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Related Experiment Videos

Dietary fiber--an overview.

J W Anderson1, A O Akanji

  • 1Metabolic Research Group, VA Medical Center, Lexington, KY 40511.

Diabetes Care
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

High-carbohydrate, high-fiber diets are recommended for managing diabetes, improving blood sugar, lipids, and blood pressure. These diets can reduce or even eliminate the need for insulin therapy in some patients.

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Area of Science:

  • Nutritional Science
  • Endocrinology
  • Metabolic Diseases

Background:

  • Diabetes management requires achieving ideal body weight, normoglycemia, and normolipidemia.
  • Consensus recommendations favor diets high in complex carbohydrates and fiber, and low in fat for diabetes control.

Purpose of the Study:

  • To present experience with high-fiber, high-carbohydrate diets for diabetes.
  • To review the mechanisms, effectiveness, and safety of fiber in diabetes diets.
  • To address concerns regarding high-carbohydrate diets and hypertriglyceridemia.

Main Methods:

  • Analysis of a typical diabetes diet: 55-60% complex carbohydrates, <30% fat, 0.8 g/kg protein, 40g fiber.
  • Review of existing literature on fiber's role in diabetes management.

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  • Evaluation of safety and efficacy data for high-carbohydrate and high-fat diets.
  • Main Results:

    • The described diet improves glycemic control, serum lipids, blood pressure, and body weight.
    • Insulin requirements decrease in treated patients, potentially allowing therapy discontinuation.
    • Concerns about hypertriglyceridemia with high-carbohydrate diets are invalidated by high fiber content.

    Conclusions:

    • Current diabetes diets, high in carbohydrate and fiber, are effective and safe.
    • High-monounsaturated fat diets warrant caution until long-term implications are clearer.
    • There is no compelling reason to alter the established high-carbohydrate, high-fiber dietary recommendations for diabetes.