DREAM Team Newsletter
March 2025 | Issue 7.2
FIBER: A FRIEND IN DIABETES MANAGEMENT
By SANDY ELGENDY, PharmD CANDIDATE 2025
Managing diabetes is all about balance, and your food choices play a huge role in maintaining that balance. One important, but often overlooked, nutrient in a diabetes-friendly diet is fiber. Fiber is a type of carbohydrate, but unlike most carbs, it doesn’t raise blood glucose (blood sugar) because it isn’t broken down into glucose by the body. Instead, fiber moves slowly and undigested through your digestive system, helping you stay full longer and keeping blood sugars steady.2
Both children and adults need at least 25 to 35 grams of fiber daily for good health, but many people don’t get enough. Curious about where to find fiber-packed foods? Read on to find some of the best sources of fiber and how they can help you manage diabetes!2,3
There are two types of fiber: soluble and insoluble. Soluble fiber dissolves in water, forming a gel-like substance in the stomach that slows down digestion. Choosing foods higher in soluble fiber, such as oats or beans, may help lessen blood glucose spikes after a meal.1,3
Insoluble fiber, on the other hand, does not dissolve in water. Instead, it adds bulk to stool and promotes regular movement through the digestive system, which can help prevent constipation, another common concern in diabetes. Insoluble fiber is found in whole grains, nuts, wheat bran, and many vegetables.1,3
Since fiber slows down the absorption of glucose into the bloodstream, it can help improve blood sugar levels and prevent blood glucose spikes after meals.5 This is a huge advantage for those with diabetes. Incorporating more high-fiber foods into your diet can reduce the impact on your blood sugar, making it easier to stay within your target range.6
Fiber is also fantastic for managing hunger. High-fiber foods are more filling, which can help with portion control and prevent overeating. An additional benefit is that slower digestion means your body will have more fuel for a longer time. This helps you feel more satisfied for a longer time, especially between meals. Feeling satisfied with fiber-rich foods may also help curb cravings, especially for sweets or sugary snacks.4
Adding fiber is easy! Here are some fiber-rich options to try adding to your meals4,7. Here's a general breakdown of the fiber content in some common high-fiber foods, based on standard serving sizes:8
● Brown rice (1 cup, cooked): ~3.5 grams of fiber
● Quinoa (1 cup, cooked): ~5 grams
● Oats (1 cup, cooked): ~4 grams
● Whole wheat pasta (1 cup, cooked): ~6 grams
● Black beans (1 cup, cooked): ~15 grams
● Lentils (1 cup, cooked): ~15.6 grams
● Chickpeas (1 cup, cooked): ~12 grams
● Broccoli (1 cup, cooked): ~5.1 grams
● Carrots (1 medium): ~1.7 grams
● Brussels sprouts (1 cup, cooked): ~4 grams
● Apples (1 medium, with skin): ~4.4 grams
● Pears (1 medium, with skin): ~5.5 grams
● Berries (1 cup, raspberries): ~8 grams
● Bananas (1 medium): ~3 grams
● Almonds (1 ounce, ~23 almonds): ~3.5 grams
● Chia seeds (1 tablespoon): ~5 grams
● Flaxseeds (1 tablespoon): ~2.8 grams
Start slowly: Adding too much fiber too quickly can cause bloating. Aim to gradually increase your fiber intake to about 25-30 grams per day.7
Drink water: Fiber works best when there’s enough water in your system, so remember to stay hydrated.7
Mix it up: Variety keeps your meals interesting, and it’s easier to stick with fiber-rich foods when they’re tasty!7
Incorporating more fiber into your diet is easy, and the benefits of blood glucose control and overall health make it worthwhile. Little by little, these dietary choices add up and make a big difference in managing diabetes effectively!
Resources
American Diabetes Association. "What is fiber and why it is important” https://diabetesfoodhub.org/blog/what-fiber-and-why-it-important
Harvard T.H. Chan School of Public Health. "Fiber." The Nutrition Source. https://www.hsph.harvard.edu/nutritionsource/carbohydrates/fiber/
Mayo Clinic Staff. "Dietary fiber: Essential for a healthy diet.” https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/fiber/art-20043983
Cleveland Clinic – "How to stop your cravings for carbs” https://health.clevelandclinic.org/how-to-stop-carb-cravings
Johns Hopkins Medicine – "Managing Diabetes: Six healthy steps with the most benefit" https://www.hopkinsmedicine.org/health/conditions-and-diseases/diabetes/managing-diabetes-six-healthy-steps-with-the-most-benefit
Academy of Nutrition and Dietetics – "Fiber” https://www.eatright.org/health/essential-nutrients/carbohydrates/fiber
The Health Benefits of Fiber Dietary fiber https://www.verywellhealth.com/dietary-fiber-7496057
Dietary Guidelines for Americans - “ Food sources of Dietary Fiber” https://www.dietaryguidelines.gov/resources/2020-2025-dietary-guidelines-online-materials/food-sources-select-nutrients/food-sources-fiber
DIABETES WEEK 2025 RECAP AT TOURO UNIVERSITY CALIFORNIA:
A COLLABORATIVE LEARNING EXPERIENCE
This year’s Diabetes Week at Touro University California was a resounding success, bringing together an inter-professional team of students from Pharmacy, DO, PA, and Nursing programs. The event provided an immersive, hands-on experience to help students better understand diabetes care in both inpatient and outpatient settings.
Event Highlights:
Skill Labs: Students worked in mixed groups to assess and treat patients in simulated scenarios. In one lab, they treated a patient with DKA (Diabetic Ketoacidosis) using realistic simulations, with expert instructors and volunteers guiding them through the process.
Hypoglycemia Lab: Another lab focused on the management of hypoglycemia symptoms in a clinical setting, where students practiced their bedside manner and teamwork with Standardized Patients.
Case Studies: Students worked together to manage two cases of Type 1 and Type 2 Diabetes, engaging in collaborative clinical thinking to treat the patients as a team of 7-10 members.
Pharmacology & Discussion Sessions: The week included additional sessions covering diabetes pharmacology and treatment strategies, followed by the distribution of diabetes-related tools, such as CGMs, insulin pumps, glucometers, and more.
The event culminated in a Patient Panel Discussion, where students had the opportunity to ask questions to patients living with Type 1 and Type 2 Diabetes and learning directly from their experiences.
A heartfelt appreciation to our incredible DREAM Team of instructors, volunteers, and community actors who made this event an enriching, realistic learning experience for all involved!
TO GOOD HEALTH
Anne Lee, RD, CDCES
This can be a back-up meal when you run out of time to do your grocery runs. Keep the main ingredients on hand for a quick hot meal. This meal not only saves you time, it also saves money as you skip meal delivery services.
1/2 cup Onion - 1/2 onion, diced
1/2 cup Celery - 1-2 large stalks, diced
1 pound Ground Turkey lean or 1 pound Ground Beef lean or 1 pound Ground Chicken lean
15 ounces Stewed Tomatoes or 3 Tomatoes, diced
15 ounces Red Beans drained
11 ounces Tomato Soup
Cook the ground turkey, diced onion and celery in a large pan over medium heat. Cook until meat turns brown, then drain the excess grease. Add tomatoes, beans and tomato soup to the mix and stir. Cover and cook for 15-20 minutes. Refrigerate left overs.
Add your choice of spices such as chili powders, cumin, or cayenne pepper to add some heat to this dish.
Makes 11 servings.
This recipe does not adhere to Kosher guidelines
Source: https://eatfresh.org/recipe/main-dish-soups/speedy-chili/
MOBEC
THE MOBILE DIABETES EDUCATION CENTER
MOBEC offers FREE diabetes and cardiovascular screening and education to the people of Napa and Solano Counties. We partner with a variety of community-based organizations such as community centers, faith-based organizations, low-income and senior housing complexes to bring our services to the community.
Services include:
Prediabetes and diabetes risk test.
Blood glucose and A1C.
Blood pressure.
Depression, cholesterol, and type 1 diabetes screenings - when available.
Personalized education on diabetes prevention and management.
Resources for tobacco cessation, food distribution, transportation, and other community services as needed.
MOBEC will be visiting Napa, Vacaville, Dixon, Vallejo, Benicia, and Fairfield in the next few weeks. Scan the QR code to visit our calendar of events in the MOBEC webpage and learn where and when we will be near you!
Newsletter Credits
Editor: Sumera Ahmed, MD
Designer: Maryelli Ray
Sponsored by: Sutter Health