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Abstract

The proposed interrelationships between dietary fiber and certain diseases continue to enkindle debate and spark scientific research (Trowell and Burkitt, 1981). Among the fiber—disease connections, diabetes probably is more strongly related to the intake of dietary fiber than any other disease from epidemiological and experimental standpoints. The concept that a generous intake of dietary fiber may protect humans from diabetes has emerged over the last two decades from clinical, experimental, and epidemiological observations (Trowell, 1975). More recently the link between fiber and diabetes has been strengthened by well-documented studies (Jenkins et al., 1976; Kiehm et al., (1976) demonstrating that fiber intake has therapeutic benefits for diabetic patients. I will try to cite all of the full-length reports on the effects of dietary fiber on glucose metabolism of diabetic patients.

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References

  • Anderson, I. J., Levine, A. S., and Levitt, M. D., 1981, Incomplete absorption of the carbohydrate in all-purpose wheat flour, N. Engl. J. Med. 304: 892–992.

    Google Scholar 

  • Anderson, J. W., 1979, High carbohydrate, high fiber diets for patients with diabetes, in: Treatment of Early Diabetes ( R. A. Camerini-Davalos and B. Hanover, eds.), Plenum Press, New York, pp. 263–273.

    Chapter  Google Scholar 

  • Anderson, J. W., 1980a, High-fiber diets in diabetes and hypertriglyceridemia, Can. Med. Assoc. J. 123: 975–979.

    PubMed  CAS  Google Scholar 

  • Anderson, J. W., 1980b, Dietary fiber in diabetes, in: Medical Aspects of Dietary Fiber ( G. A. Spiller and R. Kay, eds.), Plenum Medical, New York, pp. 193–221.

    Chapter  Google Scholar 

  • Anderson, J. W., 1981, Plant fiber treatment for metabolic diseases, in: Special Topics in Endo-crinology and Metabolism ( M. P. Cohen and P. P. Foa, eds.), Alan R. Liss, New York.

    Google Scholar 

  • Anderson, J. W., and Bridges, S., 1980, Short chain fatty acids alter rates of glycolysis and gluconeogenesis in isolated rat hepatocytes, Clin. Res. 28: 776A.

    Google Scholar 

  • Anderson, J. W., and Sieling, B., 1980, High-fiber diets for obese diabetic patients, J. Obes. Bar. Med. 9: 109–113.

    Google Scholar 

  • Anderson, J. W., and Ward, K., 1978, Long term effects of high carbohydrate, high fiber diets on glucose and lipid metabolism: A preliminary report on patients with diabetes, Diabetes Care 1: 77–82.

    Article  PubMed  CAS  Google Scholar 

  • Anderson, J. W., and Ward, K., 1979, High carbohydrate, high fiber diets for insulin-treated men with diabetes mellitus, Am. J. Clin. Nutr. 32: 2312–2321.

    PubMed  CAS  Google Scholar 

  • Anderson, J. W., Chen, W. L., and Sieling, B., 1980a, Hypolipidemic effects of high carbohydrate, high fiber diets, Metabolism 29: 551–558.

    Article  PubMed  CAS  Google Scholar 

  • Anderson, J. W., Ferguson, S. K., Karonous, D., O’Malley, L., Sieling, B., and Chen, W. L., 1980b, Mineral and vitamin status on high-fiber diets: Long term studies of diabetic patients, Diabetes Care 3: 38–40.

    Article  PubMed  CAS  Google Scholar 

  • Bosello, O., Ostuzzi, R., Armellini, F., Micciolo, R., and Scuro, L. A., 1980, Glucose tolerance and blood lipids in bran-fed patients with impaired glucose tolerance, Diabetes Care 3: 46–49.

    Article  PubMed  CAS  Google Scholar 

  • Brodribb, A. J. M., and Humphreys, D. M., 1976, Diverticular disease: Three studies, Br. Med. J. 2: 424–430.

    Article  Google Scholar 

  • Chen, W. L., and Anderson, J. W., 1979, Effects of plant fiber in decreasing plasma total cholesterol and increasing high density lipoprotein cholesterol, Proc. Soc. Exp. Biol. Med. 162: 310–313.

    PubMed  CAS  Google Scholar 

  • Chen, W.-J. L., and Anderson, J. W., 1981, Soluble and insoluble plant fiber in selected cereals and vegetables, Am. J. Clin. Nutr. 34: 1077–1082

    PubMed  CAS  Google Scholar 

  • Cohen, M., Leong, V. W., Salmon, E., and Martin, F. I. R., 1980, Role of guar and dietary fibre in the management of diabetes mellitus, Med. J. Aust. 1: 59–61.

    PubMed  CAS  Google Scholar 

  • Elsenhans, B., Sufke, U., Blume, R., and Caspary, W. F., 1980, The influence of carbohydrate gelling agents on rat intestinal transport of monosaccharides and neutral amino acids in vitro, Clin. Sci. 59: 373–380.

    PubMed  CAS  Google Scholar 

  • Gold, L. A., McCourt, J. P., and Merimee, T. J., 1980, Pectin: An examination in normal subjects, Diabetes Care 3: 50–52.

    Article  PubMed  CAS  Google Scholar 

  • Goulder, T. J., Alberti, K. G. M. M., and Jenkins, D. A., 1978, Effects of added fiber on the glucose and metabolic response to a meal in normal and diabetic subjects, Diabetes Care 1: 351–355.

    Article  PubMed  CAS  Google Scholar 

  • Hall, S. E. H., Bolton, T. M., and Hetenyi, G., Jr., 1980, The effect of bran on glucose kinetics and plasma insulin in non-insulin-dependent diabetes mellitus, Diabetes Care 3: 520–525.

    Article  PubMed  CAS  Google Scholar 

  • Holt, S., Heading, R. C., Carter, D. C., Prescott, L. F., and Tothill, P., 1979, Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol, Lancet 1: 636–639.

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A., Leeds, A. R., Gassull, M. A., Wolever, T. M. S., Goff, D. V., Alberti, K. G. M. M., and Hockaday, T. D. R., 1976, Unabsorbable carbohydrates and diabetes: Decreased post-prandial hyperglycaemia, Lancet 2: 172–174

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A., Leeds, A. R., Gassull, M. A., Cochet, B., and Alberti, K. G. M. M., 1977a, Decrease in postprandial insulin and glucose concentrations by guar and pectin, Ann. Intern. Med. 86: 20–23.

    PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Hockaday, T. D. R., Leeds, A. R., Howarth, R., Bacon, S., Apling, E. C., and Dilawari, J., 1977b, Treatment of diabetes with guar gum, Lancet 2: 779–780.

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Leeds, A. R., Gassull, M. A., Haisman, P., Dilawari, J., Goff, D. V., Metz, G. K., and Alberti, K. G. M. M., 1978a, Dietary fibres, fibre analogues and glucose tolerance: Importance of viscosity, Br. Med. J. 1: 1392–1394.

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, R. M. S., Nineham, R., Taylor, R., Metz, G. L., Bacon, S., and Hockaday, T. D. R., 1978b, Guar crispbread in the diabetic diet, Br. Med. J. 2: 1744–1746.

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A., Wolever, T. M. S., Taylor, R. H., Reynolds, D., Nineham, R., and Hockaday, T. D. R., 1980, Diabetic glucose control, lipids, and trace elements on long-term guar, Br. Med. J. 1: 1353–1354.

    Article  Google Scholar 

  • Kanter, Y., Eitan, N., Brook, G., and Barzilai, D., 1980, Improved glucose tolerance and insulin response in obese and diabetic patients on a fiber-enriched diet, Isr. J. Med. Sci. 16: 1–6.

    PubMed  CAS  Google Scholar 

  • Kay, R. M., Grobin, W., and Tract, N. S., 1981, Diets rich in natural fibre improve carbohydrate tolerance in maturity-onset, non-insulin dependent diabetics, Diabetologia 20: 18–21.

    Article  PubMed  CAS  Google Scholar 

  • Kiehm, T. G., Anderson, J. W., and Ward, K., 1976, Beneficial effects of a high carbohydrate, high fiber diet on hyperglycemic diabetic men, Am. J. Clin. Nutr. 29: 895–899.

    PubMed  CAS  Google Scholar 

  • Kirby, R. W., Anderson, J. W., Sieling, B., Rees, E. D., Chen, W. L., Miller, R. E., and Kay, R. M., 1981, Oat-bran intake selectively lowers serum low-density lipoprotein cholesterol concentrations, Am. J. Clin. Nutr. 34: 824–829.

    PubMed  CAS  Google Scholar 

  • Levitt, N. A., Vinik, A. I., Sive, A. A., Child, P. T., and Jackson, W. P. U., 1980, The effect of dietary fiber on glucose and hormone responses to a mixed meal in normal subjects and in diabetic subjects with and without autonomic neuropathy, Diabetes Care 3: 515–519.

    Article  PubMed  CAS  Google Scholar 

  • Miranda, P. M., and Horwitz, D. L., 1978, High-fiber diets in the treatment of diabetes mellitus, Ann. Intern. Med. 88: 482–486.

    PubMed  CAS  Google Scholar 

  • Monnier, L., Pham, T. C., Aguirre, L., Orsetti, A., and Mirouze, J., 1978, Influence of indigestible fibers on glucose tolerance, Diabetes Care 1: 83–88.

    Article  PubMed  CAS  Google Scholar 

  • Monnier, L. H., Blotman, M. J., Colette, C., Monnier, M. P., and Mirouze, J., 1981, Effects of dietary fibre supplementation in stable and labile insulin-dependent diabetics, Diabetologia 20: 12–17.

    Article  PubMed  CAS  Google Scholar 

  • Morgan, L. M., Goulder, T. J., Tsiolakis, D., Marks, V., and Alberti, K. G. M. M., 1979, The effect of unabsorbable carbohydrate on gut hormones, Diabetologia 17: 85–89.

    Article  PubMed  CAS  Google Scholar 

  • Munoz, J. M., Sandstead, H. H., and Jacob, R. A., 1979, Effects of dietary fiber on glucose tolerance of normal men, Diabetes 28: 496–502.

    PubMed  CAS  Google Scholar 

  • Pedersen, O., Hgollund, E., Lindskov, H. O., and Sorensen, N. S., 1980, Increased insulin receptors on monocytes from insulin-dependent diabetes after a high-starch, high-fiber diet, Diabetologia 19: 306.

    Google Scholar 

  • Rivellese, A., Giacco, A., Genovese, S., Riccardi, G., Pacioni, D., Mattioli, P. L., and Mancini, M., 1980, Effect of dietary fibre on glucose control and serum lipoproteins in diabetic patients, Lancet 1: 447–450.

    Article  Google Scholar 

  • Scuro, L. A., Bosello, O., and Ostuzzi, R., 1978, Effect of a high fibre diet upon serum lipids and glucose tolerance, Ital. J. Gastroenterol. 10: 56–57.

    CAS  Google Scholar 

  • Simpson, R. W., Mann, J. I., Eaton, J., Carter, R. D., and Hockaday, T. D. R., 1979a, High-carbohydrate diets and insulin-dependent diabetics, Br. Med. J. 2: 523–525.

    Article  PubMed  CAS  Google Scholar 

  • Simpson, R. W., Mann, J. I., Eaton, J., Moore, R. A., Carter, R., and Hockaday, T. D. R., 1979b, Improved glucose control in maturity-onset diabetes treated with high-carbohydrate-modified fat diet, Br. Med. J. 1: 1753–1756.

    Article  PubMed  CAS  Google Scholar 

  • Simpson, H. C. R., Lousley, S., Geekie, M., Simpson, R. W., Carter, R. D., Hockaday, T. D. R., and Mann, J. I., 1981, A high carbohydrate leguminous fibre diet improves all aspects of diabetic control, Lancet 1: 1–5.

    Article  PubMed  CAS  Google Scholar 

  • Southgate, D. A. T., 1976, Determination of Food Carbohydrate, Applied Science Publishers, London.

    Google Scholar 

  • Trowell, H. C., 1975, Dietary-fiber hypothesis of the etiology of diabetes mellitus, Diabetes 24: 762–765.

    PubMed  CAS  Google Scholar 

  • Trowell, H. C., and Burkitt, D. P., 1981, Western Diseases: Their Emergence and Prevention, Edward Arnold, London.

    Google Scholar 

  • Williams, D. R. R., James, W. P. T., and Evans, I. E., 1980, Dietary fibre supplementation of a “normal” breakfast administered to diabetics, Diabetologia 18: 379–383.

    PubMed  CAS  Google Scholar 

  • Wilmshurst, P., and Crawley, J. C. W., 1980, The measurement of gastric transit time in obese subjects using ‘Na and the effects of energy content and guar gum on gastric emptying and satiety. Br. J. Nutr. 44: 1–6.

    Article  PubMed  CAS  Google Scholar 

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© 1982 Plenum Press, New York

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Anderson, J.W. (1982). Dietary Fiber and Diabetes. In: Vahouny, G.V., Kritchevsky, D. (eds) Dietary Fiber in Health and Disease. GWUMC Department of Biochemistry Annual Spring Symposia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6850-6_14

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  • DOI: https://doi.org/10.1007/978-1-4615-6850-6_14

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