Question:
From British Columbia, Canada:
Why is it that diabetics aren't always told that a high-fibre diet can help to lower blood sugar levels as well as lessen the amounts of insulin needed? I know these results from my personal experiences. Also, the uses of trace minerals have helped me (selenium, vanadium, and chromium).
Answer:
According to experience in my country, patients are quite often told about
the importance of fibers, differences among fibers, amount of fiber needed
in daily diet for the dietary management of diabetes and blood lipid
disorders. Their correct use can lead to a better metabolic control, as you
report in your personal experience, even leading to a reduction of tablets
and/or insulin, and there have been controlled studies to support their
effectiveness. Similar dietary guidelines have been also recommended by American Diabetes Association:
FIBER -- Dietary fiber may be beneficial in treating or preventing several
gastrointestinal disorders, including colon cancer, and large amounts of soluble fiber have a beneficial effect
on serum lipids. There is no reason to believe that people with diabetes would be more or less amenable to these
effects than those without diabetes. Although selected soluble fibers are capable of delaying glucose
absorption from the small intestine, the effect of dietary fiber on glycemic control is probably
insignificant. Therefore, fiber intake recommendations for people with diabetes are the same as for the general
population. Daily consumption of a diet containing 2035 g dietary fiber from a wide variety of food sources
is recommended.
Diabetes Care, Volume 20 Supplement 1. American Diabetes Association: Clinical Practice Recommendations 1997
Trace minerals are not recommended if you eat a normal diet.
MS
Original posting 26 Jun 97