Effect of boiled and fried dumplings on postprandial blood glucose in diabetes patients assessed by continuous glucose monitoring

Abstract

Objective To compare two different dumping cooking methods (boiling vs. frying) in their effect on postprandial glucose level in diabetic patients using continuous glucose monitoring (CGM). Methods 10 type 2 diabetes mellitus (T2DM) in-patients in the Department of Endocrinology of Peking Union Medical College Hospital between February and May 2011 were enrolled, whose fasting and preprandial glucose levels were controlled with a insulin pump. On day 2 and day 4 in the study period, the patients were given fried dumplings and boiled dumplings for lunch respectively, with the same nutrient contents. The starch digestibility of these two kinds of dumplings were compared using in vitro resistant starch digestion, measuring the concentrations of rapidly digestible starch, slowly digestible starch, and resistant starch. CGM was used to record blood glucose changes, in order to evaluate glycemic effect of these two dumpling cooking methods on postprandial glucose levels at 9 time points (0, 15, 30, 60, 90, 120, 150, 180, and 240 minutes), peak blood glucose, and area under the curve (AUC) in 4 time periods (0-60, 63-120, 123-180, and 183-240 minutes). Results The percentage of rapidly digestible starch was remarkably lower in fried dumplings than in boiled dumplings (30.8% vs. 77.0%), but the content of slowly digestible starch in fried dumplings was higher than that in boiled ones (63.7% vs. 20.7%), and the content of resistant starch in both dumplings were similarly low (1.9% and 2.3%). The average time to the peak glucose value was shorter in fried dumplings compared with boiled dumplings [(93±53) minutes vs. (156±61) minutes, P=0.02], but the average glucose levels at all the 9 time points and the AUC in all the 4 time periods were not significantly different (all P>0.05). Conclusions Compared with fried dumplings, boiled dumplings show faster starch digestion, but long time to the peak postprandial glucose level. Fried dumplings may raise the glucose level faster than boiled dumplings do in T2DM patients. Key words: Fried; Boiled; Postprandial blood glucose; Continuous glucose monitor