Dietary fiber and diabetes: a comprehensive review and practical application.


Review of 11 publications: all found improved blood sugar and cholesterol levels on high-carb (two were standard-carb), high-fiber diets.

TitleDietary fiber and diabetes: a comprehensive review and practical application.
Publication TypeJournal Article
Year of Publication1987
AuthorsAnderson JW, Gustafson NJ, Bryant CA, Tietyen-Clark J
JournalJournal of the American Dietetic Association
Date Published1987 Sep
KeywordsAdult, Blood Glucose, Counseling, Diabetes Mellitus, Dietary Carbohydrates, Dietary Fiber, Energy Intake, Humans, Male, Obesity

Diabetes takes an enormous human and monetary toll each year. Current treatment too often revolves around insulin and drug therapy, neglecting diet and exercise. A comprehensive review was undertaken to assess and summarize the effects of dietary fiber on diabetes. Fiber supplement studies with guar, wheat bran, and apple fiber produced mixed results; some studies reported lowered fasting glucose and cholesterol values and less glycosuria. However, many available fiber supplements cause side effects. High-carbohydrate, high-fiber diets providing 55% to 60% of energy as carbohydrates, 15% to 20% as protein, and 20% to 25% as fat and including 50 gm or more fiber daily hold the most potential for long-term use. These diets reduce insulin requirements, improve glycemic control, lower fasting serum cholesterol and triglyceride values, and promote weight loss. Studies show good long-term adherence with these diets. Dietitians assume primary responsibility for educating individuals on the benefits and use of high-carbohydrate, high-fiber diets. Diets must be individualized, with special modifications for obesity, hyperlipidemia, or physiological states such as pregnancy and lactation. Widespread use of high-fiber diets will ultimately improve metabolic control and decrease health care costs for thousands of diabetic and non-diabetic individuals.

Alternate JournalJ Am Diet Assoc
PubMed ID3040842
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