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December 1, 2006Scandinavian Journal of Food & NutritionOpen Access

Postprandial lipid metabolism

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Key result

In T2D, MUFA-rich diets fail to improve insulin sensitivity vs SFA but lower postprandial small VLDL.

Why the study?

How do dietary fat amount and composition affect postprandial lipid metabolism in patients with type 2 diabetes?

Population

Patients with type 2 diabetes and insulin resistance

Design

Review

Authors

GRGabriele RiccardiFederico II University HospitalLBLutgarda BozzettoFederico II University HospitalGAGiovanni AnnuzziFederico II University Hospital

Discussion

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Implication

No insulin sensitivity benefit from MUFA- over SFA-rich diets in T2D; leaves open whether reduced postprandial small VLDL improves outcomes.

Structured PICO

How do dietary fat amount and composition affect postprandial lipid metabolism in patients with type 2 diabetes?

P
Population
Patients with type 2 diabetes and insulin resistance
E
Exposure
Dietary fat modifications (amount and type of fatty acids)
O
Outcome
Postprandial lipoprotein abnormalities and insulin sensitivitysurrogate

Postprandial dyslipidemia is a key feature of insulin resistance and type 2 diabetes, driven more by total fat intake than specific fatty acid types, highlighting the need for dietary management.

Limitations

  • Data are needed on long term interventions as well as on the interactions between dietary fat and other food components or physical structure.
  • Data are needed on long term interventions
  • Data are needed on interactions between dietary fat and other food components or physical structure

Cite This Study

Riccardi et al. (2006) conducted a review in Type 2 diabetes and insulin resistance. MUFA-rich diet vs. SFA-rich diet was evaluated on Insulin sensitivity and postprandial lipaemic response. In type 2 diabetes, a MUFA-rich diet did not modify insulin sensitivity compared to an SFA-rich diet, but induced a significantly lower postprandial response of small VLDL.

synapsesocial.com/papers/6aa4cd8b68dd06f3d4aa23b7https://doi.org/10.1080/17482970601080539
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postprandial lipoprotein metabolism in normolipidemic men with and without coronary artery disease.1991 · 532 citations
  2. 2Relation of triglyceride metabolism and coronary artery disease. Studies in the postprandial state.1992 · 1,135 citations
  3. 3Postprandial triglyceridemia and carotid atherosclerosis in middle-aged subjects.1992 · 172 citations
  4. 4Atherogenesis: a postprandial phenomenon.1979 · 1,714 citations
  5. 5Clearance of chylomicron remnants in normolipidaemic patients with coronary artery disease: case control study over three years1996 · 216 citations