Is there any place for resistant starch, as alimentary prebiotic, for patients with type 2 diabetes?

- Resistant Starch type II can decrease glycated hemoglobin in patients with type 2 diabetes.
- Resistant Starch type II can reduce serum levels of TNF-α in patients with type 2 diabetes.
- Resistant Starch type II can improve lipid profile in patients with type 2 diabetes.

ObjectiveThe aim of the present study was to determine effects of Resistant Starch (RS2) on metabolic parameters and inflammation in women with type 2 diabetes (T2DM).MethodsIn this randomized controlled clinical trial, 60 females with T2DM were divided into intervention (n = 28) and placebo groups (n = 32). They received 10 g/d RS2 or placebo for 8 weeks, respectively. Fasting blood sugar (FBS), glycated hemoglobin (HbA1c), lipid profile, high-sensitive C-reactive protein (hs-CRP), interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) were measured at baseline and at the end of the trial. Paired t test, unpaired t-test and ANCOVA were used to compare the quantitative variables. The data were analyzed using SPSS software version 13.0.ResultsRS2 decreased HbA1c (−0.3%, −3.6%), TNF-α (−3.4 pg/mL, −18.9%), triglyceride (−33.4 mg/dL, −15.4%), and it increased HDL-c (+9.4 mg/dL, +24.6%) significantly compared with the placebo group (p < 0.05). Changes in FBS, total cholesterol, low-density lipoprotein, hs-CRP and IL-6 were not significant in the RS2 group compared with the control group. RS2 can improve glycemic status, inflammatory markers and lipid profile in women with T2DM.ConclusionsAlthough findings of the present study indicated positive effects of RS2 on inflammation and metabolic parameters, more studies are needed to confirm efficacy of RS2 as an adjunct therapy in diabetes.