- A high-fiber diet promotes the growth of specific gut bacteria that could help treat and manage type 2 diabetes.
- The gut bacteria helps control blood glucose, aids weight loss and keeps lipid levels in check.
- A diet including whole grains and prebiotics could in fact be a new nutritional approach for preventing and managing type 2 diabetes.
"Our study lays the foundation and opens the possibility that fibers targeting this group of gut bacteria could eventually become a major part of your diet and your treatment," said Liping Zhao, the study's lead author and a professor in the Department of Biochemistry and Microbiology, School of Environmental and Biological Sciences at Rutgers University-New Brunswick.
The Role of Gut Microbiota
The bacteria in the gut break down carbohydrates, such as dietary fibers to produce short-chain fatty acids that help control appetite. A shortage of these fatty acids has been associated with type 2 diabetes and other diseases. By rebalancing the gut microbiota, one could possibly restore short-chain fatty acid production and manage diabetes.Study overview
Patients with type 2 diabetes were randomly divided into two groups. The control group received standard patient education and dietary recommendations. The treatment group received a large amount of many types of dietary fibers and a similar diet for energy and major nutrients. Both the groups were given acarbose a drug to help control blood glucose.The high-fiber diet included whole grains, traditional Chinese medicinal foods rich in dietary fibers and prebiotics, all of which promote the growth of short-chain fatty acid-producing gut bacteria.
Study findings
- After 12 weeks, patients on high-fiber diet experienced a greater reduction in the blood glucose levels; they also lost more weight compared to the control group.
- 15 strains of short-chain fatty acid-producing gut bacteria were identified by next-generation sequencing in patients who consumed a high-fiber diet.
- A fiber-rich diet ensured that those 15 strains became the dominant strains in the gut and produced high levels of the short-chain fatty acids butyrate and acetate.
- These fatty acids made the gut environment mildly acidic, which reduced populations of harmful bacteria that increased insulin production.
- Liping Zhao, Feng Zhang, et al. Gut bacteria selectively promoted by dietary fibers alleviate type 2 diabetes. Science, 2018; 359 (6380): 1151 DOI: 10.1126/science.aao5774