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ARTICLE |

Dietary Fiber for the Diabetic FREE

Samuel Vaisrub, MD
JAMA. 1978;240(4):379-379. doi:10.1001/jama.1978.03290040057028
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Fiber, the touted prophylaxis for a host of disorders1— hemorrhoids, hiatus hernia, varicose veins, gallbladder disease, appendicitis, diverticulitis, colon cancer, diabetes, ischemic heart disease—has had a rough time living up to the claims made in its behalf. Until recently only one claim—and this by no means a new one—has remained uncontested. Fiber is great for constipation.

Recent studies suggest that fiber may also prove useful in controlling hyperglycemia. Douglass2 noted a decrease in insulin requirements of two diabetic patients when they increased the amount of raw, unprocessed, fiber-rich foods in their diets. Jenkins et al3 observed a drop in postprandial plasma glucose and insulin levels in eight insulin-independent and three insulin-dependent diabetic subjects after two fiber products, pectin and guar, had been added to the standardized meals. Kiehm et al4 reported a lowering of fasting plasma glucose levels and a diminished need of sulfonylureas or

REFERENCES

Burkitt DP, Walker ARP, Painter NS:  Dietary fiber and diseases . JAMA 229:1068-1074, 1974;.
Douglass JM:  Raw diet and insulin requirements . Ann Intern Med 82:61-62, 1975;.
Jenkins DJA, Goff DV, Leeds AR, et al:  Unabsorbable carbohydrates and diabetes: Decreased post-prandial hyperglycaemia . Lancet 2:172-174, 1976;.
Kiehm TG, Anderson JW, Ward K:  Beneficial effects of a high carbohydrate, high fiber diet on hyperglycemic diabetic men . Am J Clin Nutr 29:895-899, 1976;.
Miranda PM, Horwitz DL:  High fiber diet in the treatment of diabetes mellitus . Ann Intern Med 88:482-486, 1978;.
Munoz JM, Sanstead HH, Jacob RA, et al:  Improvement of oral glucose tolerance test and peripheral insulin activity by dietary fiber , abstracted. Clin Res 26:584, 1978;.

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Burkitt DP, Walker ARP, Painter NS:  Dietary fiber and diseases . JAMA 229:1068-1074, 1974;.
Douglass JM:  Raw diet and insulin requirements . Ann Intern Med 82:61-62, 1975;.
Jenkins DJA, Goff DV, Leeds AR, et al:  Unabsorbable carbohydrates and diabetes: Decreased post-prandial hyperglycaemia . Lancet 2:172-174, 1976;.
Kiehm TG, Anderson JW, Ward K:  Beneficial effects of a high carbohydrate, high fiber diet on hyperglycemic diabetic men . Am J Clin Nutr 29:895-899, 1976;.
Miranda PM, Horwitz DL:  High fiber diet in the treatment of diabetes mellitus . Ann Intern Med 88:482-486, 1978;.
Munoz JM, Sanstead HH, Jacob RA, et al:  Improvement of oral glucose tolerance test and peripheral insulin activity by dietary fiber , abstracted. Clin Res 26:584, 1978;.
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