SWEET INFUSED FRUITS ™

SCIENTIFIC DATA

HUMAN IN VIVO CLINICAL TRIALS

2008



Sweet Infused Fruits ™ have undergone numerous Board Approved Human In Vivo Clinical Trials in adults, children, and diabetics:

Sweet Infused Fruits ™ are Certified Low Glycemic, and have been clinically proven not to stimulate human Adipose Tissue Fat-Storage.
Sweet Infused Fruits ™ are an important tool in the Obesogenics epidemic.
Sweet Infused Fruits ™ do not activate primary Lipoprotein Lipase human fat-storing mechanisms, and does not elevate blood glucose or insulin levels in non-diabetics and type 2 diabetics.
Sweet Infused Fruits ™ have been shown to act as an “Anti-Carbohydrate” in clinical trials.


CLINICAL TRIALS

Sweet Infused Fruits ™ have been proven to act as an Anti-Carbohydrate in six (6) separate Human In Vivo Clinical Trials; Adult Diabetics, Adult Non-Diabetics, and Children under 17.

The term Anti-Carbohydrate ™ has been assigned to Sweet Infused Fruits™ due to their unique ability to mitigate, block, and prevent the typical metabolic reaction as related to every known carbohydrate, and as opposed to all other carbohydrates.

Sweet Infused Fruits ™ have been shown to be capable of reversing the known and proven responses to high glycemic foods, with benefits in post-prandial blood glucose, insulin, and adipose tissue fat-storage via Lipoprotein Lipase.

Small doses of Sweet Infused Fruits ™ (7-8 g) consumed 30 or 60 minutes prior to consuming a high glycemic index (50 g/carb), starchy food decreases the glycemic response compared with either immediate or no Sweet Infused Fruits ™ treatments.

Further, this same dose of Sweet Infused Fruits ™ (7-8 g) reduces the glycemic response to a very large volume of an extremely high glycemic (75 g/carb beverage, soda, or sports drink.

Sweet Infused Fruits ™, unlike high glycemic sweeteners and sugars, does not stimulate insulin secretion from pancreatic ß-cells. Physiological sensing of plasma glucose is primarily elucidated at the level of the pancreatic ß-cell.

These findings provide practical applications as the small amount of Sweet Infused Fruits ™ required for this response can easily be supplied as an adjunct to the diet.

CLINICAL TRIALS # 1 - 4
Sweet Infused Fruits ™ acutely and significantly mitigates blood glucose and glycemic responses, and fat-storage properties of oral ingestion of ice cream in humans.

CLINICAL TRIAL # 5
Sweet Infused Fruits ™: Mitigation of adipose tissue fat-storage, blood glucose and glycemic responses, Lipoprotein Lipase, and insulin resistance in reaction to oral ingestion of chocolate candy in humans.

CLINICAL TRIAL # 6
Sweet Infused Fruits ™: Mitigation of the diabetic, glycemic and metabolic responses in humans associated with oral ingestion of Glucosamine, a known diabetic-risk-agent.

DIABETIC APPLICATIONS

Sweet Infused Fruits ™ are insulin-independent low glycemic carbohydrates that do not elicit a Cephalic Response in humans.

Sweet Infused Fruits ™ may be used in Type 2 diabetic formulations, including meal replacement drinks and bars, medical feeding formulas, low glycemic ice cream and candies, diabetic candies, and products for diabetic children.

Sweet Infused Fruits ™ have been demonstrated to serve as a useful role in the dietary management of blood sugar levels, since substitution of Sweet Infused Fruits ™ for other simple carbohydrates should lead to reduced post-prandial glucose levels that will aid in overall control.

In persons with type 2 diabetes, the requirement for insulin is greater than that produced by the pancreas.

Sweeteners that produce a lower secretion of insulin, ie, those that are low glycemic, are known to be beneficial for glucose metabolism.

RESULTS & BENEFITS

Stimulation of Lipoprotein Lipase (LPL) increases weight gain, obesity, type 2 diabetes, and insulin-resistance.

LPL is the Gatekeeper for fat-Storage in the fat cell.” High glycemic and High-Cephalic ingredients, foods and beverages stimulate LPL.

Abdominal fat Lipoprotein Lipase (LPL) activity contributes to the increased risk for developing obesity-associated diseases.

The leptin content of fat depots as well as plasma insulin concentrations appear in our population as the main determinants of adipose tissue LPL activity, adjusted by gender, depot and BMI.

In type 2 diabetics, consuming 60 grams of Sweet Infused Fruits ™ as compared to a typical diabetic meal (for 12 weeks) resulted in decreases in both serum glucose (SG) and glycated hemoglobin concentrations (GHC), which progressively decreased in the group treated with Sweet Infused Fruits ™ (SIF). In the control group not using SIF, both SG and GHC increased.
Oral ingestion of Sweet Infused Fruits ™ blunts LPL activity and results in improvements in glycemic control and alterations in apoprotein composition, which decrease risk of obese, diabetic, and coronary events in humans.
Utilizing low glycemic sweeteners and carbohydrates, such as Sweet Infused Fruits ™, that do not stimulate blood glucose and insulin levels, and do not trigger LPL, are essential in the long-term prevention of obesity in humans.
THERMOGENIC EFFECT: When ingested, more energy is required to metabolize Sweet Infused Fruits ™, thus this process burns up more calories.
SATIETY: It has been demonstrated that consumption of Sweet Infused Fruits ™ prior to eating is particularly effective at preventing hunger pangs and promotes a reduction in calorie consumption during the meal itself. Eating snacks and drinks containing Sweet Infused Fruits ™ could help the weight conscious and the clinically obese adhere to calorie-controlled diets.
SPORTS DRINKS: The Low Glycemic properties of Sweet Infused Fruits ™ provide an ideal base for sports drinks and sports products, as they help provide a sustained source of energy, and do not cause reduced-sports-performance.
GLYCEMIC CONTROL: With its Low Glycemic Index and Load, Sweet Infused Fruits ™ can be consumed to improve glycemic control. Sweet Infused Fruits ™ have very little effect on blood glucose and a negligible effect on the secretion of insulin.
The use of low glycemic sweeteners, such as Sweet Infused Fruits ™, further improves short and long-term treatment of obesity and type 2 diabetes.
Reducing the use of high glycemic carbohydrates, sugars, and sweeteners improves incidence, risk, and development of obesity and type 2 diabetes.
Sweet Infused Fruits ™ enhance mineral absorption and this offers considerable benefits, not only for the general population, but also for special groups such as pregnant women who require increased levels of minerals, especially iron and calcium.





ANALYSIS OF ADIPOSE TISSUE
FAT-STORAGE MECHANISMS IN HUMANS

SWEET INFUSED FRUITS ™
INTERACTIONS WITH
ADIPOSE TISSUE DEPOSITION, LEPTIN & LPL

2007/2008


The biochemical properties of adipocytes have been clearly established in the medical literature. Depot-specific variances in said properties are involved in the development of diabetes, obesity, insulin-resistance, and weight gain.

Currently, type 2 diabetes is the most common metabolic disease in the world, afflicting more than 120 million people. Global scientific organizations have stated that by the year 2010, more than 220 million people are projected to have the disease by the year 2010 (1).

Insulin-related disorders, such as diabetes, obesity, and insulin resistance are causally related as each of those disorders are triggered by over-expression of blood glucose, insulin, LPL, and their subsequent shunting of foods into adipose tissue fat cell.

Peer reviewed, published studies have shown “A direct and causative relationship between the accumulation of intracellular fatty acid-derived metabolites and insulin resistance mediated via alterations in the insulin signaling pathway, independent of circulating adipocyte-derived hormones.”

As reported in 2005 Hypertension; 45:828, American Heart Association; Mechanisms of Insulin Resistance in Humans and Possible Links with Inflammation, “Although standard definitions of insulin resistance still define it in terms of the effects of insulin on glucose metabolism, the last decade has seen a shift from the traditional "glucocentric" view of diabetes to an increasingly acknowledged "lipocentric" viewpoint.

This shift to lipocentric relationships in insulin resistance has grown in popularity. As of 2007, scientists and research endocrinologists have embraced the strong connection between fat metabolism and insulin resistance.

Insulin resistance plays a primary role in the development of type 2 diabetes mellitus, and the mechanism by which insulin resistance occurs is related to alterations in fat metabolism (2).

Clinically defined, insulin resistance is “A state of reduced responsiveness to normal circulating levels of insulin, which plays a major role in the development of type 2 diabetes.”

It has been clearly demonstrated that insulin resistance is a major factor in the pathogenesis of diabetes, obesity and weight gain. Insulin resistance is biochemically tied to Leptin and Lipoprotein Lipase (LPL).

In humans, the primary mechanism for fat storage is Lipoprotein Lipase (LPL), known to scientists as the “Gatekeeper for fat-storage in the fat cell.”

Orally ingested agents, such as sugars, carbohydrates, and starches, either stimulate LPL or negate its potent fat-storage sequence.

Fat-derived circulating hormones include Leptin, LPL, adipsin, Acrp30/adipoQ (adipocyte complement-related protein of 30 kDa), and Resistin, all primary factors in causing whole-body insulin resistance related to obesity (3).

The accumulation of intracellular fatty acid-derived metabolites is triggered by a mechanism which causes tissue-specific increase in LPL resulting in tissue-specific insulin resistance.

Overexpression of Lipoprotein Lipase, in either liver or skeletal muscle, accumulates lipid (in corresponding tissue) and proceeds to manifest insulin resistance in a tissue-specific manner.

Fat-storage mechanisms in humans involve lipid accumulation due to enhanced fatty acid uptake into the muscle coupled with diminished mitochondrial lipid oxidation. Excess fatty acids are esterified and take one-of-two pathways; they are either stored or metabolized.

The storage versus metabolized routes to various molecules results in the interference with normal cellular signaling, particularly insulin-mediated signal transduction, thus altering cellular and, subsequently, whole-body glucose metabolism.

If not managed by dietary intervention, impaired insulin responsiveness can progress to type 2 diabetes mellitus. For the majority of the human population, this biochemical cascade is avoidable, given that causes of intramyocellular lipid deposition are predominantly diet and lifestyle-mediated.

Chronic overconsumption of foods and beverages that stimulate LPL have been shown to increase the risk of insulin resistance, leading to type 2 diabetes, insulin resistance, obesity, and weight gain.

Since LPL activity can be controlled by adjusting the consumption of LPL-activating foods and drinks, LPL’s profound adipose tissue fat-storing proclivities can be controlled by reducing/eliminating dietary exposure to LPL-stimulating agents.

All sweeteners, carbohydrates, sugars, starches, and other ingredients used in prepared foods and beverages, as well as any raw material, possess intrinsic biochemical characteristics that determine their role in adipose tissue physiology, including its LPL, insulinogenic, blood glucose, glycemic, adipocyte, and fat-storing properties.

Studies of glucose disposal in normal humans shows that skeletal muscle accounts for the majority of insulin-stimulated glucose uptake and that more than 80 percent of this glucose is then stored as glycogen. (Shulman GI et al. Quantitation of muscle glycogen synthesis in normal subjects and subjects with non-insulin-dependent diabetes by 13C nuclear magnetic resonance spectroscopy. N Engl J Med. 1990; 322: 223–228)

The rate of glycogen synthesis in skeletal muscle is 50% lower in diabetic subjects than in normal volunteers. The only other organ capable of storing a significant amount of glycogen is the liver, and glycogen stores are reduced in diabetics.

This glycogen synthesis malfunction in type 2 diabetics is mediated by dietary ingestion of high glycemic foods and drinks, the majority of which contain LPL stimulating ingredients, such as sucrose, glucose, dextrose, maltodextrins, glucose polymers, and other high glycemic raw materials. All high glycemic foods, drinks, and raw materials over-elevate blood glucose levels, and negatively affect insulin and LPL.

In non-diabetics, dietary fat-storage mechanisms are intrinsically the same as in diabetics, yet the reaction in diabetics is profoundly more intense and has more serious implications in blood glucose and insulin imbalance.

Glycogen synthesis malfunction and vital muscle glycogen replenishment cannot be controlled by ingestion of high glycemic carbohydrates, sugars, and starches, which exacerbate insulin resistance, LPL stimulation, and fat-storage into fat cells. Persons with type 2 diabetes are, inevitably, overweight or obese; conditions caused by continual ingestion of high glycemic foods and drinks, as they cause LPL activation.

Artificial sweeteners that have -0- calories, and -0- carbohydrates do not replenish muscle glycogen, thus sports drinks with -0- calories and -0- carbohydrates are contraindicated in sports performance, as they can lead to “Hitting-the-Wall” syndrome, reduced performance, and/or hypoglycemia.

The human body, and particularly the brain, cannot function in a -0- carbohydrate environment. Yet essential carbohydrates, starches, sweeteners, and sugars used in all foods, beverages, and edibles typically elicit high glycemic, fat-storage properties, creating a biochemical cascade of reactive hypoglycemic, sweet-cravings, LPL stimulation, impaired sports performance, reduced cognitive function, and adipose tissue fat-storage.

In 1983, glycemic researchers began developing raw materials that do not possess the metabolic activities of high glycemic sugars, carbohydrates, and starches. In 1997, the process for harvesting the Low Glycemic, Non Cephalic properties from natural fruits had evolved into a feasible and affordable alternative to synthetic and chemical raw materials that stimulate LPL, imbalance Leptin, are high glycemic, and that cause deposition of adipose tissue fat in humans.

The natural fruit extracts are called SWEET INFUSED FRUITS ™. They are derived from this proprietary process, do not stimulate LPL, and have been Certified as “Low Glycemic.”

Following a 20 + year research project, including use of SWEET INFUSED FRUITS ™ in over 250,000 people over a 15 year-period, the Low Glycemic carbohydrates, sugars, and starches derived from SWEET INFUSED FRUITS ™ have been expanded to fulfill market demand for Low Glycemic raw materials.

SWEET INFUSED FRUITS ™ have undergone numerous Human In Vivo Clinical Trials and has proven to be an “Anti-Carbohydrate” (4) in diabetics and non-diabetics.

To ascertain the interaction between SWEET INFUSED FRUITS ™ and Lipoprotein Lipase and Leptin, SWEET INFUSED FRUITS ™ were analyzed to determine thier “anti-carbohydrate” properties and to quantify the precise mechanism by which they stunt adipose tissue fat-storage.

Ramis JM et al, Journal of Nutritional Biochemistry; 2005, demonstrated that “The Leptin content of fat depots as well as plasma insulin concentrations appear in our population as the main determinants of adipose tissue LPL activity, adjusted by gender, depot and BMI” and that “Tissue leptin and plasma insulin are associated with lipoprotein lipase activity in severely obese patients.”

To this end, depot-related and gender-related variances in LPL were examined in non-diabetic obese men and women. Endocrine and biometric factors were rated for their dependence on fat depot and gender. Activity and expression of Lipoprotein Lipase (LPL) were analyzed in adipose tissue fat samples from visceral and subcutaneous fat deposits.

The all-natural SWEET INFUSED FRUITS ™, and their raw material components, are suitable for inclusion in weight management products, as well as all applications in Low Glycemic foods and beverages.

Unlike chemical and synthetic sweeteners, all-natural SWEET INFUSED FRUITS ™ are suitable for children and pregnant women. Additionally, SWEET INFUSED FRUITS ™ do not exacerbate ADD or Dyslexia, and do not stimulate human LPL fat-storing mechanisms.

REFERENCES

(1) Shaw, J. E. , Zimmet, P. Z. , McCarty, D. & Courten, M. D. (2000) Diabetes Care 23, Suppl. 2, B5-B10
(2)
Proceedings of the National Academy of Sciences of the United States of America 2001; Tissue-specific overexpression of lipoprotein lipase causes tissue-specific insulin resistance .
(3) 2001; Nature (London) 409, 307-312 Steppan, C. M. , Bailey, S. T. , Bhat, S. , Brown, E. J. , Banerjee, R. R. , Wright, C. M. , Patel, H. R. , Ahima, R. S. & Lazar, M. A.
(4) Glycemic Research Institute
www.Glycemic.com
Human In Vivo Clinical Trials
www.GlycemicIndexTesting.com

American Journal of Clinical Nutrition, Vol. 85, No. 3, 662-677, March 2007. American Society for Nutrition

Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW Jr. Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest. 2003; 112: 1796–1808.

Shi H, Tzameli I, Bjorbaek C, Flier JS. Suppressor of cytokine signaling 3 is a physiologic regulator of adipocyte insulin signaling. J Biol Chem. 2004; 279: 34733–34740.

Bjorbaek C, El-Haschimi K, Frantz JD, Flier JS. The role of SOCS-3 in leptin signaling and leptin resistance. J Biol Chem. 1999; 274: 30059–30065.

Fain JN et al. Comparison of the release of adipokines by adipose tissue, adipose tissue matrix, and adipocytes from visceral and subcutaneous abdominal adipose tissues of obese humans. Endocrinology. 2004; 145: 2273–2282.

Xu H, Barnes GT, Yang Q, Tan G, Yang D, Chou CJ, Sole J, Nichols A, Ross JS, Tartaglia LA, Chen H. Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Invest. 2003; 112: 1821–1830.
Havel PJ. Update on adipocyte hormones: regulation of energy balance and carbohydrate/lipid metabolism. Diabetes. 2004; 53 (suppl 1): S143–S151.

Kershaw EE, Flier JS. Adipose tissue as an endocrine organ. J Clin Endocrinol Metab. 2004; 89: 2548–2556.

Nawrocki AR, Scherer PE. The delicate balance between fat and muscle: adipokines in metabolic disease and musculoskeletal inflammation. Curr Opin Pharmacol. 2004; 4: 281–289.

Berg AH, Combs TP, Scherer PE. ACRP30/adiponectin: an adipokine regulating glucose and lipid metabolism. Trends Endocrinol Metab. 2002; 13: 84–89.

Yamauchi T et al. Cloning of adiponectin receptors that mediate antidiabetic metabolic effects. Nature. 2003; 423: 762–769.

McGarry JD. Banting lecture 2001: dysregulation of fatty acid metabolism in the etiology of type 2 diabetes. Diabetes. 2002; 51: 7–18.

Unger RH, Orci L. Lipotoxic diseases of nonadipose tissues in obesity. Int J Obes Relat Metab Disord. 2000; 24 (suppl 4): S28–S32.

Boden G, Shulman GI. Free fatty acids in obesity and type 2 diabetes: defining their role in the development of insulin resistance and beta-cell dysfunction. Eur J Clin Invest. 2002; 32 (suppl 3): 14–23.

Jacob S. et al. Association of increased intramyocellular lipid content with insulin resistance in lean nondiabetic offspring of type 2 diabetic subjects. Diabetes. 1999; 48: 1113–1119.

Petersen KF, Hendler R, Price T, Perseghin G, Rothman DL, Held N, Amatruda JM, Shulman GI. 13C/31P NMR studies on the mechanism of insulin resistance in obesity. Diabetes. 1998; 47: 381–386.

 

 


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