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Carbohydrates and Diabetes: Finding the Right Balance

 

Carbohydrates are an important part of a healthy diet, even when you have diabetes. They provide the body with glucose, its primary source of energy, and supply fuel for the brain, muscles, and other organs. Carbohydrate-containing foods can also provide important nutrients and fiber, particularly when you choose whole grains, fruits, vegetables, beans, and low-fat dairy products.

The key to managing carbohydrates with diabetes is not necessarily to eliminate them, but to pay attention to type, portion, and timing. Carbohydrates are broken down into glucose, which can raise blood sugar levels. Eating consistent amounts of carbohydrate throughout the day may help prevent large blood sugar fluctuations and make diabetes management easier.

Choose nutrient-rich carbohydrate sources more often. Whole grains, beans, lentils, fruits, vegetables, and high-fiber foods tend to provide more vitamins, minerals, and fiber than refined carbohydrate choices. Fiber can help slow digestion and may support better blood sugar control. Limit foods and drinks with large amounts of added sugar, such as sugary beverages, candy, desserts, and sweetened coffee drinks.

Portion size also matters. Rather than avoiding foods like rice, pasta, potatoes, or bread completely, consider smaller portions and pair them with protein, healthy fats, and non-starchy vegetables. This combination can help create a more balanced meal and may promote fullness.

Reading nutrition labels can help you understand how much carbohydrate you are consuming. The total carbohydrate listed on the Nutrition Facts label is especially useful when planning meals. The average person can have up to 150 grams of total carbohydrates and still obtain adequate blood sugar control.

Your carbohydrate needs are individual and may depend on your medications, activity level, blood sugar goals, and overall health. A registered dietitian or diabetes care team can help you determine an appropriate carbohydrate intake and develop a meal plan that fits your preferences and lifestyle.

Remember: Carbohydrates can be part of a diabetes-friendly diet. The goal is balance—not elimination.
Danielle Townsend, RD, LDN