What to eat when you have diabetes?

Nutrition is an integral part of diabetes care. Rather than a restrictive diet, a diet suitable for diabetes is simply a healthy eating plan that is individualised according to your requirements and lifestyle.

People with diabetes do not need to go on a special diet. You may have to modify your diet, rather than overhaul it. If you have diabetes, your doctor would likely recommend that you see a Dietitian to guide you on dietary changes that can help you control your blood glucose levels and manage your weight.

“Firstly, it is important that you understand how different foods affect​ your blood glucose levels, especially carbohydrates, since it is the one nutrient that has the greatest effect on your blood glucose levels,” says Ms Kala Adaikan, Senior Principal Dietitian, at the Department of Dietetics, Singapore Gene​ral Hospital​ (SGH), a member of the SingHealth group.

How do different foods affect your blood glucose levels?

Carbohydrates

Carbohydrates are foods that give you energy and should not be avoided. They should be included as part of a healthy eating plan.

For optimal diabetes control, one must recognise that quantity and quality of carbohydrates are to be considered. Not all carbohydrates affect your blood glucose levels the same way.

The more refined the carbohydrate, such as sugar, the faster the glucose is released into your blood stream. This can cause a surge in blood glucose levels, resulting in unstable blood glucose profiles. Thus, you have to watch out for simple carbohydrates.

Complex carbohydrates

Complex carbohydrates (or starchy foods) on the other hand release glucose into the blood stream at a slower rate compared to sugars thus providing more stable and sustainable energy levels. This not only results in better blood glucose profiles but is also better for appetite control.

Protein

It is also important to pay attention to the other nutrients in your diet. Protein foods like chicken and fish do not contain carbohydrates, so they will not raise your blood glucose levels.

Protein and carbohydrates

Some foods contain a combination of protein and carbohydrates. These include milk and dairy products and plant-based protein foods, such as beans, dhal and lentils. These should be accounted for as part of your carbohydrate intake and allowance.

Fibre

In addition, it is also important to increase fibre intake as fibre is known to slow carbohydrate digestion and glucose absorption, leading to better blood glucose control. Small changes such as switching to brown rice and whole grains will help.

Try to include whole grain breads and high-fibre cereals in your diet, as these contain more helpful fibre too.

See next page for basic and advanced carbohydrate counting f​or people with diabetes​.

Ref: O17​​