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Letter from the Editor, #784

Jun 2, 2015

Sometimes some of us get frustrated because it seems that studies have to be done to support the obvious, but I realize that others need experts to validate what seems so simple to try to the rest of us.

As a Diabetes Educator talking to patients with both diabetes and prediabetes, I strive to give patients tidbits of information and simple things they can do to help reduce post-prandial glucose levels. A major technique we try to employ is to slow down the speed of digestion. Slowing digestion slows the transport of glucose to the blood stream. This is beneficial because we know that loss of first phase insulin release, a common feature of type 2 diabetes, allows blood glucose levels to reach a higher peak. In addition, slowing digestion or gastric emptying may keep patients full longer prompting them to eat less.

One of the ways we can do this is to add fiber to a patient’s diet. Fiber is difficult to digest and is also a bile acid sequesterant. These sequesterants have been used for lowering LDL (think colesevelam, cholestyramine), and one even has an indication for lowering A1c in diabetes patients. Now in this week’s Item #5 we have a very definitive study from Imperial College London, looking at over 29,000 patients for 11 years verifying this idea. Find out here which fibers are the best for your patients


Announcements: Sunday, June 7, 7PM ET

From "How to start a successful diabetes support group; mastering diabetes through martial arts; and the inspirational story of Jeanette Jordan, a diabetes educator who uses the power of faith to improve diabetes care in her community." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at

TCOYD Native American Conference and Health Fair for American Indians, Hyatt Vineyard Creek Hotel, Santa Rosa, California, Saturday, June 20, 2015

With a day packed full of education, motivational tools, one-on-one sessions, and workshops, the TCOYD health fair is a great way to get your patients to take better care of their health and themselves.

We can make a difference!


Dave Joffe, Editor-in-chief