Diabetology Xagena

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Noninsulin-dependent diabetes; patients on high-fiber diets might need extra Calcium

The amount of calcium the body absorbs might depend, in part, on the amount of dietary fiber consumption.

Patients with noninsulin-dependent diabetes ( type 2 ) excreted less calcium through their urine when they consumed 50 grams of fiber a day than when they ate 24 grams a day. Excreting less calcium indicates that they absorbed less of the mineral.

Researchers already know that fiber helps improve the cholesterol and glucose control and improves bowel regularity.
The new findings suggest that dietary fiber reduces the body's capacity to absorb calcium.

The American Diabetes Association ( ADA ) recommends a daily intake of 24 grams of dietary fiber, but the average American consumes about 14 to 15 grams of fiber a day.

Dietary fiber is the indigestible portion of plant foods that pushes food through the digestive system, absorbing water and easing defecation. Calcium is a nutrient found in food that is absorbed by the body and then excreted in urine, feces or sweat. It is the most abundant mineral in the human body.

Prior research at UT Southwestern has shown that a high intake of dietary fiber, mostly from fruits and vegetables, lowers blood glucose levels and leads to decreased insulin levels in the blood, as well as lowering blood lipid concentrations in patients with type 2 diabetes, the most prevalent type of diabetes.

For the current study, 13 patients with type 2 diabetes ate either a high-fiber diet ( 50 grams per day ) or the moderate-fiber diet ( 24 grams per day ) recommended by the ADA for six weeks, then switched to the other diet for six weeks.
All participants stayed at UT Southwestern's Clinical and Translational Research Center ( CTRC ) for the final week of each six-week period.

CTRC staff prepared both diets so that they contained the same number and proportion of calories from carbohydrates, fats and proteins, as well as an equal amount of minerals such as calcium, phosphorous, magnesium, sodium and potassium.
The high-fiber diet included numerous fiber-rich foods including cantaloupe, grapefruit, papaya, okra, winter and zucchini squash, granola and oatmeal.
No supplements were used.

The participants excreted less calcium on the high-fiber diet because the additional fiber caused their bodies to absorb less calcium.

Though most of the additional fiber in the high-fiber diet was soluble fiber, researchers cannot say for sure whether soluble or insoluble fiber affects calcium absorption.

People are encouraged to try food sources rich in fiber and calcium such as spinach, broccoli, figs, papaya, artichoke, okra, beans, mustard and turnip greens, and cactus pads. ( Xagena )

Source: UT Southwestern Medical Center, 2009