You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View
Latest Nutrition Advice Articles
Popular Nutrition Advice Articles
Highly Recommended Nutrition Advice Articles
Send a link to this page to your friends and colleagues.
Q: In the past, the American Diabetes Association (ADA) recommended that when a serving of food has 5 or more grams of fiber, people should subtract that number from the total grams of carbohydrates, because fiber is not broken down into glucose.
I don't see this mentioned anymore, even in resources that incorporate high-fiber foods into diabetes diets. Now, more information discusses the glycemic index of high-fiber foods instead. Are people supposed to count and cover with insulin all of the carbohydrates in a serving of black beans, 23 grams, or subtract the 15 grams of fiber, and say it is 8 grams carbs?
Karen Lavine, RN, CDE
Albuquerque, New Mexico
- - - - -
A: You are correct and the example is a good one. The ADA recommendations on adjusting carbohydrate calculation for high-fiber foods remain the same. Foods high in fiber are a healthy addition to a meal plan. Since fiber is not completely digested and absorbed, a high-fiber meal would not provide as much available carbohydrate as a low-fiber meal of similar total carbohydrate content.
A high-fiber food is one that contains 5 or more grams of dietary fiber per serving. When there are 5 or more grams of fiber per serving, subtract them from the total grams of carbohydrate to determine how much carbohydrate is available.
For example, a breakfast cereal containing 28 grams of total carbohydrate and 6 grams of dietary fiber can be counted as 22 grams [28 - 6 = 22] of available carbohydrate.
Anne Daly, MS, RD, CDE
Vice President, Health Care and Education
American Diabetes Association
5 comments - Nov 1, 1999
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.