You're ready to head off to the grocery store and looking for your list. If you've got diabetes, though, you need more than a traditional shopping list. You need a guide that will let you quickly determine whether a food is a good choice or a bad choice. Making the best choices will help you maintain good health and control your blood glucose levels, keeping them as close to normal as possible. WebMD has compiled a list of best and worst food choices for diabetes that you can use either in the super market or in your own kitchen when you want something to eat.
The categories for the food choice list are taken from the Diabetes Food Pyramid. They include six food groups. The Diabetes Food Pyramid starts with breads, grains, and other starches at the base and rises to fats, oils, and sweets at the top. Here's the full list of categories from bottom up:
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Breads, grains, and other starches
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Vegetables
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Fruits
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Meat, meat substitutes, and other protein
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Dairy
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Fats, oils, and sweets
Your goal for shopping and preparing meals is to choose more food from the base of the pyramid and less as you move toward the top.
What follows are some of the "best" and "worst" choices that can be made from each group. In addition, you'll find tips for making best choices for beverages. Keep in mind, though, if a food falls in the "worst" group, that doesn't mean you should never eat it. If you see something you really like on the "worst" list, you can think of it as an occasional treat. But in general, it will be easier to manage your diabetes if you choose most of your foods from the "best" lists.
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Along with essential vitamins, minerals, and fiber, foods in this first category contain mostly complex carbohydrates that your body turns into sugar for energy. Even though carbs make glucose levels rise, complex carbs are absorbed more slowly than simple carbs, and you need carbs for energy. Use this list as a guide to help you choose the complex carbs that are best for you.
Best Choices |
Worst Choices |
Whole-grain flours, such as whole wheat flour |
"White" flour |
Whole grains, such as brown rice |
Processed grains, such as white rice |
Cereals containing whole-grain ingredients and little added sugar |
Cereals with little whole grain and lots of sugar |
Whole-grain bread |
White bread |
Baked potato or baked steak fries |
French fries |
Whole-grain flour or corn tortillas |
Fried white-flour tortillas |
Vegetables contain carbohydrates, vitamins, and minerals. They usually contain fewer carbs than fruits. Many vegetables contain fiber and are naturally low in fat and sodium (unless they are canned). Starchy vegetables, such as potatoes and corn, aren't included in this category. They are considered part of the breads, grains, and other starches group. Use this list to guide your shopping and cooking choices.
Best Choices |
Worst Choices |
Fresh vegetables, eaten raw or lightly steamed, roasted, or grilled
Frozen vegetables, lightly steamed |
Canned vegetables with lots of added sodium
Vegetables cooked with lots of added butter, cheese, or sauce |
Fresh cucumbers |
Pickles (only if you need to limit sodium otherwise pickles are a good choice) |
Fresh shredded cabbage or coleslaw |
Sauerkraut, (same as pickles, limit only if you have high blood pressure) |
Fruits contain carbohydrates, vitamins, minerals, and fiber. They are naturally low in fat -- except for avocados -- and sodium. Fruits often contain more carbs than are found in vegetables. Aim for selections from the "Best Choices" list and avoid "Worst Choices."
Best Choices |
Worst Choices |
Frozen fruit or fruit canned in fruit juice |
Canned fruit with heavy sugar syrup |
Fresh fruit |
Chewy fruit rolls |
Sugar-free or low-sugar jam or preserves |
Regular jam, jelly, and preserves (unless portion is kept small) |
No-sugar-added applesauce |
Sweetened applesauce |
100% fruit juice or low-carb juices |
Fruit punch, fruit drinks, fruit juice drinks, sweetened soda |
These foods are high in protein. They include beef, chicken, fish, pork, turkey, and seafood. This group also includes beans, cheese, eggs, nuts, and tofu. Selecting non-meat sources of protein can help lower the amount of fat you eat. Use this list to guide your protein choices.
Best Choices |
Worst Choices |
Baked, broiled, grilled, or stewed meats |
Fried meats |
Lower-fat cuts of meat, such as top sirloin |
Higher-fat cuts of meat, such as ribs |
Turkey bacon |
Pork bacon |
Low-fat cheeses |
Regular cheeses |
Skinless breast of chicken or turkey |
Poultry with skin |
Baked, broiled, steamed, or grilled fish |
Fried fish |
Tofu lightly sauteed, steamed, or cooked in soup |
Fried tofu |
Baked or stewed beans |
Beans prepared with lard |
This group includes milk and foods made from milk, such as yogurt and sour cream. Milk contains a lot of protein and minerals, including calcium. Use this list to guide your selection of milk products.
Best Choices |
Worst Choices |
1% or skim milk |
Whole milk |
Low-fat yogurt |
Regular yogurt |
Low-fat cottage cheese |
Regular cottage cheese |
Nonfat sour cream |
Regular sour cream |
Frozen low-fat, low-carb yogurt |
Regular ice cream |
Non-fat half and half |
Regular half and half |
Fats, oils, and sweets -- and foods containing them -- often provide lots of calories and little nutrition. Many "snack foods" are filled with fats or oils and sugar. Eating too much of these kinds of foods can lead to weight gain, making it harder to keep diabetes under control. That doesn't mean you have to avoid fats, oils, and sweets altogether. Just select and eat them wisely. Here are some suggestions.
Best Choices |
Worst Choices |
Baked snacks, such as baked potato chips, baked corn chips, puffed rice, or corn snacks |
Snacks fried in fat, such as potato chips, corn chips, pork rinds |
Vegetable oils, non-hydrogenated butter spreads, margarine |
Lard, hydrogenated vegetable shortening, butter |
Reduced-fat mayonnaise
Light salad dressings |
Regular mayonnaise
Regular salad dressings |
Air-popped or calorie-controlled popcorn |
Butter-flavored stove-top popcorn |
Many beverages are not found on the food pyramid. Some beverages contain lots of carbohydrates while providing very little nutrition. This makes it easy for beverages to contribute to weight gain. Here are some best-choice and worst-choice examples.
Best Choices for Beverages |
Worst Choices |
Water, unflavored or flavored sparkling water |
Regular sodas |
"Light" beer, small amounts of wine or non-fruity mixed drinks |
Regular beer, fruity mixed drinks, dessert wines |
Unsweetened tea (add a slice of lemon) |
Sweetened tea |
Coffee, black or with added low fat milk and sugar substitute |
Coffee with sugar and cream |
Home-brewed coffee and hot chocolate |
Flavored coffees and chocolate drinks |
Sport drinks |
Energy drinks |
You can learn a lot more about meal planning and wise food choices from a registered dietitian. Ask your doctor for a referral. NECC has several available for your consultation.
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