What vegetables, fruits and berries can be eaten with type 2 diabetes?
Diet in diabetes is one of the most important factors in maintaining the health of the patient. It is quite strict, however, even with diabetes, vegetables, fruits and berries can and should be included in the diet. The main thing is to find out which of them will not bring harm.
Allowed and prohibited products
Type 2 diabetes is characterized by low levels of insulin produced. The latter is necessary for the breakdown of sugars entering the body. And due to the deficiency of insulin after a meal in diabetes, sugar is released into the blood in large quantities, which increases the level of glucose in the blood. This leads to a deterioration in the human condition and can even provoke a glycemic coma.
Unlike type 1 diabetes, stage 2 diabetes does not require injections, but diet is important. Among the allowed foods are those that do not cause sharp jumps in blood glucose.
All existing products are divided into 3 groups:
- low glycemic index (GI) – up to 55 units;
- with an average GI – up to 70 units;
- high GI - about 70 units.
Products of the first group are allowed for consumption in diabetes mellitus. Having a low GI, they are safe for the health of a diabetic and form the basis of the diet. Products of the second group are not suitable for daily consumption, but in moderation 2-3 times a week also do not entail dire consequences. Another thing is high GI foods. They provoke a sharp increase in blood glucose and harm the health of diabetics.
Fruits, vegetables and berries have different GI, so some of them are allowed for diabetes (or at least acceptable), while others are strictly prohibited. Some vegetables and fruits, even with an average glycemic index, do not harm the body because they contain fiber. Dietary fiber, entering the intestines, slows down the rate of absorption of glucose into the blood, which eliminates glycemic jumps.
Protein and healthy fats have a similar effect, here's why in diabetes, vegetable salads are recommended to be seasoned with vegetable oils.
For a better understanding of which fruits are allowed, refer to the table:
Low GI | Average GI | high GI |
Lemons, grapefruit - 22 and 22 units, apple, pear - 30 units, apricots - 20 units, peaches - 30 units, orange, pomegranate, nectarine - 35 units each, tangerines - 40 units, kiwi - 50 units | Persimmon, mango - 55 units, Bananas, pineapples - 60 units | Dried fruits |
Particular attention should be paid to dried fruits. Despite the benefits that they bring to the body, it is possible to eat dried fruits in diabetes in extremely small doses.
This is because dried fruits contain almost no liquid, so the concentration of sugars increases, and the calorie content increases.
When calculating the number of permitted fruits, 20 g of dried fruits is equal to 1 XE. Permissible in the diet of a diabetic are dried apricots, prunes, figs. On average, you can eat 3-5 berries, but first they are soaked in water for several hours, and then washed. Raisins and dates for diabetes are prohibited.
Allowed for diabetes can be considered berries from the first column of the table:
Low GI | Average GI | high GI |
Currants, raspberries, strawberries - 30 units, blackberries, strawberries - 20 units, cherries, sweet cherries - 20 and 25 units, blueberries, gooseberries, junipers - 40 units | Intermediate are those that have a GI of 40 units | Watermelon and melon (from the point of view of botany, these are berries) - 70 units each, grapes - 60 units |
Consider a similar table for vegetables:
Low GI | Average GI | high GI |
Spinach, sorrel, zucchini, radish, lettuce, cucumbers - 15 units, carrots - 30 units, eggplant, broccoli - 10 units, beans - 30 units, carrots - 35 units | Beets, pumpkin, potatoes - 60-80 units, tomatoes, especially sweet varieties. |
Despite the fact that rutabaga and pumpkin have a fairly high GI, they do not provoke sharp insulin surges. Pumpkin, on the other hand, lowers sugar levels. These vegetables can be consumed a couple of times a week, the daily dose is 80-100 g.
But carrots, on the contrary, are located in the first column of the table, since they have a low GI. However, it should not be consumed in large quantities, as well as combined with other vegetables or fruits. Due to the starches it contains, carrots can provoke jumps in sugar levels.
But the consumption of potatoes should be abandoned. It not only has a high GI, but also contains almost no fiber (that is, all the sugars from the root vegetable instantly enter the bloodstream), and also contains a lot of starch, which can lead to excess weight. At the same time, it cannot be said that potatoes are strictly prohibited. Endocrinologists, even with diabetes, recommend, albeit rarely and in small quantities, to include young potatoes in the season in food.
Another important factor influencing the GI indicators is the way the vegetable is cooked. For example, fresh zucchini has a small GI index, 15 units. However, in fried form, this figure rises to 75 GI. Fresh carrots - 35 units, boiled - 85 units.
How can they affect the body?
In addition to the glycemic index, it would be nice to look at the properties of fruits and vegetables. In general, rich in vitamins and minerals, they all contribute to strengthening the immune system, which is weakened by a long illness. Citrus fruits are the richest in ascorbic acid; in case of diabetes, preference should be given to oranges, lemons, grapefruits.
However, they should be consumed with great caution by people prone to bleeding. The fact is that in large quantities, ascorbic acid thins the blood. This can be dangerous for people with poor blood clotting.
Almost all fruits, vegetables and berries contain fiber. Its positive effect on the body of a diabetic is not only to reduce the rate of absorption of sugars by the walls of the stomach from food, but also to improve intestinal motility.
Fiber acts like a broom, clearing out toxins and waste from the intestines. It improves digestion and speeds up metabolism. Especially worth noting is the pectin (soft fiber) found in apples. It has an antioxidant effect and removes salts of heavy metals from the intestines. That's why apples are useful after poisoning, in violation of metabolic processes.
It is fair to say that apples and pears are the most beneficial fruits for diabetes.
They have low GI and calorie values, contain soluble and insoluble fiber, improve metabolic processes, which leads to a decrease in blood sugar levels.
A large amount of pectin in fruits and berries makes their laxative effect possible. As a mild natural laxative, plums, apricots, nectarines are known.
High fiber content in vegetables, especially cabbage. In addition, it is a source of ascorbic acid. However, cabbage can provoke pain in the abdomen and increased gas formation. People prone to such troubles should eat stewed cabbage, or give preference to broccoli or cauliflower.
Some berries and fruits not only do not increase glucose, but also contribute to its decrease in the blood. First of all, they include juniper. By the way, these berries are also recommended for respiratory diseases and asthma. The use of wild plums, popularly known as blackthorn, also leads to a decrease in the concentration of glucose in the blood. The berry has a low GI, but it is impossible to eat it fresh because of the sour taste. The solution may be sweetening with stevia or Jerusalem artichoke, as well as preparing decoctions, sauces, compotes from wild plums.
Able to reduce sugar and bell pepper. And besides, thanks to the antioxidant effect, it also reduces the indicators of bad cholesterol, helps cleanse blood vessels, increase the elasticity of the vascular walls.
Another very useful berry for type 2 diabetes is cherry. The fact is that this type of disease is often accompanied by circulatory disorders and the tendency of patients to thrombosis. Cherry also contains a special substance coumarin, which cleanses blood vessels and eliminates blood clots.
In addition to GI, you should also evaluate the calorie content of fruits. It is fruits and berries that this concerns in the first place - due to the high calorie content and fast carbohydrates in the composition, they can provoke obesity. Unfortunately, diabetics are prone to gaining excess weight, so you need to control your diet.
Apricots, pears, apples, oranges and grapefruits have a small energy value. In principle, they are included in the list of approved for diabetes. That is, they are safe from different points of view. Persimmon is a high GI food and the calorie content of the fruit is quite high. The same can be said for bananas. At first glance, tangerines have an acceptable GI, but due to the large amount of carbohydrates, they are very high in calories.
Recommendations for use
In diabetes, juices are prohibited, since their sugar content increases significantly. The exception is lemon and pomegranate juice, but you can drink them only if there are no problems with the stomach, diluted with water and in small quantities. In addition, they are devoid of fiber, so all the sugar instantly enters the bloodstream, provoking glycemic jumps. The same applies to mashed fruits and vegetables. Although, of course, they are less harmful to the body than juices.
Even allowed fruits and berries should not be cooked with sugar, this nullifies all their benefits for the patient's body.
Eating fruits and berries is better in the morning. Allowed vegetables can be consumed for dinner. Can be used without restrictions cucumbers and peppers, greens.
Fats help to reduce the rate of absorption of sugars from food, therefore vegetable salads are best seasoned with oil. The same property differ proteins and fiber. Sweet fruits can be combined with bran, bread, oatmeal.
Cooking also increases the GI of fruits, berries, and vegetables. In addition, they destroy fiber, most of the vitamins. That is why fruits and vegetables, if possible, should be eaten without subjecting them to heat treatment.
And also, fruits that can be eaten with it, for example, apples, pears, should not be freed from the skin. It is in the skin of these fruits that contains the bulk of the fiber and the largest amount of nutrients is concentrated.
The exact dosage of fruits for type 2 diabetes is calculated individually, depending on which fruits or berries are in question. On average, 100-150 g of fruit is considered the norm, but it is better to divide this portion into 2 doses.
About what fruits you can eat with diabetes and in what quantity, see the following video.