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Editorial
JAMA. 1978;240(4):379. doi: 10.1001/jama.1978.03290040057028

Dietary Fiber for the Diabetic

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

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

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