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Lifestyle Decisions
Questions about Diabetes
Diet and Diabetes

For many diabetics, following a regular routine that includes a healthy diet, exercise, and medication allows them to regulate their blood sugar on a day to day basis. Often, a healthy diet in itself becomes a set routine that helps normalize blood sugar levels and keeps patients from hitting highs and lows throughout the day. In addition to the breakfast, lunch, and dinner, your doctor may suggest you have a snack between each meal to help keep your sugar at an optimal level.

Knowing your Levels

It is necessary to monitor your blood sugar levels during and around meal times in order to see how your body reacts to certain foods. According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person with diabetes should have a blood sugar level of 90 to 130 before a meal and less than 180 one to two hours after a meal. These numbers are only averages, though, and may not be right for everyone. Be sure to discuss what your numbers should be before and after a meal with your doctor. You can logon to the NIDDK’s What I Need to Know about Eating and Diabetes for a printable table that will allow you to write in the numbers your doctor designates and use it as a guideline during meals.

Food and Medicines

If you are a diabetic who is taking medication to help regulate your blood sugar, you should know that the foods you eat may interfere with the effect of certain medicines. It may be necessary to take certain medicines at certain times of the day with various meals. Talk to your health care professional about your medications and when they should be taken.

The Food Pyramid

In 2005, the United States Department of Agriculture replaced the food guide pyramid of the 1990s with a new program designed to adjust to the active lifestyles of all individuals, taking into account sex, age and activity levels. The new program, MyPyramid, is designed to help individuals make healthy food choices by showing them what categorizing foods and allowing individuals to form meal plans that accommodate their lifestyles.

This or any food pyramid is especially helpful for diabetics who should learn how the food they eat affects their blood sugar levels. The pyramid is divided into six groups, including grains, vegetables, fruits, oils, milk and meat and beans. Foods from the grains, vegetables, fruits and milk categories affect blood sugar the most.

Grains. Grains or starches include breads, pastas, cereals, rice and starchy vegetables like corn and potatoes. This group provides carbohydrates, vitamins, minerals and fiber that your body needs on a daily basis. You should try to incorporate grains into each meal of the day. Examples of a serving of starch include a piece of bread, a small potato or a ½ cup of cooked cereal.

Vegetables. Vegetables provide vitamins, minerals and fiber and are low in carbohydrates. They include lettuce, tomatoes, broccoli, spinach, cabbage, turnip greens and carrots. A serving of vegetables includes 1 cup of salad or a ½ cup of green beans.

Fruits. Fruits provide vitamins, minerals, fiber, and carbohydrates. Examples include apples, oranges, pears, grapes, strawberries, raisins, canned fruits and fruit juices. A serving includes a small apple or a ½ cup of juice.

Milk. Milk provides vitamins, minerals, calcium, carbohydrates and protein. Yogurt is also included in this category. An example of a serving is 1 cup of either low fat or fat free yogurt or 1 percent or skim milk.

Meats and Beans. This category provides protein, vitamins and minerals. Examples from this group include meat, poultry, eggs, fish, cheese, beans and tofu. You should eat a small amount from this category daily. Peanut butter and cottage cheese also fall into this group of foods. A serving includes 1 slice (or ounce) of turkey, 1 egg or 2 tablespoons of peanut butter.

Oils. The oils category includes the fats and sweets we incorporate into our diets. You should eat sweets sparingly. They can be high in fat, cholesterol and calories and are not as filling as other foods. Limiting the amount of oils in your diet can help keep both your weight and blood glucose levels under control. Bacon, donuts and salad dressings are included in the oils category.

Certainly, how many servings you should have of each category above varies depending on the plan your doctor has specified for you. For example, a 135–pound woman will not consume as many calories as a 200–pound man; therefore, her servings from each of the categories throughout the day will be less than his. Further, your doctor may decide that you should limit or increase the amounts of certain foods you eat depending on the patterns established by monitoring your blood glucose levels. Logon to NIDDK’s What I Need to Know about Eating and Diabetes to access a chart that compares activity levels and body build and suggests serving sizes and caloric intake accordingly.

Healthy Shopping, Healthy Eating

When you go shopping for healthy foods, do not go hungry. When we are hungry, we tend to impulse shop and will wind up at home with a lot of unhealthy food that looked good on the shelf. If you focus on a healthy diet, your diabetes will be much easier to manage. Here are some tips for healthy eating:

  • Buy whole grain breads and cereals.
  • Try replacing greasy, fried snacks with baked potato chips, popcorn, and pretzels.
  • Use low fat or skim milk in cereals.
  • Use low fat or fat free mayonnaise, salad dressings, and sour cream on sandwiches, salads, and baked potatoes.
  • Eat raw and steamed vegetables without sauces and butter.
  • Mix in onion and garlic for flavor without added fat and calories.
  • Use spices, lemon, and vinegar for added zest.
  • If you must use oil, use canola oil, olive oil or soft margarines rather than butter, lard or fat from meat.
  • Eat fruits raw, cooked, or canned in their own juices with no sugar added.
  • Choose real fruit over juice.
  • Save sugary fruit–filled treats such as cobblers and pies for special occasions.
  • Eat chicken or turkey without the skin.
  • Buy extra lean meats and trim the excess fat before cooking.
  • Add flavor with spices, herbs, lemon, lime, soy sauce, barbeque sauce or salsa.
  • Limit the amounts of nuts you eat as they are high in fat.
  • Check food levels and buy low fat or no fat cheeses.

Eating Sweets

It is okay to have sweets every once in a while. To satisfy that sweet tooth safely, try sugar–free alternatives such as sugar–free Jell–o and pudding, sugar–free popsicles, fat free ice cream or frozen yogurt, or even diet soda. If that doesn’t do the trick, consider these suggestions to keep your craving under control:

  • Share desserts in restaurants. You will consume fewer calories and still feel like you had your sweets for the night.
  • Order a child’s size ice cream or frozen yogurt.
  • When making homemade desserts, wrap leftovers in small individual packages and freeze them, so you aren’t tempted to finish the dessert before it ruins.