
Best of Brussels — Nutrition in Critical Care
14th Annual Conference — “Best of Brussels” (ISCCM Pune Branch × ISICEM)

At a Continuing Medical Education evening hosted by Nucgnex at E-Square The Fern in Pune, Ambika Nair took a room of physicians and dietitians well past the usual "eat more fiber" advice. The session was chaired by her longtime mentor Dr. Jyothi Gulathi (MBBS, MD), whose early belief in clinical nutrition helped shape Ambika's career, and it opened with a sharp question: if almost every diet fails and about half the lost weight returns within two years, what actually changes the outcome in metabolic syndrome? Her answer built around soluble fiber, though never as a buzzword. She made the case that one diet never fits all, showed how heavily processed food quietly fuels inflammation, and placed soluble fiber inside a complete medical nutrition plan alongside the right protein, smarter carbohydrates, and an anti-inflammatory, Mediterranean-style pattern. Then she got practical: which soluble fibers are gentle on the gut and which trigger bloating, why resistant maltodextrin is not the maltodextrin patients fear, and a simple timing trick, the "second meal effect," that can quietly pull post-meal sugars down. She closed on the evidence, on India now carrying one of the world's heaviest diabetes loads, and on a reassuring idea: fiber, chosen well, can be a lifelong, food-first therapy rather than a short-term pill. The complete talk, from the fiber-by-fiber breakdown to the diabetes nutrition framework and the audience Q&A on millets and cooking them without the bloating, lives in the videos below. They are genuinely worth watching start to finish.
Why it matters
Metabolic syndrome now sits behind a large share of diabetes and heart disease in India, yet most patients are handed medication long before anyone talks to them about what to eat. Soluble fiber is a simple, food-first lever that is easy to overlook. Putting this evidence in front of the physicians who counsel patients every day helps close the gap between what the science shows and what people are actually advised to put on their plate.
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