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Improvement in insulin resistance related to whole grains and fiber.
J. HALLFRISCH. Beltsville
Human Nutrition Research Center, ARS, USDA, Beltsville, MD 20705.
Insulin resistance, the inability of the body to control blood glucose with normal levels of insulin, is
associated with obesity and may be an early step in the development of noninsulin-dependent diabetes
mellitus. Secretion of lower levels of insulin to maintain normal blood glucose is an indication of
improvement in insulin resistance or greater insulin sensitivity. A number of whole grain foods and grain
fiber sources are beneficial in reduction of insulin resistance and improvement in glucose tolerance. Dietary
recommendations of health organizations suggest consumption of 3 servings/day of whole grain foods;
however, Americans generally fall below this standard. When compared to white bread, consumption of
whole wheat bread elicits lower blood glucose and insulin responses. Grains with high levels of soluble beta
glucans such as oats and barley are generally more effective in improving insulin sensitivity than wheat
which contains predominantly insoluble dietary fiber. Consumption of oats and barley have also been
associated with lowering risk factors for heart disease. Replacing low fiber grain foods with whole grain
products will reduce risk of developing insulin resistance and obesity and improve the health of the
American population.