A Low Carb Diet Does Not Improve Glucose Tolerance, Insulin Secretion Or Reduce Weight Gain In A Preclinical Model Of Polygenic Obesity (#239)
Recent
position statements from the ADA and other health professional organisations
have recommended low carb diets for the management of diabetes. In addition a
number of studies have suggested that low carb diets can result in weight loss
with additional glycaemic and lipaemic benefits. The New Zealand Obese (NZO)
mouse is a polygenic model of obesity that displays glucose intolerance,
insulin resistance and defects in insulin secretion. To determine whether a low
carb diet would be beneficial, NZO mice were fed either a chow high carb/low
fat (77% carb, 20% protein 3% fat w/w) or low carb/high fat diet (20% carb, 20%
protein, 60% fat w/w) for 8 weeks and glucose tolerance, insulin secretion and
islet histology determined. Mice on the
low carb diet gained significantly more weight (23.6±2.8 vs 12.0±0.9 g,
P<0.0005), displayed fasting hyperglycaemia (15.7±1.2 vs 9.2±0.7 mM,
P<0.0005) and hyperinsulinaemia (1.8±0.6 vs 0.4±0.1 ng/ml, P<0.05),
glucose intolerance (AUCglc 3147.9±165.1 vs 2385.9±218.0 mMx120min, P<0.01)
and impaired insulin secretion (AUCins 23.4±12.8 vs 46.4±7.3 ng/mlx30min,
P=0.07). Beta cell mass was not different (10.4±2.9 vs 7.3±0.8 mg), while serum
total cholesterol was higher (1.4±0.1 vs1.2±0.1 mg/ml, P=0.07) and serum
triglycerides were lower (0.8±0.1 vs 1.8±0.2 mg/ml, P<0.005) in low carb fed
compared with chow fed NZO mice. We conclude that in the NZO mouse a low carb
diet increased weight gain which was associated with worsening of glycaemic
control.