Diurnal trends in responses of blood plasma concentrations of glucose, insulin, and C-peptide following high- and low-fat meals and their relation to fat metabolism in healthy middle-aged volunteers

Br J Nutr. 1997 Apr;77(4):523-35. doi: 10.1079/bjn19970054.

Abstract

An experiment was conducted in twelve healthy middle-aged volunteers, six of each sex, with a mean BMI of 27 kg/m2 to detect differences between morning and afternoon in postprandial blood glucose, insulin and C-peptide concentrations. These responses were measured following the consumption of isoenergetic meals that were high or low in fat content, at breakfast and at lunch. Over 4 d each subject received the high-carbohydrate (L, 5.5 g mixed fat/meal) and moderately high-fat (M, 33 g mixed fat/meal) breakfasts and lunches, in three combinations (LL, MM, LM), or they fasted at breakfast time and received a moderately high-fat lunch (NM), in three Latin squares. Each evening a standard meal was given. Plasma glucose, insulin and C-peptide responses were greater following L than M meals and within both MM and LL treatments insulin and C-peptide responses were greater following breakfast than following lunch. The incremental C-peptide response to a fatty lunch following a fast at breakfast time (NM) was similar to that to a fatty breakfast, but the incremental insulin response for the same comparison was marginally lower at lunch (P = 0.06). The relationship of C-peptide and insulin concentrations was assessed. Plasma glucose response to a fatty lunch was increased by a fatty breakfast. The relationships of these metabolic events with fat metabolism are discussed.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Blood Glucose / metabolism*
  • C-Peptide / blood
  • Cholesterol / blood
  • Circadian Rhythm*
  • Dietary Carbohydrates / administration & dosage
  • Dietary Fats / administration & dosage*
  • Female
  • Humans
  • Insulin / blood*
  • Male
  • Middle Aged
  • Postprandial Period
  • Triglycerides / blood

Substances

  • Blood Glucose
  • C-Peptide
  • Dietary Carbohydrates
  • Dietary Fats
  • Insulin
  • Triglycerides
  • Cholesterol