Since pregnant women with gestional diabetes are profoundly insulin resistant and have a postprandial hyperglycemic and hyperinsulinemic response to meals, we are studying whether or not the type of carbohydrate in an isocaloric breakfast meal can influence the postprandial plasma glucose, insulin, triglyceride, free fatty acid, and glycerol response. We are also studying the impact of excursions in plasma glucose on the fetal """"""""sleep wake"""""""" cycles. Patient accrual has been slow. We have now collected useable data on eight women and have submitted an abstract of our work for presentation at the American Diabetes Association, 1996. We were able to demonstrate a significant increase in one-hour postprandial plasma glucose response to the meal which contained bran flakes as the primary carbohydrate source. This meal also elicited a 5- fold increase in insulin over fasting as compared to a 3.5 fold increase for the other two meals tested.

Project Start
Project End
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
36
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Stanford University
Department
Type
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
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