Cephalic phase insulin release

From (Appetite. 2008 Nov;51(3):622-7. Cephalic phase insulin release in healthy humans after taste stimulation? Just T1, Pau HW, Engel U, Hummel T.)

In humans little is known as to whether taste solutions applied to the tongue elicit cephalic phase insulin release (CPIR). The aim of this study was to re-examine if any effect of different taste solutions on CPIR occurs. Under fasting conditions healthy human subjects sipped, and washed out their mouths with eight taste solutions (sucrose, saccharin, acetic acid, sodium chloride, quinine hydrochloride, distilled water, starch, and sodium glutamate) for 45 s and spat them out again. The taste stimuli were not swallowed; they were applied in a randomized order, each on a separate day.

Blood collection for determination of plasma glucose and plasma insulin concentrations was performed 3 min before and 3, 5, 7 and 10 min after taste stimulation. Ratings of quality, intensity and hedonic characteristics were also obtained. A significant increase of plasma insulin concentration was apparent after stimulation with sucrose and saccharin.

In conclusion, the current data suggest that the sweeteners sucrose and saccharin activate a CPIR even when applied to the oral cavity only.

From (Physiol Behav. 2017 Nov 1;181:100-109. The cephalic phase insulin response to nutritive and low-calorie sweeteners in solid and beverage form. Dhillon J, Lee JY, Mattes RD.)


The purpose of the study was to examine the role of the cephalic phase insulin response (CPIR) following exposure to nutritive and low-calorie sweeteners in solid and beverage form in overweight and obese adults. In addition, the role of learning on the CPIR to nutritive and low-calorie sweetener exposure was tested. Sixty-four overweight and obese adults (age: 18-50years, BMI: 24-37kg/m2, body fat percentage>25% for men and >32% for women) were sham-fed (at 2-minute intervals for 14min) a randomly assigned test load comprised of a nutritive (sucrose) or low-calorie sweetener (sucralose) in beverage or solid form in phase 1 of the study. A 2-3ml blood sample was collected before and 2, 6, 10, 14, 61, 91 and 121min after oral exposure for serum insulin and glucose analysis. During phase 2, participants underwent a 2-week training period to facilitate associative learning between the sensory properties of test loads and their post-ingestive effects. In phase 3, participants were retested for their cephalic phase responses as in phase 1. Participants were classified as responders if they demonstrated a positive insulin response (rise of serum insulin above baseline i.e. Δ insulin) 2min post-stimulus in phase 1.

Among responders exposed to the same sweetener in Phases 1 and 3, the proportion of participants that displayed a rise of insulin with oral exposure to sucralose was significantly greater when the stimulus was in the solid form compared to the beverage form. Sucralose and sucrose exposure elicited similarly significant increases in serum insulin 2min after exposure and significant decreases after 2min in responders in both food forms. The solid food form elicited greater CPIR over 2, 6 and 10min than the beverage form. There was no effect of learning on insulin responses after training. The results indicate the presence of a significant CPIR in a subset of individuals with overweight or obesity after oral exposure to sucralose, especially when present in solid food form. Future studies must confirm the reliability of this response.

Author: Doug

I'm an Engineer who is also a science geek. I was pre-diabetic in 1996 and became a diabetic in 2003. I decided to figure out how to hack my diabetes and in 2016 found the ketogetic diet which reversed my diabetes.

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