice of the inflorescence stalk of plantain
    =(Musa sapientum) has been found to show significant hypoglycemic effect both in
    =normoglycemic and alloxan diabetic rats.  After its administration at a dose of
    =20 mg/100 g body weight,

    Note that for a human being, this would work out to around 10-20 grams of
    pectin.  Rather a substantial amount.
    —————————————————————————
    I  try  very  hard  to say exactly what I mean.  I’d appreciate it if you’d
    bear that in mind and not try to "interpret"  my  posts  to  fit  your  own
    preconceived notions if I’m posting in a serious thread.  Remember:  If you
    throw a strawman into a heated debate, flames are likely to be the result.

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