Clinical trial · European journal of clinical nutrition · 2016

Onion and blood sugar in lactose-tolerant and intolerant adults

What it found

In a small trial in people, an onion meal reduced peak blood sugar more in lactose-intolerant adults than in lactose-tolerant adults.

The onion meal reduced blood sugar in both groups.

What they found

Studies in people

Peak blood sugar

The onion meal lowered peak blood sugar by 44.2% in lactose-intolerant people and by 19.3% in lactose-tolerant people. This difference was statistically significant.

Overall blood sugar

The onion meal lowered the overall blood sugar response more in lactose-intolerant people (54.5%) than in lactose-tolerant people (42.1%), but this difference was not statistically significant.

Timing of effect

In lactose-tolerant people, the onion meal inhibited glucose uptake from 30 to 120 minutes. In lactose-intolerant people, it only lasted until 60 minutes.

Other findings

Onion composition

The onion meal contained 2.0 µg/ml quercetin, 39.5 µg/ml quercetin-4'-O-glucoside, 3.5 µg/ml quercetin-3-O-glucoside and 26.5 µg/ml quercetin-3,4'-O-diglucoside.

What the authors conclude

“A diet containing quercetin glucosides may be of greater benefit for glycaemic control in lactose-intolerant people than in lactose-tolerant people.”
Hoffman R, Ranjbar G, Madden AM, 2016

Also in their conclusions

  • They conclude that the onion meal inhibited glucose uptake in both groups, but the effect was greater in lactose-intolerant people.
  • They suggest that a diet containing quercetin glucosides may be of greater benefit for blood sugar control in lactose-intolerant people than in lactose-tolerant people.
  • They note that lactose tolerance could be a confounding factor in studies comparing blood sugar responses to diets between regions.

How it was done

The authors wanted to test whether lactose-intolerant people, who do not make the enzyme lactase, keep quercetin glucosides from onion intact so they can block glucose uptake, while lactose-tolerant people break them down.

They gave 12 lactose-tolerant and 12 lactose-intolerant adults a glucose drink on one day and a glucose drink with a filtered onion meal on another day. Blood sugar was measured over 2 hours after each drink.

What it can’t tell you

  • This was a small pilot study with 24 people, so the results may not apply to everyone.
  • The study cannot rule out that other components in the onion meal caused the reduced glucose uptake.

The paper

Title
Inhibition of the glycaemic response by onion: a comparison between lactose-tolerant and lactose-intolerant adults
Type
Clinical trial
Evidence
Studies in people
Summarised from
Full text
Cite
Hoffman R, Ranjbar G, Madden AM (2016). Inhibition of the glycaemic response by onion: a comparison between lactose-tolerant and lactose-intolerant adults. European journal of clinical nutrition. doi:10.1038/ejcn.2016.44Free full textPubMed 27026422DOI

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