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A healthy type 2 diabetes diet


WebMD Medical Reference
Medically Reviewed by Dr Rob Hicks

Maintaining a healthy diet is important for everyone, but it is especially important for people with diabetes. A type 2 diabetes diet and following the right meal plan can make all the difference to a person struggling to keep their blood sugar under control. But, what is the right meal plan? How much of which food group should you eat?

Along with a visit to a dietitian, this guide should help answer questions you may have about diabetes and nutrition.

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What is type 2 diabetes?

Diabetes is a long-term condition. And it can lead to serious health problems. But making changes to your lifestyle and taking medicines can help you live a long and healthy life. This information is for people with type 2 diabetes, which usually starts in adulthood. For more information about type 1 diabetes, which usually starts in childhood, see Type 1 diabetes. We've brought together the best research about type 2 diabetes and weighed up the evidence about how to treat it. You can use our information...

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Carbohydrates and fibre in a type 2 diabetes diet

Carbohydrates are one of the major food categories (the others include proteins and fats) in a type 2 diabetes diet. They provide fuel for the body in the form of glucose. Glucose is a sugar that is the primary means of energy for all of the body's cells.

There are two ways to classify carbohydrates -- simple and complex. Simple carbohydrates are sugars -- like glucose, sucrose, lactose, and fructose. They are found in refined sugar and in fruits. Complex carbohydrates are the starches, which are the simple sugars bonded together chemically -- they are found in beans, nuts, vegetables, and whole grains. Complex carbohydrates are considered healthier mostly because they are digested by the body slowly, providing a steady source of energy. They also contain valuable amounts of fibre.

Carbohydrates, rather than fats or proteins, have the most immediate effect on your blood sugar since carbohydrates are broken down directly into sugar early during digestion. It is important to eat the suggested amount of carbohydrate at each meal, along with some protein and fat.

The British Dietetic Association recommends eating more wholegrains and foods high in soluble fibre, such as pulses, oats, fruit and vegetables.  The BDA says "Evidence is mounting that eating wholegrains regularly as part of a healthy diet and lifestyle may help to reduce the risk of many common diseases."

Carbohydrates are mainly found in the following food groups:

  • Fruit
  • Milk and yoghurt
  • Bread, cereal, rice, pasta
  • Starchy vegetables like potatoes

What is carbohydrate counting?

Carbohydrate counting is a method of meal planning that is a simple way to keep track of the amount of total carbohydrates you eat each day. It helps allow you to eat what you want. Counting grams of carbohydrate and evenly distributing them at meals will help you control your blood sugar.

Instead of following an exchange list, with carbohydrate counting, you monitor how much carbohydrate (sugar and starch) you eat daily. With carbohydrate counting, you plan your carbohydrate intake based on what your pre-meal sugar is and your intake or insulin dose can be adjusted. Carbohydrate counting can be used by anyone and not just by people with diabetes that are taking insulin. If you eat more carbohydrates than your insulin supply can handle, your blood sugar level goes up. If you eat too little, your blood sugar level may fall too low. These fluctuations can be managed by knowing how to count your carbohydrate intake.

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