Best And Worst Meals For Diabetes-Savvy Dining

Best and Worst Meals for Diabetes-Savvy Dining

Balance Your Choices
When you have type 2 diabetes, you need to eat a good mix of protein, carbohydrates, and healthy fats. So what's a well-balanced dinner? A power breakfast? The following meal examples can help you make better choices. Some people find it helps to count carbs. Keep in mind recommendations from your doctor or nutritionist, too.
The Count: 2,060 calories, 276 g carbs
No food is off-limits with diabetes, but this brunch will blow your carb and calorie budget in a hurry. Experts suggest that meals for people with diabetes should have 45-75 grams of carbohydrates, depending on individual goals. Your body weight, activity, and medications all matter. This meal packs enough carbs for four to five meals.
The Count: 294 calories, 40 g carbs
This quick meal delivers protein in a scrambled egg, and just 40 carbs, mostly from fiber-rich oatmeal and blueberries. Fiber slows digestion to help prevent blood sugar spikes. People with diabetes need to watch all types of carbs: cereal, bread, rice, pasta, starchy veggies, sweets, fruit, milk, and yogurt. Spread your total carbs across the day.
The Count: 1,760 calories, 183 g carbs.
Before one bite of burrito, you can get 98 grams of carbs and 810 calories in a basket of chips and salsa. If you're trying to slim down and eat less sodium, like many people with diabetes, the burrito adds 950 calories. You also get way more than a whole day's worth of sodium.
The Count: 443 calories, 48 g carbs
Lean beef and black beans make this Mexican dish a good option for a diabetic diet. The fiber in the beans can help lower blood chol Continue reading

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Why eating fresh fruit could actually lower your risk of diabetes

You might have heard about papaya’s probiotic powers, or the mega-nutritous (and protein-packed) jackfruit—but usually when nutrition pros talk about fruit, they’re advising you choose from the low-sugar options (and definitely skip the dried variety altogether).
But according to a new study, nature’s candy may reduce the risk for developing diabetes.
The observational study, published in PLOS Medicine, tracked the health and diet of more than 500,000 adults in China for seven years. It found that those without diabetes at the start who ate fresh fruit daily were found to have a 12 percent lower risk of developing the disease than those who ate none.
“The sugar in fruit is not the same as the sugar in manufactured foods and may be metabolized differently.”
And the more frequently they ate it, the lower their diabetes risk: More than three days a week resulted in a 17 percent lower risk of dying from any cause, and a 13 percent to 28 percent lower risk of developing diabetes-related complications (compared to those who consumed fruit less than once a week).
While it sounds great—eat more fruit, don’t get diabetes!—it may also sound contradictory. If high sugar consumption is a leading cause in developing diabetes and fruits are packed with sugars, is it really smart to OD on oranges?
“The sugar in fruit is not the same as the sugar in manufactured foods and may be metabolized differently,” the lead author, Huaidong Du, MD, a research fellow at the University of Oxford, tells The New York Times. “And there are other nutrients in fruit that may benefit Continue reading

Fresh Fruit Protects Against Diabetes, Complications

Eating fresh fruit every day was linked with a lower risk for diabetes and diabetes-related vascular complications in a Chinese epidemiological study that included half a million people.
Among individuals without diabetes at baseline, daily fruit consumption was associated with a 12% lower risk for getting diabetes compared to never or rarely eating fresh fruit (hazard ratio 0.88; 95% CI 0.83-0.93; P<0.001); this corresponded to a difference of 0.2 percentage points in 5-year absolute risk, said a research team led by Huaidong Du, MD, PhD, of Oxford University in England.
The study found a dose-response relationship between fresh fruit and diabetes risk, with each daily portion of fruit consumed linked to a 12% reduction in risk (HR 0.88; 95% CI 0.81-0.95; P=0.01 for trend). This association was not significantly modified by sex, age, region, survey season, or a range of other factors including smoking, alcohol consumption, physical activity, body-mass index, and family history of diabetes, Du and colleagues reported online in PLOS Medicine.
Among individuals with diabetes at baseline, eating 100 grams per day of fresh fruit was associated with lower risks of all-cause mortality (HR 0.83; 95% CI 0.74-0.93), microvascular complications (HR 0.72; 95% CI 0.61-0.87), and macrovascular complications (HR 0.87; 95% CI 0.82-0.93) (P<0.001 for trend), the study found.
"To our knowledge, this is the first large prospective study demonstrating similar inverse associations of fruit consumption with both incident diabetes and diabetic complications. These findings suggest that a higher Continue reading

Whole fruits protect against diabetes, but juice is risk factor, say researchers

Eating blueberries, grapes, apples and pears cuts the risk of type 2 diabetes but drinking fruit juice can increase it, a large study has found.
Researchers including a team from Harvard School of Public Health in the US examined whether certain fruits impact on type 2 diabetes, which affects more than 3 million Britons.
People who ate three standard servings a week of blueberries had a 26% lower chance of developing the disease, they found. Those eating grapes and raisins had a 12% reduced risk and apples and pears cut the chances by 7%. Prunes also had a protective effect, giving an 11% drop in the risk of developing type 2 diabetes.
Other fruits such as bananas, plums, peaches and apricots had a negligible impact but drinking fruit juice increased the risk by 8%, according to the study.
People who replaced all fruit juice with eating whole fruits could expect a 7% drop in their risk of developing type 2 diabetes.
For individual fruits, replacing three servings a week of fruit juice with blueberries cut the risk by 33% while replacing juice with grapes and raisins cut the risk by 19%. The risk was also 14% lower if juice was replaced with apples and pears, 13% lower if replaced with bananas and 12% lower if replaced with grapefruit.
The research, published in the British Medical Journal, includes data on 187,382 people taken from three separate studies, of whom 12,198 developed type 2 diabetes.
Food questionnaires were used every four years to assess diet and asked how often, on average, people consumed each food in a standard portion size.
The relatively high glycaemic l Continue reading

ACE Inhibitors and Statins in Adolescents with Type 1 Diabetes

Among adolescents with type 1 diabetes, rapid increases in albumin excretion during puberty precede the development of microalbuminuria and macroalbuminuria, long-term risk factors for renal and cardiovascular disease. We hypothesized that adolescents with high levels of albumin excretion might benefit from angiotensin-converting–enzyme (ACE) inhibitors and statins, drugs that have not been fully evaluated in adolescents.
We screened 4407 adolescents with type 1 diabetes between the ages of 10 and 16 years of age and identified 1287 with values in the upper third of the albumin-to-creatinine ratios; 443 were randomly assigned in a placebo-controlled trial of an ACE inhibitor and a statin with the use of a 2-by-2 factorial design minimizing differences in baseline characteristics such as age, sex, and duration of diabetes. The primary outcome for both interventions was the change in albumin excretion, assessed according to the albumin-to-creatinine ratio calculated from three early-morning urine samples obtained every 6 months over 2 to 4 years, and expressed as the area under the curve. Key secondary outcomes included the development of microalbuminuria, progression of retinopathy, changes in the glomerular filtration rate, lipid levels, and measures of cardiovascular risk (carotid intima–media thickness and levels of high-sensitivity C-reactive protein and asymmetric dimethylarginine).
The primary outcome was not affected by ACE inhibitor therapy, statin therapy, or the combination of the two. The use of an ACE inhibitor was associated with a lower incidence of microal Continue reading