Skip to main content
PMC home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1982 Dec;57(12):905–909. doi: 10.1136/adc.57.12.905

Effects of dietary fibre and exercise on mid-morning diabetic control--a controlled trial.

J H Baumer, J A Drakeford, J Wadsworth, D C Savage
PMCID: PMC1628056  PMID: 6295286

Abstract

Twenty-one insulin-dependent diabetic children completed a trial of 4 different breakfasts, given in random order. Three diets differed in fibre content. The fourth diet contained soya beans as part (38%) of the dietary fibre source. Children collected capillary blood samples on to filter paper strips which were analysed for blood glucose content. Each morning the children were asked to exercise vigorously for an hour and to rest for an hour, resulting in comparable rest and exercise periods for each child. Mean initial blood glucose levels on the 4 diets were not significantly different. The low-fibre diet resulted in the highest blood glucose concentrations after breakfast. Blood glucose levels on the high-fibre diet did not differ from those on the medium-fibre diet. The bean diet produced the lowest mean blood glucose level and the smallest reduction in blood glucose level in the hour before lunch. All the children found the bean diet unacceptable but liked the high- and medium-fibre diets, which were as popular as the low-fibre diet. The level of prescribed exercise had no effect on the level of blood glucose. It appears that the potentially major benefits from beans are limited by their unpalatability. The more acceptable cereal fibre produces a smaller but important benefit on morning hyperglycaemia after breakfast.

Full text

PDF
906

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baumer J. H., Edelsten A. D., Howlett B. C., Owens C., Pennock C. A., Savage D. C. Impact of home blood glucose monitoring on childhood diabetes. Arch Dis Child. 1982 Mar;57(3):195–199. doi: 10.1136/adc.57.3.195. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bingham S., Cummings J. H., McNeil N. I. Intakes and sources of dietary fiber in the British population. Am J Clin Nutr. 1979 Jun;32(6):1313–1319. doi: 10.1093/ajcn/32.6.1313. [DOI] [PubMed] [Google Scholar]
  3. Jenkins D. J., Wolever T. M., Nineham R., Sarson D. L., Bloom S. R., Ahern J., Alberti K. G., Hockaday T. D. Improved glucose tolerance four hours after taking guar with glucose. Diabetologia. 1980 Jul;19(1):21–24. doi: 10.1007/BF00258305. [DOI] [PubMed] [Google Scholar]
  4. Jenkins D. J., Wolever T. M., Taylor R. H., Barker H. M., Fielden H. Exceptionally low blood glucose response to dried beans: comparison with other carbohydrate foods. Br Med J. 1980 Aug 30;281(6240):578–580. doi: 10.1136/bmj.281.6240.578. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Jenkins D. J., Wolever T. M., Taylor R. H., Barker H. M., Fielden H., Jenkins A. L. Effect of guar crispbread with cereal products and leguminous seeds on blood glucose concentrations of diabetics. Br Med J. 1980 Nov 8;281(6250):1248–1250. doi: 10.1136/bmj.281.6250.1248. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Jenkins D. J., Wolever T. M., Taylor R. H., Ghafari H., Jenkins A. L., Barker H., Jenkins M. J. Rate of digestion of foods and postprandial glycaemia in normal and diabetic subjects. Br Med J. 1980 Jul 5;281(6232):14–17. doi: 10.1136/bmj.281.6232.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kay R. M., Grobin W., Track N. S. Diets rich in natural fibre improve carbohydrate tolerance in maturity-onset, non-insulin dependent diabetics. Diabetologia. 1981;20(1):18–21. doi: 10.1007/BF00253811. [DOI] [PubMed] [Google Scholar]
  8. Kinmonth A. L., Angus R. M., Jenkins P. A., Smith M. A., Baum J. D. Whole foods and increased dietary fibre improve blood glucose control in diabetic children. Arch Dis Child. 1982 Mar;57(3):187–194. doi: 10.1136/adc.57.3.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kinmonth A. L., Baum J. D. Timing of pre-breakfast insulin injection and postprandial metabolic control in diabetic children. Br Med J. 1980 Mar 1;280(6214):604–606. doi: 10.1136/bmj.280.6214.604. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Langdon D. R., James F. D., Sperling M. A. Comparison of single- and split-dose insulin regimens with 24-hour monitoring. J Pediatr. 1981 Dec;99(6):854–861. doi: 10.1016/s0022-3476(81)80006-6. [DOI] [PubMed] [Google Scholar]
  11. Malone J. I., Hellrung J. M., Malphus E. W., Rosenbloom A. L., Grgic A., Weber F. T. Good diabetic control - a study in mass delusion. J Pediatr. 1976 Jun;88(6):943–947. doi: 10.1016/s0022-3476(76)81046-3. [DOI] [PubMed] [Google Scholar]
  12. Mann J. I. Diet and diabetes. Diabetologia. 1980;18(2):89–95. doi: 10.1007/BF00290483. [DOI] [PubMed] [Google Scholar]
  13. Miranda P. M., Horwitz D. L. High-fiber diets in the treatment of diabetes mellitus. Ann Intern Med. 1978 Apr;88(4):482–486. doi: 10.7326/0003-4819-88-4-482. [DOI] [PubMed] [Google Scholar]
  14. Monnier L. H., Blotman M. J., Colette C., Monnier M. P., Mirouze J. Effects of dietary fibre supplementation in stable and labile insulin-dependent diabetics. Diabetologia. 1981;20(1):12–17. doi: 10.1007/BF00253810. [DOI] [PubMed] [Google Scholar]
  15. Reaven G. M. How high the carbohydrate? Diabetologia. 1980 Nov;19(5):409–413. doi: 10.1007/BF00281817. [DOI] [PubMed] [Google Scholar]
  16. Rivellese A., Riccardi G., Giacco A., Pacioni D., Genovese S., Mattioli P. L., Mancini M. Effect of dietary fibre on glucose control and serum lipoproteins in diabetic patients. Lancet. 1980 Aug 30;2(8192):447–450. doi: 10.1016/s0140-6736(80)91886-3. [DOI] [PubMed] [Google Scholar]
  17. Simpson H. C., Simpson R. W., Lousley S., Carter R. D., Geekie M., Hockaday T. D., Mann J. I. A high carbohydrate leguminous fibre diet improves all aspects of diabetic control. Lancet. 1981 Jan 3;1(8210):1–5. doi: 10.1016/s0140-6736(81)90112-4. [DOI] [PubMed] [Google Scholar]
  18. Vranic M., Berger M. Exercise and diabetes mellitus. Diabetes. 1979 Feb;28(2):147–163. doi: 10.2337/diab.28.2.147. [DOI] [PubMed] [Google Scholar]
  19. Wakelin K., Goldie D. J., Hartog M., Robinson A. P. Measurement of capillary blood glucose in filter-paper spots: an aid to the assessment of diabetic control. Br Med J. 1978 Aug 12;2(6135):468–469. doi: 10.1136/bmj.2.6135.468. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Werther G. A., Jenkins P. A., Turner R. C., Baum J. D. Twenty-four-hour metabolic profiles in diabetic children receiving insulin injections once or twice daily. Br Med J. 1980 Aug 9;281(6237):414–418. doi: 10.1136/bmj.281.6237.414. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES