DiaCare - A Complete Diabetes Care Centre, Ahmedabad, Gujarat, India.
Fortis C-DOC Center of Excellence for Diabetes, Metabolic Diseases, And Endocrinology, New Delhi, India.
Diabetes Metab Syndr. 2022 May;16(5):102480. doi: 10.1016/j.dsx.2022.102480. Epub 2022 Apr 22.
BACKGROUND & AIMS: India is facing a triple burden of pre-diabetes, diabetes, and obesity. Unhealthy eating habits and physical inactivity have been linked to the onset and progression of type 2 diabetes mellitus (T2DM). Despite dietary recommendations, individuals consume inadequate amounts or unsuitable type of dietary fiber (DF) which needs correction. An Expert group attempted to review and report on the role and importance of high DF in the management of T2DM and offer practical guidance on high fiber use in daily diet.
Twelve diabetologists and two expert dietitians from India were chosen to ensure diversity of the members both in professional interest and cultural background. The authors convened virtually for one group meeting and actively participated in a detailed discussion. Multiple reviews of the draft document followed by focused teleconference calls & email helped to reach consensus on final recommendations between Aug 2021 and Dec 2021.
Evidence has shown that medical nutrition therapy (MNT) is a valuable approach and an essential component of T2DM prevention and management. Studies have shown that fiber rich diabetes nutrition (FDN) has multi-systemic health benefits, including, improvement in glycemic control, reduction in glucose spikes, decrease in hyperinsulinemia, improvement in plasma lipid concentrations and weight management in T2DM patients.
A high fiber diet is vital for people with diabetes and associated conditions. Increasing fiber intake, preferably through food or through dietary supplement, may help. Fiber rich diabetes nutrition (FDN) is recommended in order to prevent and manage T2DM.
印度正面临着糖尿病前期、糖尿病和肥胖症的三重负担。不健康的饮食习惯和缺乏身体活动与 2 型糖尿病（T2DM）的发生和进展有关。尽管有饮食建议，但个人摄入的膳食纤维（DF）量不足或类型不合适，需要加以纠正。专家组试图审查和报告高 DF 在 T2DM 管理中的作用和重要性，并就高纤维在日常饮食中的使用提供实用指导。
选择了 12 名印度糖尿病专家和 2 名营养专家，以确保成员在专业兴趣和文化背景方面具有多样性。作者通过虚拟方式举行了一次全体会议，并积极参与了详细讨论。对草案文件进行了多次审查，随后通过重点电话会议和电子邮件进行了讨论，有助于在 2021 年 8 月至 2021 年 12 月期间就最终建议达成共识。
证据表明，医学营养疗法（MNT）是一种有价值的方法，也是 T2DM 预防和管理的重要组成部分。研究表明，富含纤维的糖尿病营养（FDN）具有多系统健康益处，包括改善血糖控制、减少血糖峰值、降低高胰岛素血症、改善血浆脂质浓度和 T2DM 患者的体重管理。
高纤维饮食对糖尿病患者和相关疾病患者至关重要。增加膳食纤维的摄入，最好通过食物或膳食补充剂，可以有所帮助。建议使用富含纤维的糖尿病营养（FDN）来预防和管理 T2DM。
