Role and importance of high fiber in diabetes management in India

Saboo, Banshi D.; Misra, Anoop; Kalra, Sanjay; Mohan, Viswanathan; S.R, Aravind; Joshi, Shashank; Chowdhury, Subhankar; Sahay, Rakesh; Kesavadev, Jothydev; John, Mathew; Kapoor, Nitin; Das, Sambit; Krishnan, Dharini; Salis, Sheryl

doi:10.1016/j.dsx.2022.102480

Cited by 15 publications

(10 citation statements)

References 54 publications

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“…The low proportion of fiber contained in the products represents one of the biggest shortcomings of gluten-free baking [5]. Fiber fortification in different forms can lead to an increase in the nutritional value of gluten-free bakery products [6].…”

Section: Introductionmentioning

confidence: 99%

Effect of Fiber and Insect Powder Addition on Selected Organoleptic and Nutritional Characteristics of Gluten-Free Bread

Tauferová,

Pečová,

Czerniková

et al. 2024

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A wide range of gluten-free bakery products are already available on the market. However, they often have a low proportion of fiber and inferior sensory properties when compared to classic baked goods. The aim of this work was to evaluate the influence of the addition of different types of fiber and insect powder on selected organoleptic and nutritional properties of gluten-free pieces of bread and to reformulate a recipe for gluten-free bread. Twenty experimental samples were prepared with different types and percentages of fiber, either alone or in combination. Sensory analysis, instrumental texture analysis, and chemical analyses, including predicted glycemic index, were carried out. A total of 16 of the 24 fiber-enriched samples received an average or slightly above-average rating. The samples containing the fiber mixture without insect powder and the sample containing 9% flaxseed performed best in the overall evaluation. The combination of different types of plant fibers simultaneously with the incorporation of insect powder in a low concentration appears to be advantageous, both from the viewpoint of sensory acceptability and also from the viewpoint of the potential for increasing the polyphenol content and antioxidant capacity. This study lists the sensorially acceptable range of fiber concentrations, which can be a guide for the bakery industry.

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Section: Introductionmentioning

confidence: 99%

Effect of Fiber and Insect Powder Addition on Selected Organoleptic and Nutritional Characteristics of Gluten-Free Bread

Tauferová,

Pečová,

Czerniková

et al. 2024

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“…DM sufferers have increased drastically throughout the world with a projection of reaching 700 million patients in 2045 from 463 million patients in 2019 [2]. Intensive lifestyle intervention is a cornerstone in diabetes prevention and management [3]. According to latest findings by International Diabetes Federation, on average, one out of 11 adults aged between 20-79 currently have diabetes [4].…”

Section: Introductionmentioning

confidence: 99%

Histopathology of Liver and Cardiac Muscle of Alloxan-Induced Diabetic Rats (Rattus norvegicus) After Administration of Bosibosi (Timonius flavescens (Jacq.) Baker) Leaves Ethanol Extract

Lbn Gaol,

Sijabat,

Saragih

et al. 2024

Proceedings of the 5th International Conference on Innovation in Education, Science, and Culture, ICIESC 2023, 24 October 2023,

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This research was aimed to study the effect of ethanol extract of bosibosi leaves (Timonius flavescens) (EEBL) on histopathology of liver and cardiac muscles of diabetic male rats. Animals (25) were randomly distributed into groups of NC (normal + NaCl), DC (diabetes + NaCl), DM (diabetes + metformin), DE300 (diabetes + EEBL 300) and DE500 (diabetes + EEBL 500 mg/kg bw/day); treated for 28 consecutive days and sacrificed for tissue collection. Tissues were processed (formalin, paraffin, H & E) and examined for histopathology. All diabetic rats showed hepatic tissue necrosis which is characterized by pycnotic nuclei, karyorhexis and karyolysis. The order of groups based on the percentage tissue damage is NC ( 27.61±2.44), DM (38.62±3.87), DE500 (45.15±3.76), DE300 (61.20±5.51) and DC (75.17±3.21). Cardiac muscle shows cell damage form mild degeneration to necrosis. The results indicate the potential of EEBL to repair tissues damaged by diabetes.

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“…2 The "Asian Indian Phenotype" has higher rates of central obesity and increased visceral fat, which are the main causes of insulin resistance (IR). 3 Among Indian patients with diabetes, about 69% fail to achieve the target level of glycated hemoglobin (HbA1c). 4 Lifestyle modification is central to the prevention and management of T2DM.…”

mentioning

confidence: 99%

“…24 Despite dietary recommendations, people consume inadequate amounts or incorrect type of dietary fiber. 3 A study that compared the Indian diet with EAT-Lancet reference diet, reported that Indian diets were unhealthy across all states and income categories. Moreover, the fiber intake was found to be much lower than the recommended level in women (15-30 g/d) across all income groups.…”

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confidence: 99%

STAR (Survey for ManagemenT of DiAbetes with FibeR-rich Nutrition Drink): A Pan India Survey to Understand the Physician and Patient Perspective Regarding the Role of Dietary Fiber Supplement in the Management of Type 2 Diabetes

Sanjay Kalra,

Nitin Kapoor,

Saptarshi Bhattacharya

et al. 2023

IJCP

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Objectives: The aim of the STAR survey was to understand the physicians’ knowledge, attitude and perception regarding the role of nutritional dietary fiber supplements in the daily management of type 2 diabetes mellitus (T2DM). It also aimed to compare the changes in glycemic parameters as well as energy and satiety levels between patients taking a high-fiber supplement and those not taking a fiber supplement. Methods: Two cross-sectional pan-India surveys were conducted. The first was among 152 physicians who had >5 years of experience in treating patients with T2DM and treated >50 patients with T2DM per month. A self-administered paper-based questionnaire was used for the survey. The other survey was conducted among 3,042 patients with T2DM who were receiving treatment with antidiabetics. These patients were further categorized into the Horlicks Diabetes Plus (HDP) group, which consisted of 1,524 patients who had consumed the HDP fiber supplement for a minimum of 3 months and the non-HDP group, which included 1,518 patients who had never consumed HDP. Results: Almost all physicians prescribed fiber-rich nutritional supplements to their patients with T2DM and believed that dietary fiber has an important role in managing glycated hemoglobin (HbA1c) values, healthy weight and cholesterol levels. Among the main benefits of HDP seen by physicians were improvement in satiety levels and increase in physical activity, reduction in HbA1c, fasting and postprandial glucose, and reduction in dose and/or number of hypoglycemic medications. All physicians recommended that it was important to increase awareness among patients as well as doctors regarding the benefits of HDP in patients with T2DM. Patients in the HDP group reported a mean decrease of 0.72 in their HbA1c value which was statistically significant at 3 months (8.04 at baseline to 7.32 at 3 months). In contrast, the non-HDP group showed a non-statistically significant decrease of 0.61 in HbA1c from a baseline value of 8.15. Furthermore, patients reported a significant decrease in weight of 3 kg in 3 months from baseline value of 72.11 kg to 69.11 kg. This reduction in weight was observed in 82% patients in the HDP group, while the non-HDP group showed an insignificant weight reduction from a baseline value of 72.14 kg to 71.46 kg in 3 months. About 83% of patients reported feeling full for longer periods of time and 92.62% reported feeling more energetic after starting HDP. The compliance and satisfaction rates with HDP were 96% and 75%, respectively. Conclusion: A high-fiber supplement taken along with patients’ existing antidiabetic treatment plan has the potential to decrease glycemic parameters and weight while increase the satiety and energy levels among patients with T2DM. However, these results need to be evaluated further with long-term clinical studies conducted in the real world.

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Role and importance of high fiber in diabetes management in India

Cited by 15 publications

References 54 publications

Effect of Fiber and Insect Powder Addition on Selected Organoleptic and Nutritional Characteristics of Gluten-Free Bread

Effect of Fiber and Insect Powder Addition on Selected Organoleptic and Nutritional Characteristics of Gluten-Free Bread

Histopathology of Liver and Cardiac Muscle of Alloxan-Induced Diabetic Rats (Rattus norvegicus) After Administration of Bosibosi (Timonius flavescens (Jacq.) Baker) Leaves Ethanol Extract

STAR (Survey for ManagemenT of DiAbetes with FibeR-rich Nutrition Drink): A Pan India Survey to Understand the Physician and Patient Perspective Regarding the Role of Dietary Fiber Supplement in the Management of Type 2 Diabetes

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