Indonesia is the world’s largest island country and the 14th-largest country by land area in the world. With over 267 million people, it’s rank 4th in the world population as well as the most populous Muslim-majority country. The rise in food availability and prosperity in Indonesia has brought adverse impacts to human health due to the change in dietary habits that lead to stumpy dietary fiber consumption. This change resulted in leads to degenerative diseases like hypertension, coronary heart disease, and diabetes mellitus (DM). Available literature indicated the trend of increasing incidence rates and prevalence of diabetes mellitus type 2 worldwide. Diabetes mellitus type 2 is the most common form of diabetes worldwide, accounting for 90-95% of cases globally and representing a health threat to the population. The International Diabetes Federation (2017) predicts that diabetic patients will rise from 425 million in 2017 to 629 million by 2045 in the world. According to Brockman et al. (2012), intake of dietary fiber is a therapeutic strategy to prevent type 2 diabetes
‘FiberCreme™’ is a fiber source and non-dairy creamer commercially available to replace the glucose component of conventional creamer combined with healthy oils as a palatable functional ingredient. Oligosaccharides are a type of carbohydrate formed when three to ten simple sugars are combined together. Oligosaccharides include inulin, raffinose, palatinose, isomaltose, oligofructose, and lactosucrose that help to decrease the incidence of chronic diseases like insulin resistance, hypertension, diabetes, and metabolic syndrome. Partly digested Isomaltose- oligosaccharides (IMOs) in the small intestine and undigested portions undergo fermentation in the colon by intestinal microflora. Wang et al. (2001) reported that IMOs improved lipid profile status by decreasing cholesterol level, triglycerides, and increasing HDL.
Pakistan Journal of Nutrition presented research conducted by Marsono et al. (2020) to determine the effects of the replacement of dietary fiber with FiberCreme™ on lowering glucose and improvement of the lipid profile of hypercholesterolemia-diabetic rats.
The researchers investigated the possible mechanism involved in lowering cholesterol and glucose level. The result of in vitro study indicated that one of the mechanisms of lowering glucose was through the inhibition of glucose absorption in the small intestine and the mechanism of dropping cholesterol was through bile acid-binding to the FiberCreme™. Thus, FiberCreme™, enriched in oligosaccharides (IMOs) can be a substitute foodstuff to treat dyslipidemia and hyperglycemia.