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Type 2 Diabetes - A healthy diet and regular physical activity can help reduce the risk of type 2 diabetes. A healthy lifestyle is also important for people living with diabetes, to reduce risk of diabetes complications and promote good health.

EATING SMART WITH DIABETES

Have diabetes?

The good news is, you can still lead a healthy life by following a few basic steps and watching what you eat. In fact, you can eat the same foods as anyone else—with some special attention to when, how much and what combination of foods you eat. Along with the care plan from your doctor, diabetes educator and registered dietitian (RD), the following guidelines can help you meet your diabetes management goals.



Eat a variety of nutrient-rich foods.

Build your eating plan around vegetables, fruits, whole grains, fat-free milk and milk products, beans, and lean meats, poultry and fish. Choose foods that give you the most vitamins, minerals and fiber for the fewest calories, such as lean meats or high-fiber cereals.



Stay on schedule to help prevent big blood glucose swings.

Eat meals and snacks at regular times, and stick with the foods and portion sizes in your eating plan.



Keep an eye on carbohydrates.

Carbohydrates are found in starchy and sugary foods such as bread, pasta, rice, cereal, milk, vegetables, fruit, desserts, candy, table sugar and regular soft drinks. Although all carbs raise blood glucose, many carbohydrate-containing foods (such as bran cereals and other grains, beans, vegetables, fruits and milk) provide important nutrients, so don’t give them up. Instead, eat a consistent amount of carbs at each meal and snack. The American Dietetic Association (ADA) recommends eating 45 to 75 grams of carbohydrate per meal and 15 to 30 grams of carbohydrate per snack.1 Your RD or diabetes educator will help plan the right amounts for you.

This Carbs Count! chart, shown lists the amount of carbohydrates in some common foods.

GRAINS

AMOUNT

CARBOHYDRATES (GRAMS)

All-Bran® Bran Buds®

1/3-cup

24

All-Bran® Complete® Wheat Bran Flakes

¾-cup

23

All-Bran® Original

½-cup

23

Kellogg's Corn Flakes®

1 cup

24

Crispix®

1 cup

25

Kellogg's Frosted Flakes® Reduced Sugar

1 cup

28

Product 19®

1 cup

25

Rice Krispies®

1¼-cup

29

Special K® Cinnamon Pecan

¾-cup

25

Special K® Vanilla Almond

¾-cup

25

Special K®

1 cup

22

Special K® Protein Plus

¾-cup

14

Tortilla, flour

6-inch tortilla

19

Popcorn, plain, popped

3 cups

19

Pancake, plain

4-inch pancake

16

Rice, brown or white, cooked

1/3-cup

15

Bread, whole-wheat

1 slice

13

Pasta, cooked

1/3-cup

13

VEGETABLES

AMOUNT

CARBOHYDRATES (GRAMS)

Potato, baked with skin

3-ounce potato

18

Corn, frozen, cooked

½-cup

16

Carrots, cooked

½-cup

8

Green beans, cooked

½-cup

5

Broccoli, cooked

½-cup

4

FRUITS

AMOUNT

CARBOHYDRATES (GRAMS)

Banana

1 extra small
(< 6 inches)

19

Orange

1 (2 5/8" diameter)

15

Apple, unpeeled

1 small (4-ounce)

14

Orange juice

½-cup

13

MILK PRODUCTS

AMOUNT

CARBOHYDRATES (GRAMS)

Milk, fat-free

1 cup

13

Yogurt, plain, fat-free

6 ounces

12

Mozzarella cheese (part skim milk)

1 ounce

1

MEAT & BEANS

AMOUNT

CARBOHYDRATES (GRAMS)

Kidney beans, cooked

½-cup

20

Peanut butter

1 tablespoon

3

Beef sirloin, lean, cooked

1 ounce

0

Chicken breast, meat only, cooked

1 ounce

0

Flounder, cooked

1 ounce

0




Get your fill of fiber.

People with diabetes don’t need more fiber, but it’s important to get enough. Fiber helps promote regularity, may reduce risk for heart disease and may help people with diabetes manage their blood glucose levels. 2 Fiber-rich foods include bran cereals, oatmeal, whole-wheat bread, beans, fruits and vegetables. Check the Nutrition Facts Panel on packaged foods for the specific fiber content of foods. Recommendations vary by age, but experts advise women age 19 to 50 to get 25 grams of fiber daily, and men age 19 to 50 to get 38 grams daily.2



Be finicky about fats and cholesterol.

To help reduce risk for heart disease, limit the amount of saturated fat and cholesterol you eat. Choose lean meats, skinless chicken and turkey, and fat-free milk, yogurt and cheese. Enjoy baked, grilled or broiled fish at least twice a week. Eat as little trans fat as possible by limiting fried foods and checking labels for “0 grams” of trans fat. When cooking and baking, use small amounts of liquid vegetable oils like canola, olive, safflower and sunflower oil, and soft margarines.



Get on the move!

Being physically active helps lower blood glucose, blood pressure, and blood cholesterol, and helps the body use insulin. Aim for 30 minutes of brisk walking, biking, swimming or dancing at least five days a week. If you’re just starting out, try five or 10 minutes a day and build up from there.3



Watch your weight.

If you are overweight, shedding even a few pounds may help your body use insulin better, improve blood glucose and blood cholesterol levels, and reduce blood pressure.4 Eat smaller portions, especially of high-calorie snacks and sweets, and burn more calories through physical activity. Ask your RD and physician about the best plan for you.



SWEET FACTS

You may be surprised to learn that sugar and other carbs do not cause diabetes.

What’s more, sugar doesn’t raise blood glucose levels any more than starches do. This means that people with diabetes can include some sugar or foods that contain sugar as part of the carbohydrate allowance in their eating plans. Just remember not to spend too much of your carb allowance on sweets or sugary drinks, or you could miss out on needed nutrients.



MY GOALS FOR MANAGING DIABETES

Writing down your diabetes management goals can help you stay on track.

It’s easier to succeed when you make your goals specific. For example, your goals might be to “Eat a half-portion of dessert” if you want to cut back on sweets, “Walk for 15 minutes on my lunch hour” if you’re trying to be more active, or “Take my medication every day at 4 p.m.” if you sometimes forget.

Record your goals and check back on your progress often.



FOR MORE INFORMATION:

• American Diabetes Association: 1-800-DIABETES or www.diabetes.org

• American Dietetic Association: www.eatright.org

• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):
www2.niddk.nih.gov

• Kellogg’s Nutrition: www.kelloggsnutrition.com



References:

1. Diabetes Care and Education DPG, Ross T, O'Connell B, Boucher J (editors). American Dietetic Association Guide to Diabetes Medical Nutrition Therapy and Education. 2005.
2. Institute of Medicine, National Academies of Sciences. Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Protein and Amino Acids. Washington, DC: The National Academies Press; 2002.
3. American Diabetes Association. Exercise.http://www.diabetes.org/weightloss-and-exercise/exercise/overview.jsp. Accessed August 1, 2008.
4. American Diabetes Association. Position statement: Nutrition recommendations and interventions for diabetes. Diabetes Care. 2008;31:S61-S78.

Know Nutrition

Learn more about eating for diabetes with these printer-friendly tools:

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Carbs Count

All About Fiber

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