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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">diaendo</journal-id><journal-title-group><journal-title xml:lang="ru">Сахарный диабет</journal-title><trans-title-group xml:lang="en"><trans-title>Diabetes mellitus</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0351</issn><issn pub-type="epub">2072-0378</issn><publisher><publisher-name>Endocrinology research centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/DM13232</article-id><article-id custom-type="elpub" pub-id-type="custom">diaendo-13232</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Оригинальные исследования</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Original Studies</subject></subj-group></article-categories><title-group><article-title>Постпрандиальная секреция инсулина и пептида YY при приеме эритритола и сахарозы</article-title><trans-title-group xml:lang="en"><trans-title>Postprandial secretion of insulin and peptide YY when taking erythritol and sucrose</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6170-6603</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Силина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Silina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Силина Наталья Валерьевна</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Natalia V. Silina - MD</p><p>11 Dm. Ulyanova street, 117036</p></bio><email xlink:type="simple">s1linanata@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8077-9381</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мазурина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazurina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мазурина Наталия Валентиновна - д.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalya V. Mazurina - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">natalyamazurina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6220-4397</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ершова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ershova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ершова Екатерина Владимировна - к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Ekaterina V. Ershova - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">Ershova.Ekaterina@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6624-2374</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Комшилова</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Komshilova</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Комшилова Ксения Андреевна - к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Kseniya A. Komshilova - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">ksusha@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1120-8240</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никанкина</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikankina</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никанкина Лариса Вячеславовна - к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Larisa V. Nikankina - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">larisa.nikankina@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9462-8522</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Першина-Милютина</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pershina-Milutina</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Першина-Милютина Анастасия Павловна</p><p>Москва</p></bio><bio xml:lang="en"><p>Anastasiia P. Pershina-Miliutina</p><p>Moscow</p></bio><email xlink:type="simple">oa11111998@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2373-2231</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Антонова</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Antonova</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антонова Ксения Валентиновна - д.м.н.; Researcher ID: J-9971-2016; Scopus Author ID: 7004672742.</p><p>Москва</p></bio><bio xml:lang="en"><p>Ksenia V. Antonova - MD, PhD.; Researcher ID: J-9971-2016; Scopus Author ID: 7004672742.</p><p>Moscow</p></bio><email xlink:type="simple">kseniya.antonova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8520-8702</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трошина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Troshina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Трошина Екатерина Анатольевна - д.м.н., профессор, член-корр. РАН.</p><p>Москва</p></bio><bio xml:lang="en"><p>Ekaterina A. Troshina - MD, PhD, Professor.</p><p>Moscow</p></bio><email xlink:type="simple">troshina@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГНЦ РФ ФГБУ «Национальный медицинский исследовательский центр эндокринологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научный центр неврологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Center of Neurology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>18</day><month>01</month><year>2025</year></pub-date><volume>27</volume><issue>6</issue><fpage>536</fpage><lpage>542</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Силина Н.В., Мазурина Н.В., Ершова Е.В., Комшилова К.А., Никанкина Л.В., Першина-Милютина А.П., Антонова К.В., Трошина Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Силина Н.В., Мазурина Н.В., Ершова Е.В., Комшилова К.А., Никанкина Л.В., Першина-Милютина А.П., Антонова К.В., Трошина Е.А.</copyright-holder><copyright-holder xml:lang="en">Silina N.V., Mazurina N.V., Ershova E.V., Komshilova K.A., Nikankina L.V., Pershina-Milutina A.P., Antonova K.V., Troshina E.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.dia-endojournals.ru/jour/article/view/13232">https://www.dia-endojournals.ru/jour/article/view/13232</self-uri><abstract><sec><title>ЦЕЛЬ</title><p>ЦЕЛЬ. Изучить влияние некалорийного сахарозаменителя эритритола и комбинации эритритола и сахарозы на постпрандиальную секрецию инсулина и пептида-YY (PYY).</p></sec><sec><title>МАТЕРИАЛЫ И МЕТОДЫ</title><p>МАТЕРИАЛЫ И МЕТОДЫ. Проведено сравнительное исследование, направленное на оценку влияния эритритола (эритрита), сахарозы и комбинации эритритола и сахарозы на постпрандиальный уровень глюкозы, иммунореактивного инсулина (ИРИ) и PYY. Участники отбирались из числа здоровых добровольцев, в возрасте от 18 до 35 лет. При соответствии участников критериям отбора проводились дальнейшие этапы исследования. В ходе исследования каждый из участников принимал раствор сахарозы 75 г, эритрита 75 г или смеси сахарозы и эритрита (75 г и 25 г соответственно). Дальнейшее определение глюкозы и инсулина проводилось каждые 30 минут, таким образом, показатели глюкозы, инсулина и PYY определялись исходно и на 30-й, 60-й, 90-й и 120-й минутах.</p></sec><sec><title>РЕЗУЛЬТАТЫ</title><p>РЕЗУЛЬТАТЫ. Были получены данные, подтверждающие отсутствие влияния эритритола на постпрандиальную секрецию инсулина и глюкозы. В нашей работе мы также продемонстрировали снижение постпрандиальной гликемии при совместном приеме сахарозы и эритритола. Сахароза и эритрит в равной степени стимулировали секрецию PYY.</p></sec><sec><title>ЗАКЛЮЧЕНИЕ</title><p>ЗАКЛЮЧЕНИЕ. Полученные нами данные показывают, что эритритол может рассматриваться в качестве оптимального заменителя сахара у людей с нарушениями углеводного обмена и ожирением.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>AIM</title><p>AIM. To study the effect of the non-calorie sweetener erythritol and the combination of erythritol and sucrose on postprandial secretion of insulin and peptide-YY (PYY).</p></sec><sec><title>MATERIALS AND METHODS</title><p>MATERIALS AND METHODS. A comparative study was conducted to assess the effect of erythritol, sucrose and a combination of erythritol and sucrose on postprandial glucose, IRI and PYY levels. The participants were selected from among healthy volunteers, aged 18 to 35 years. If the participants met the selection criteria, further stages of the study were carried out. During the study, each participant took a solution of sucrose 75 g, erythritol 75 g or a mixture of sucrose and erythritol (75 g and 25 g, respectively). Further determination of glucose and insulin was carried out every 30 minutes, so glucose, insulin and PYY values were determined initially and at the 30th, 60th, 90th and 120th minutes.</p></sec><sec><title>RESULTS</title><p>RESULTS. Data were obtained confirming the absence of the effect of erythritol on postprandial secretion of insulin and glucose. In our work, we also demonstrated a decrease in postprandial glycemia when taking sucrose and erythritol together. Sucrose and erythritol equally stimulated PYY secretion.</p></sec><sec><title>CONCLUSION</title><p>CONCLUSION. Our data show that erythritol can be considered as an optimal sugar substitute in people with impaired carbohydrate metabolism and obesity.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>инсулин</kwd><kwd>пептид YY</kwd><kwd>эритритол</kwd><kwd>сахарозаменители</kwd></kwd-group><kwd-group xml:lang="en"><kwd>insulin</kwd><kwd>peptide YY</kwd><kwd>erythritol</kwd><kwd>sweeteners</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Данная публикация подготовлена в рамках государственного задания «Механизмы дезадаптации двух­уровневой системы регуляции аппетита при экзогенно-конституциональном ожирении с множественными осложнениями и способы ее коррекции». 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