Hydrogen and Methane Detection in Breath in Response to Two Different Types of Dietary Fiber and Its Relationship to Postprandial Glucose Concentration in Obese Patients with Type 2 Diabetes and Normoglycemic Subjects.

Background: The aim of this study was to investigate the relationship between postprandial glycemic levels based on flashmonitoring and the production of intestinal hydrogen (H2) and methane (CH4) gases based on the measurement of the amount of these gases in exhaled air. Materials and Methods: We s...

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Publicado en:Nutrients Vol. 17; no. 5; pp. 917 - 933
Autores principales: Misnikova, Inna, Kovaleva, Yulia, Shokur, Svetlana, LeBaron, Tyler W., Povarova, Oxana, Medvedev, Oleg
Formato: research tables/charts Journal Article
Publicado: MDPI Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
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        atl: Hydrogen and Methane Detection in Breath in Response to Two Different Types of Dietary Fiber and Its Relationship to Postprandial Glucose Concentration in Obese Patients with Type 2 Diabetes and Normoglycemic Subjects.
      aug:
        au:
          Misnikova, Inna
          Kovaleva, Yulia
          Shokur, Svetlana
          LeBaron, Tyler W.
          Povarova, Oxana
          Medvedev, Oleg
        affil: M.F. Vladimirski Moscow Regional Research and Clinical Institute, Schepkina 61/2, 129110 Moscow, Russia
      sug:
        subj:
          Postprandial Period
          Glycemic Index Evaluation
          Hydrogen Blood
          Methane Blood
          Dietary Fiber
          Obesity
          Diabetes Mellitus, Type 2
          Diabetic Patients
          Human
          United States
          Male
          Female
          Adult
          Middle Age
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: The aim of this study was to investigate the relationship between postprandial glycemic levels based on flashmonitoring and the production of intestinal hydrogen (H2) and methane (CH4) gases based on the measurement of the amount of these gases in exhaled air. Materials and Methods: We studied 14 subjects with type 2 diabetes mellitus (T2DM) and 14 individuals without diabetes (control) with two food load tests, including two types of dietary fiber (inulin and guar gum), with the simultaneous determination of gases in exhaled air and the assessment of glucose levels. Results: All subjects in the control group had a significant increase in exhaled H2. OR for increased hydrogen production in patients with T2DM was 0.17 (95% CI 0.031–0.93, p = 0.043). The level of H2 in exhaled breath after food load in patients with T2DM was lower than in normoglycemic subjects. There was an inverse correlation between maximum glucose rise and maximum H2 in exhaled air after food load in normoglycemic subjects (r = −0.569, p = 0.034). Patients with T2DM had direct correlations between the level of CH4 in exhaled air and the parameters of postprandial glycemia in the lactulose test (p < 0.05). Conclusions: The confirmation of a causal relationship between decreased H2 production, increased intestinal CH4 production, and more severe postprandial glycemia may identify new therapeutic targets in the correction of postprandial glycemia in patients with T2DM.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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