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Some of the main points from Karen Oriss (Dietician)'s talk are given below
for those who were unable to attend.
- Starchy foods at each meal will help
control blood sugar - but the type of starchy carbohydrate is important.
Porridge, basmati rice, pasta and granary bread are good choices. However,
portion size is important. We should aim for 7 - 8 servings per day. Be
particularly careful with portion sizes of breakfast cereals - 30-40 grams
is a portion (3-4 tablespoons)!
- The diabetic diet is not a sugar free
one, but a low sugar. Sugar can be included. The recommendation is 25g per
day. If something sweet is to be eaten it should be taken after a meal. Look
at ingredient labels and include food labelled low/reduced sugar. Obvious
sources of sugar should be avoided especially sugar in liquid form such as
sugary tea/coffee, ordinary sweetened drinks and "pick me up" drinks.
- Snacks are not regularly encouraged. If
you need a snack, fruit is a sensible choice. Any protein foods should be
kept to meals rather than snacks. We should have 2-3 servings of protein per
day.
- Being overweight does not help your
blood sugars. As your weight increases, blood sugars generally follow suit.
Weight, especially round the middle, leads to insulin resistance, which in
turn makes blood sugars more difficult to control. Losing just 10% of your
body weight will help.
- Vegetables and fruit should be eaten at
least 5 times a day. Ideally 2 fruits and 3 vegetable portions. A portion of
fruit is roughly a hand full. Be careful with fruit juice - it only counts
as one portion as it has very little fibre - blood sugars may rise
significantly. Bananas can be eaten but should not be too ripe as the sugar
content will be higher. A portion of vegetables is 3 heaped
tablespoons or a cereal bowl of salad.
- Alcohol should always be taken with a
meal to reduce the risk of hypoglycemia. Avoid sweet wines, sherries.
alcopops and high alcohol beers. Be careful with low sugar beers as they may
have high alcohol content and low alcohol beers as they may have a higher
sugar content. Ordinary beers and lagers, dry medium wines and low calorie
soft drinks and mixers are advised. Men should have no more than 3 units per
day and no more than 2 per day for women.
- Oats, pulses and vegetables contain a
lot of fibre and this has been shown to have beneficial effects on blood
sugars, cholesterol and weight as they make you feel fuller and therefore
eat less.
- Not all low fat foods are low in sugar
and so should not be eaten freely. Look at the labels. Low fat foods may
have extra sugar to improve the taste. If sugar (or anything ending in
..ose is shown in the first three ingredients it is probably a high sugar
food.
- Polyunsaturated and monounsaturated
margarines contain the same amount of fat as butter, but they are a better
choice as butter contains more saturated fat. Try to have a mixture of
monounsaturated fats (olive, rapeseed and groundnut oils or spreads) and
polyunsaturated fats (sunflower bases oils and spreads). It is also a good
idea to eat 2 portions of oily fish a week.
- Foods that are high in fat have a low
GI do not raise blood sugars directly (which is why chocolate should not be
used for treating hypos!) but eating a lot of food high in fat will increase
weight, which leads to insulin resistance, which may make blood sugars more
difficult to control. Salt intake should be controlled. Beware of salt
replacers eg Lo salt which are not recommended as they contain potassium
chloride which can cause problems with kidneys and hearts.
The information presented on this site is for general use only and is
not intended to provide personal medical advice or substitute for the
advice of your physician. If you have questions or concerns about
individual health matters or the management of your diabetes, please
consult your diabetes care team. Products highlighted on this website
are not necessarily endorsed by Diabetes
UK.
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