Thanks
Dietitian
Hi there,
It sounds like you're pretty confused about how best to go about managing you diabetes.
The most important thing with diabetes is to eat a healthy and balanced diet, with foods from all the five foods groups - meat, dairy, fruit, vegetables and grains.
The second thing is spreading carbohydrate foods out over the day, and to not have too many.
Here is a very useful information sheet that explains all about how to eat healthily with diabetes.
Please feel free to get in contact with me if you have any more questions or want to make an appointment.
Sincerely,
Jessica Bailes, Nutritionist and Dietitian
jessicabailes.com
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to your account or now (it's free).Exercise Physiologist
Your doctor is correct in saying that some vegetables are starchy (lots of glucose linked together) and therefore impact blood sugar control. You may find this resource of interest http://www.lowcarbdiabetic.co.uk/
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to your account or now (it's free).Credentialled Diabetes Educator (CDE), Diabetes Educator, Dietitian
Eating a regular intake of carbohydrate foods over the day and choosing lower GI foods is the key to keeping blood glucose levels stable. Low GI foods are those which are more slowly digested and absorbed. Unfortunately many gluten-free foods are high GI so this can be more difficult on a gluten-free diet but there are some lower GI choices including legumes, quinoa and buckwheat grains, corn, lower GI rices (eg Sunrice Low GI brown and white rice), many fruits (eg apples, pears, citrus, berries) and dairy foods like milk and yoghurt. You can read more about GI here:http://glycemicindex.com/about.php Most vegetables have very little carbohydrate so won't raise blood glcuose levels, particularly green vegetables and salad vegetables. Starchy vegetables such as potato, sweet potato and corn do contain carbohydrate so should be eaten in moderation and balanced with plenty of non-starchy vegetables and some protein.
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to your account or now (it's free).Agree
Thanks
Endocrinologist, Nuclear Medicine Physician
Very good answers above by nutritional experts, thank you.
It turns out low-carbohydrate is another option (1) to reduce glycemic excursion. There are some evidence that low-carbohydrate diet can lead to good glycemic control (2-3).
In my experience, with the right type of anti-diabetic pharmacotherapy, low-carbohydrate diet works well in addition to achieve composite outcome of weightloss, stable glycemic profile and minimal hypoglycemic risk.
Regards,
Dr Kevin Lee.
BSc(Med), MBBS, MHS(Clin Epi), FRACP
Consultant Physician Endocrinologist
1. Kang X, Wang C, Lifang L, Chen D, Yang Y, Liu G, et al. Effects of Different Proportion of Carbohydrate in Breakfast on Postprandial Glucose Excursion in Normal Glucose Tolerance and Impaired Glucose Regulation Subjects. Diabetes Technol Ther. Mary Ann Liebert, Inc; 2013 Jul;15(7):569–74.
2. Tay J, Luscombe-Marsh ND, Thompson CH, Noakes M, Buckley JD, Wittert GA, et al. A Very Low-Carbohydrate, Low-Saturated Fat Diet for Type 2 Diabetes Management: A Randomized Trial. Diabetes Care. 2014 Oct 23;37(11):2909–18.
3. Bazzano LA, Hu T, Reynolds K, Yao L, Bunol C, Liu Y, et al. Effects of Low-Carbohydrate and Low-Fat Diets. Ann Intern Med. American College of Physicians; 2014 Sep 2;161(5):309–18.
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