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A 6‐month study in subjects with metabolic syndrome showed that an American Heart Association Step 2 diet was ineffective for sustained improvement glycemic control, but when psyllium (3.5 g twice a day before meals) was added to the controlled diet, fasting blood glucose, insulin, and HbA1c were all significantly reduced (Figure 1; Cicero et al., 2010). While postprandial glucose studies are useful for assessing the acute glycemic effects of fiber, longer (multimonth) intervention studies are needed to determine if a gel‐forming fiber can provide a clinically meaningful improvement in glycemic control in patients at risk for, or being treated for, type 2 diabetes mellitus. Nonviscous soluble fiber supplements (e.g., inulin, wheat dextrin, partially hydrolyzed guar gum) and insoluble fiber (e.g., wheat bran) do not provide this gel‐dependent beneficial effect (McRorie & McKeown, 2016). Note that the commonly marketed version of guar gum is hydrolyzed to improve palatability, but this nonviscous version does not provide the viscosity/gel‐dependent health benefits of highly viscous raw guar gum. In contrast to whole foods, the physiologic effects of an isolated nondigestible carbohydrate (e.g., a fiber supplement) can be readily assessed for a direct effect in a placebo‐controlled clinical study. On average, adults consume only about 15 g of fiber per day, and those on a low carbohydrate diet consume less than 10 g per day. Only about 5% of the U.S. population achieves the recommended level of dietary fiber consumption (U.S. Department of Agriculture, 2016). The adequate intake guidelines for dietary fiber are based on a significant association between a high‐fiber diet and a reduced risk for cardiovascular disease (Institute of Medicine, 2002). 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