Could eating more fiber be the hidden key to better blood sugar and a healthier heart in Type 1 Diabetes?
D-coding the Article- Dietary fiber intake and glycemic control: coronary artery calcification in Type 1 Diabetes (CACTI) study
Published Date:
3rd April, 2019
Published By:
Arpita Basu1, Amy C. Alman and Janet K. Snell-Bergeon
Approved By:
To be
Decoded By:
Asra H. Ahmed
MBA, PGCE in Assessment Learning disability, Diabesties Foundation
10 mins to read
- The T1D Takeaway
- Fiber is our quiet superhero—helping in the background to keep your blood sugars steadier and your heart healthier.
- Eating 25-38g of fiber helps with blood sugar time in range: Eating more fiber-rich foods can help slow down sugar absorption, leading to fewer sharp blood sugar spikes.
- This can lead to better HbA1c, healthy weight, smaller waist, better cholesterol, and lower blood pressure.
- Fiber isn’t a cure-all, but it’s a key player for heart health and reducing complications.
Word Wizard
- The study explored how dietary fiber intake affects glycemic control (HbA1c levels) and the risk of hardening of heart blood vessels (coronary artery calcification, CAC) in people with Type 1 Diabetes.
- Higher fiber intake was linked toslightly lower HbA1c levels, indicating better blood sugar management.
- Heart Health Impact: Increased fiber intake showed modest protective effects against hardening of heart blood vessels due to calcium buildup, increasing heart disease risk., which is an early sign of coronary artery disease.
- The group was followed for over 6 years, it was seen that fiber’s impact on HbA1c weakened, likely due to better insulin therapy and diabetes technology.
- Fiber supports a healthy weight, smaller waist, better cholesterol levels, and improved blood pressure
Summary Snap
Shots
Higher fiber intake in people with Type 1 Diabetes was linked to better blood sugar control, healthier weight, and reduced heart disease risk. Over 6 years, its impact on HbA1c weakened due to advances in diabetes care, but fiber remains vital for overall health.
Prime Insight
The study looked at how much dietary fiber people with Type 1 Diabetes were eating and how it affected their blood sugar control (measured by HbA1c levels).
Fiber is found in foods like fruits, vegetables, whole grains, legumes, and nuts. It helps slow down the absorption of sugar, which can prevent sharp blood sugar spikes.
People with Type 1 Diabetes consumed an average of 16g of fiber daily, below the recommended 25–38g.
Higher fiber intake was linked to slightly lower HbA1c levels, indicating better blood sugar control.
However, when they looked at other factors (like total carbs, fats, and cholesterol), this link became weaker, suggesting fiber alone isn’t the only factor influencing blood sugar.
Long-term benefits of fiber include:
- Lower body weight (BMI)
- Smaller waist size
- Healthier cholesterol levels
- Improved blood pressure
A balanced, fiber-rich diet supports overall well-being, beyond just blood sugar control.
Over 6 years, fiber’s effect on HbA1c was observed to have weakened, possibly due to improved insulin therapy and diabetes technology. While not a standalone fix, fiber is essential for heart health and reducing future complications. A balanced, fiber-rich diet supports overall well-being, beyond just blood sugar control.
- A Deeper Dive
- The Sources Voice
“Overall, our adjusted correlation coefficients also revealed a significant inverse association of fiber intake with HbA1c in the entire cohort, as well as in T1D cases and non-diabetic controls.” (Arpita Basu, Amy C. Alman, and Janet K. Snell-Bergeon, Nutrition Journal)
- Curiosities Clarified
Yes, higher fiber intake was linked toslightly better HbA1c levels, showing improved long-term blood sugar control.
Yes, higher fiber intake showed a modest protective effect against hardening of the blood vessels, a sign of early heart disease.
No, over a 6-year follow-up, the impact of fiber on HbA1c weakened, likely due to other factors like advances in insulin therapy and diabetes technology.
- Diet: Focus on nutrient-dense foods, portion control, and consistent meal timing.
- Exercise: Aim for at least 150 minutes of moderate activity weekly, with adjustments to insulin or carbohydrate intake as needed.
Adding more vegetables, whole grains, legumes, and fiber-rich snacks can support blood sugar control and heart health.
- Use CGMs to track blood sugar in real-time.
- Consider insulin pumps for precise insulin delivery.
- Explore apps for logging data, setting reminders, and communicating with your care team
- Am I meeting my blood sugar, blood pressure, and cholesterol targets?
- Are there new treatment options, technologies, or resources I should consider?
- How can we address challenges I face, such as cost or emotional distress?
- Work with your healthcare team to identify and address barriers like financial struggles or lack of access to resources.
- Advocate for affordable medications, devices, and care.
- Seek culturally appropriate care and language support if needed.
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