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Sharon Denny

Registered dietitian nutritionist (eatRight.org/ Academy of Nutrition and Dietetics)

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Carbohydrates — Part Of A Healthful Diabetes Diet

09/14/2015 03:27PM | 7237 views

A common nutrition myth is that individuals with diabetes need to avoid carbohydrates. While individuals with diabetes must be mindful of how much carbohydrates they eat, they don't need to avoid it altogether. Carbohydrates are the body's main source of fuel and are necessary to maintain proper cellular function. The type of carbohydrates and portion size are what matter most.

There are three types of carbohydrates: starches, sugars and fiber. Starches are found naturally in foods such as bread, cereal, rice, crackers, pasta, potatoes, peas, corn and beans. Sugars are found naturally in foods including fruits and milk and are also concentrated in processed foods such as candy, cake and soda. Fiber is the roughage in plant foods and helps keep the digestive tract healthy. Soluble fiber, found in foods including oatmeal and fruit, can help maintain a healthy cholesterol level.

Individuals with diabetes should choose most of their carbohydrates from nutrient-rich whole foods such as fruits and vegetables, beans, whole grains and dairy products. Sweets and sugary beverages should be saved for special occasions. And, spreading carbohydrates evenly throughout the day helps prevents spikes and dips in blood sugar. A registered dietitian nutritionist can create a specific meal plan that harmonizes individual preferences with the special needs of someone with diabetes.

To get a general idea of how much carbohydrates to eat, consider someone on a 2,000-calorie meal plan. For 2,000 calories, an RDN may recommend that one meal contain about 45 to 60 grams of carbohydrates. Carbohydrate intake at meals depends upon how many meals and snacks a person plans to eat throughout the day. A serving of carbohydrates is 15 grams. Here are examples of one-serving portions of some carbohydrate-containing foods to include in meals and snacks.

  • 1 small piece of fresh fruit (4 ounces)
  • ½ cup of canned or frozen fruit
  • 1 slice of bread (1 ounce) or 1 (6-inch) tortilla
  • ½ cup of oatmeal (cooked)
  • ⅓ cup of pasta or rice (cooked)
  • 4 to 6 crackers
  • ½ English muffin or hamburger bun
  • ½ cup of black beans or starchy vegetable
  • ¼ of a large baked potato (3 ounces)
  • ⅔ cup of plain fat-free yogurt or sweetened with an artificial sweetener
  • 2 small cookies
  • 2-inch square brownie or cake without frosting
  • ½ cup ice cream
  • ¼ cup of sherbet
  • 1 tablespoon syrup, jam, jelly, sugar or honey
  • 2 tablespoons light syrup

Carbohydrates are an important part of a healthful diet for people with and without diabetes. Remember: The best sources of carbohydrates are whole foods such as fruits and vegetables, beans, whole grains and dairy products. Talk with a registered dietitian nutritionist to create an individualized meal plan.

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    • Amy R. Karn
    • 09/16/2015 02:11 a.m.
    • Carbohydrates are really great for diabetes. I was diagnosed with type 2 Diabetes and put on Metformin on June 26th, 2014. I started the ADA diet and followed it 100% for a few weeks and could not get my blood sugar to go below 140. Finally i began to panic and called my doctor, he told me to get used to it. He said I would be on metformin my whole life and eventually insulin. At that point i knew something wasn't right and began to do a lot of research. On April 13th I found this book on http://www.natural-diabetestreatment.com/diabetes-destroyer-review/. I read the book from end to end that night because everything the writer was saying made absolute sense. I started the diet that day and the next morning my blood sugar was down to 100, the next day was in the 90's and now i have a fasting blood sugar between Mid 70's and the 80's. My doctor took me off the metformin after just one week of being on this lifestyle change. I have lost over 30 pounds in a month. I now work out twice a day and still have tons of energy. I have lost 6+ inches around my waist and I am off my high blood pressure medication too. I have about 20 more pounds to go till my body finds its ideal weight. The great news is, this is a lifestyle I can live with, it makes sense and it works. God Bless the writer. I wish the ADA would stop enabling consumers and tell them the truth. You can get off the drugs, you can help yourself, but you have to have a correct lifestyle and diet. No more processed foods.