Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus.
M Chandalia, A Garg, D Lutjohann...
https://pubmed.ncbi.nlm.nih.gov/10805824/Actively Recruiting
Led by Eastern Virginia Medical School · Updated on 2025-03-10
110
Participants Needed
1
Research Sites
26 weeks
Total Duration
This trial evaluates the effects of fiber supplementation on medication needs and maternal and newborn health in women diagnosed with gestational diabetes managed by diet. Researchers aim to test whether adding fiber reduces the need for diabetes medication and improves pregnancy outcomes. The study is a randomized controlled trial ensuring unbiased comparison between groups. Participants are women with a single pregnancy diagnosed with diet-controlled gestational diabetes. They are randomly assigned to receive either psyllium fiber capsules providing 16 grams of soluble fiber daily throughout pregnancy or no fiber supplements. Randomization occurs at the gestational diabetes education class using computer-generated assignment in equal groups. During the study, women take fiber capsules twice daily if assigned to the intervention group. Researchers monitor the need for diabetes medication up to 7 months after randomization and assess many pregnancy and newborn health measures, including blood sugar control at delivery, complications like preeclampsia, delivery outcomes, and newborn infections. The total participation spans from enrollment until delivery and shortly after birth to track health outcomes for mother and baby.
CONDITIONS
Effect of Fiber Supplementation on the Need for Medication With Gestational Diabetes
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Eastern Virginia Medical School
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Psyllium Fiber Supplement | Usual Care Diet Only |
|---|---|---|
| What it is | Pregnant individuals with GDM take psyllium fiber capsules (16g of soluble fiber per day, divided into two doses) along with their usual recommended diabetes-friendly diet. | Pregnant individuals with GDM follow standard pregnancy dietary advice for GDM with no additional fiber supplement. |
| Role in trial | Intervention group—the effect of fiber supplementation in addition to standard GDM care is tested. | Comparator group—standard dietary management for GDM, matches routine care without added intervention. |
| Primary use | To determine if added psyllium fiber can reduce the need for diabetes medication during pregnancy. | To monitor standard dietary approaches in GDM and their effect on medication use. |
| How it is given or performed | Psyllium fiber capsules are taken by mouth: 4 capsules twice daily throughout pregnancy. | Participants continue normal dietary management as advised for GDM, with no added supplement. |
| Evidence status | A systematic review of randomized studies in GDM suggests fiber supplements may improve blood sugar control and pregnancy outcomes, but more research is needed to confirm effects on medication need. | Dietary changes alone can lower the risk of complications in GDM, but some individuals will still require medication even with careful diet management. |
| Important limitations | There is limited large-scale evidence for the use of fiber supplements to avoid medication in GDM. Possible mild gastrointestinal side effects such as bloating or discomfort may occur. Effects on neonatal health and longer-term outcomes are still being studied. | Some with GDM require medication despite careful dietary management. Limiting carbohydrates alone does not always maintain healthy blood sugar, and individualized care is important. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 7 months until delivery
Participants take fiber supplement capsules twice daily throughout pregnancy or receive no fiber supplements depending on their group assignment.
Visits at gestational diabetes education and routine prenatal care
Duration - Up to 6 months after delivery
Researchers monitor maternal and newborn health outcomes including medication need, delivery details, and newborn complications up to 5 days after birth and neonatal care up to 180 days.
Assessment visits and health record reviews
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Lead Sponsor