Prediabetes is a condition where blood sugar levels are higher than normal, but not high enough to be classified as type 2 diabetes. It affects a significant portion of the adult population, but the good news is that it can often be reversed through lifestyle changes, particularly diet modifications. The kind of food you eat has a great impact on your blood sugar levels. This article provides an informative guide to help you navigate the world of prediabetes-friendly foods and create a sustainable eating plan.
Understanding Prediabetes and Its Management
Prediabetes indicates that the body is struggling to regulate blood sugar effectively. Prediabetes is diagnosed when a person’s A1C is between 5.7% and 6.4% or the fasting blood sugar level is 100 to 125 mg/dL. There are two primary reasons for this:
- Insulin Resistance: This occurs when the body's cells don't respond well to insulin, making it difficult for glucose to enter cells for energy, causing sugar to build up in the blood.
- Insufficient Insulin: The pancreas may not produce enough insulin to effectively move sugar from the blood into cells.
Without enough insulin, glucose builds up in your blood and causes high blood glucose levels.
While prediabetes often presents without noticeable symptoms, some individuals may experience increased thirst, frequent urination, fatigue, blurred vision, slow-healing wounds, or unexplained weight loss.
The Impact of Diet on Blood Sugar Levels
The glucose in your blood comes from certain foods called carbohydrates, or "carbs." Foods that are high in carbs include candy and sweets, sodas, breads, tortillas, and white rice. When you eat calories you don't need, especially carbohydrates (carbs), your blood sugar levels rise. Over time, regularly high blood sugar levels can lead to serious, long-term problems, such as nerve, kidney, and heart damage.
Read also: Lower Cholesterol with Prediabetes
To help control your blood sugar levels, you can make healthy food choices, eat at regular times, and keep track of your eating habits. When you eat healthy food at regular times, you train your body to use the insulin it makes (or that you get from medicine) better. This will help you control your blood sugar and reduce your chance of having long-term problems.
General Dietary Guidelines
Whether you have type 1 or type 2 diabetes, making the right food choices is an important way to keep your blood glucose at a level that is healthy for you. When you control your blood glucose, you lower your chance of having serious health problems from diabetes, such as vision loss and heart problems. And if you have prediabetes or are at risk for diabetes, eating foods that keep your blood glucose levels healthy may help prevent type 2 diabetes later on.
- Focus on Non-Starchy Vegetables: These should form the foundation of your plate, providing nutrients and keeping you full without significantly impacting blood sugar.
- Include Lean Proteins: Choose plant-based and animal-based sources to aid glucose control and promote satiety.
- Select Quality Carbohydrates: Opt for starchy vegetables, fruits, whole grains, and low-fat dairy in moderation.
- Limit Added Sugar: Minimize sugary drinks and processed foods to prevent blood sugar spikes.
- Incorporate Healthy Fats: Add monounsaturated and polyunsaturated fats to support heart health.
- Choose Less Processed Foods: Minimize consumption of highly processed items with added sugars, sodium, and unhealthy fats.
- Drink Water or Zero-Calorie Beverages: Stay hydrated without adding extra calories or sugar.
Building a Prediabetes-Friendly Grocery List
Here’s a comprehensive grocery list, categorized by food groups, to guide your shopping:
Low-Glycemic-Index (GI) Carbohydrates
- Whole Grains: Brown rice, quinoa, whole wheat, steel-cut oats.
- Legumes: Black beans, lentils.
- Boiled Winter Squash: Butternut squash.
- Berries and Lower Glycemic Whole Fruits: These have a lower impact on blood sugar compared to high-sugar fruits.
It's important to note that the glycemic index doesn’t tell the full story. Glycemic load is often a more accurate way to account for glucose effects. Any low glycemic index carb can become a high glycemic index carb if you eat it in larger quantities! Amount matters, and glycemic load accounts for that factor.
High-Fiber Foods
- Beans, Lentils, Chickpeas: Excellent sources of fiber and plant-based protein.
- Avocado: Provides healthy fats and fiber.
- Whole Fruits: Kiwi, berries.
- Whole Grains: Brown rice, quinoa, steel-cut oats, whole wheat.
- Non-Starchy Veggies: Leafy greens, bell peppers, zucchini.
Increasing daily fiber intake toward a target of 25 grams per day for women and 38 grams for men can help to regulate postprandial glucose response, as well as to significantly reduce the risk of developing type 2 diabetes.
Read also: Diet Tips for Prediabetes in India (Women)
Lean Proteins
- Greek Yogurt: Provides protein and calcium with low fat.
- Chicken, Turkey, or Other Lean Meats: Choose skinless poultry and lean cuts.
- Tofu and Tempeh: Plant-based protein sources.
- Eggs: A versatile and affordable protein option.
- Fish and Seafood: Salmon, tuna, and other fatty fish are rich in omega-3 fatty acids.
Meeting your protein needs through a protein-rich diet may improve glucose control and reduce your risk of developing diabetes.
Healthy Fats
- Olive Oil: Use in place of butter or other less healthy oils.
- Avocado: A source of monounsaturated fats.
- Nuts and Seeds: Almonds, walnuts, flax seeds, chia seeds.
- Fatty Fish: Salmon, tuna, etc.
- Lean Grass-Fed Animal Products: May contain higher levels of conjugated linoleic acid (CLA).
Including plenty of monounsaturated and certain types of polyunsaturated fats, such as omega-3 fats, can lead to significant improvements in insulin sensitivity and a reduced risk of developing diabetes.
Non-Starchy Vegetables
- Leafy Greens: Spinach, kale, lettuce.
- Broccoli: Rich in vitamins and fiber.
- Zucchini or Yellow Squash: Versatile and low in calories.
- Bell Peppers: Add color and nutrients to meals.
Vegetables such as those listed above are not only great sources of fiber but also of important nutrients, including A, C, K, magnesium, potassium, and folate.
Other Smart Snacking Options
- Greek yogurt bowl with nuts and berries
- Hard-boiled eggs with salt and pepper
- Turkey, avocado, bell pepper, and cheese roll-ups
- Blanched edamame beans
- A small sliced apple with peanut butter
Foods to Limit or Avoid
To keep your blood glucose under control, you may need to cut back on certain foods and drinks. This doesn't mean that you can never enjoy them. But you should have them less often or in smaller amounts.
- Refined Carbohydrates: White bread, white pasta, white rice.
- Sugar-Sweetened Beverages: Soda, fruit juice, sweetened coffee drinks.
- Processed Meats: Hot dogs, sausage, salami.
- Desserts: Ice cream, cookies, cakes.
- Fast Food: Often high in unhealthy fats, sodium, and calories.
Sugary foods can cause dangerous spikes in your blood sugar levels. Carbohydrates found in most vegetables and whole grains don't affect your blood sugar as much, and the fiber in them helps you digest them slowly. This will keep your blood sugar from going high.
Read also: The Hoxsey Diet
Portion Control
It's easy to eat more food than you need without realizing it. Foods higher in carbs include grains, starchy vegetables (such as potatoes and peas), rice, pasta, beans, fruit, and yogurt. Keeping track of and limiting how many carbs you eat at each meal can help manage your blood sugar levels. Work with your doctor or a registered dietitian to find out how many carbs you should aim for.
A portion is the amount of food you choose to eat at one time. These days, portions at restaurants are quite a bit larger than they were several years ago. One entrée can equal 3 or 4 servings! Studies show that people tend to eat more when they're served more food.
Meal Planning and Preparation
Following a healthy meal plan is one of the most important steps you can take to help keep your blood sugar in your target range. A healthy meal plan isn't just about what you eat. It's also about how much you eat and when you eat it.
- Plan Meals in Advance: Knowing which foods fit into your prediabetes diet plan in advance can keep you focused and ensure that when it's time to prepare a meal, you’ll have everything you need.
- Create a Grocery List: By putting together an informed grocery list beforehand using the foods listed above, a quick trip to the grocery store will leave you with everything you need to get your glucose response back on track.
- Meal Prep: Consider batch-cooking some tasty, nutritious meals to keep you going throughout the week with minimal effort. Even if it’s just a couple of days in advance, having meals already prepared makes it that much more likely you’ll stick to the plan and not settle for fast food out of convenience.
Healthy Eating Plans
There's no one diet or eating pattern that will work for everyone with diabetes. Your goal is to come up with a way of eating that helps you: Eat a variety of nutritious foods in the right portion sizes to help you reach the blood pressure, cholesterol, and A1c (a test that shows your average blood sugar levels over the past 3 months) targets you and your doctors agree on. Get to and stay at the goal weight you and your doctors agree on. Slow down or stop the progress of any possible long-term problems from high blood sugar. The American Diabetes Association says that a variety of eating patterns can help you meet these goals, so you should be able to find a diet that will work with your personal preferences and lifestyle.
Here are some suggested diets that may provide a good starting point for you on your journey to discover a diet that will work for you in the long run.
- Dietary Approaches to Stop Hypertension (DASH) Diet: Focuses on vegetables, fruits, and whole grains, while limiting saturated fat, sugary beverages, and sweets.
- Mediterranean Diet: Emphasizes fruits, vegetables, whole grains, beans, and nuts, using olive oil in place of butter.
- Flexitarian Diet: A flexible vegetarian diet that focuses on plant-based foods while occasionally including meat.
- Ornish Diet: A vegetarian, low-fat, low-refined sugar diet that also emphasizes exercise, stress management, and personal relationships.
DASH Diet Serving Recommendations (for 2,000 calories per day):
- Vegetables: 4-5 servings per day
- Fruits: 4-5 servings per day
- Whole grains: 6-8 servings per day
- Fat-free or low-fat dairy: 2-3 servings per day
- Fish, poultry, or lean meats: 6 or fewer servings per day
- Nuts, seeds, or beans: 4-5 per week
- Fats and oils: 2-3 per day
- Sweets and added sugars: 5 or fewer per week
Mediterranean Diet Serving Recommendations (for 2,000 calories per day):
- Vegetables: 4 or more per day
- Fruits: 2-3 per day
- Whole grains: 3 oz per day
- Fat-free or low-fat dairy: 2 per day
- Fish, poultry, or lean meats: 3 or more per week for fish, no more than 9-28 oz per week for meat or poultry
- Nuts, seeds, or beans: 4 per week for nuts or seeds or 3-4 per week for beans
Additional Tips for Managing Prediabetes
- Don’t Skip Breakfast: Eating a balanced breakfast can help manage appetite and prevent insulin resistance.
- Exercise Regularly: Aim for at least 150 minutes per week of moderate to vigorous exercise.
- Monitor Blood Sugar Levels: Regularly check your blood sugar and work with your doctor to track progress.
- Get Enough Sleep: Sleep deprivation can increase cravings for sugary foods.
- Maintain a Healthy Weight: Even small amounts of weight loss can have a benefit.
The Role of Professional Guidance
It may take a while to find the right eating pattern for you, but a good place to start is to ask your diabetes doctor about the following diets. Studies show these diets can help people with diabetes reach their blood sugar, heart health, and weight loss goals. No matter which diet appeals to you, talk to your doctor before you make a switch in your diet. No matter what you eat, you still need to track it and understand how it affects your insulin levels.
- Registered Dietitian: A registered dietitian is a nutrition expert and licensed health care professional.Your dietitian can help you understand how different foods, nutrients, and eating patterns affect your blood sugar levels.Provide guidance on portion sizes and overall dietary balance.Set realistic and personalized goals and build on them over time. Establish strategies for being more physically active.After working with a dietitian, you'll feel confident that you are making the best choices for your health and are taking proactive steps to reverse your prediabetes. Find a dietitian specializing in prediabetes for evidence-based guidance on preventing diabetes.
- Continuous Glucose Monitoring (CGM): Use a continuous glucose monitor with the Nutrisense app to view glucose trends. Log meals, portions, and activity alongside your data. Test one change at a time, like adding protein to breakfast or shrinking a rice serving, and watch the pattern over several days. Book a session with a Nutrisense dietitian to fine-tune your list and routine.
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