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Longitudinal associations of dietary fiber and its source with 48-week weight loss maintenance, cardiometabolic risk factors and glycemic status under metformin or acarbose treatment: a secondary analysis of the March randomized trial

Medicine and Health

Longitudinal associations of dietary fiber and its source with 48-week weight loss maintenance, cardiometabolic risk factors and glycemic status under metformin or acarbose treatment: a secondary analysis of the March randomized trial

J. Liu, Y. An, et al.

This research conducted by Jia Liu, Yu An, Ning Yang, Yuan Xu, and Guang Wang delves into the critical relationship between dietary fiber intake and clinical outcomes in newly diagnosed type 2 diabetes mellitus patients. Discover how different fiber sources can significantly impact glycemic control and overall treatment efficacy.

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Playback language: English
Abstract
This secondary analysis of the MARCH trial examined the longitudinal associations between dietary fiber intake and clinical outcomes in 551 newly diagnosed type 2 diabetes mellitus (T2DM) patients treated with metformin or acarbose for 48 weeks. Higher total and whole grain fiber intake correlated with improved β-cell function and glycemic control under acarbose. Legume fiber intake was linked to better glycemic control in both treatment groups and weight loss under metformin. A high-carbohydrate, low-fiber diet showed mixed effects, negatively impacting glycemic control and HDL-C under acarbose but positively influencing insulin sensitivity and weight loss under metformin. The study highlights the importance of considering dietary fiber sources and their interaction with oral glucose-lowering medications for optimal T2DM management.
Publisher
Nutrition and Diabetes
Published On
Oct 02, 2024
Authors
Jia Liu, Yu An, Ning Yang, Yuan Xu, Guang Wang
Tags
dietary fiber
type 2 diabetes
glycemic control
metformin
acarbose
β-cell function
weight loss
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