Dietary fiber consumption has been associated with a decrease in diabe
tes and atherosclerotic diseases in population surveys. The contributi
on of soluble fiber (compared to insoluble fiber) to each of these pro
blems has been investigated in several ways. This paper reviews the ro
le which soluble fiber consumption plays in carbohydrate and lipid met
abolism. The effects of specific fibers on glucose and insulin respons
es are examined; possible mechanisms responsible for the described eff
ects are discussed. Epidemiologic evidence that consumption of foods c
ontaining soluble fiber contributes to decreased atherosclerotic disea
se is reviewed. Studies of administration of soluble fiber to hyperlip
idemic males and females and normolipidemic subjects are examined with
respect to changes in plasma lipids. Soluble fiber appears to play an
important role in preventing and possibly treating diabetes and hyper
lipidemia, diseases common to Westernized countries.