Pre-Diabetes and Prevention

Prevention: Nutrition

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A well-balanced diet is essential in reducing one’s risk of developing type II diabetes. It is important to eat foods that will help keep one’s weight in check and maintain relatively consistent levels of sugar in the bloodstream.

Glycemic Index (GI)

A glycemic index or GI, measures how a carbohydrate-containing food raises blood glucose (American Diabetes Association). Eating foods with low glycemic indexes prevents large spikes and drops in one’s blood sugar level and also helps curbs appetite which can contribute to weight loss.

Below is a list of 100 foods and their GI obtained from health.harvard.edu

FOOD Glycemic index (glucose = 100) Serving size (grams) Glycemic load per serving
BAKERY PRODUCTS AND BREADS
Banana cake, made with sugar 47 60 14
Banana cake, made without sugar 55 60 12
Sponge cake, plain 46 63 17
Vanilla cake made from packet mix with vanilla frosting (Betty Crocker) 42 111 24
Apple, made with sugar 44 60 13
Apple, made without sugar 48 60 9
Waffles, Aunt Jemima (Quaker Oats) 76 35 10
Bagel, white, frozen 72 70 25
Baguette, white, plain 95 30 15
Coarse barley bread, 75-80% kernels, average 34 30 7
Hamburger bun 61 30 9
Kaiser roll 73 30 12
Pumpernickel bread 56 30 7
50% cracked wheat kernel bread 58 30 12
White wheat flour bread 71 30 10
Wonder™ bread, average 73 30 10
Whole wheat bread, average 71 30 9
100% Whole Grain™ bread (Natural Ovens) 51 30 7
Pita bread, white 68 30 10
Corn tortilla 52 50 12
Wheat tortilla 30 50 8
BEVERAGES
Coca Cola®, average 63 250 mL 16
Fanta®, orange soft drink 68 250 mL 23
Lucozade®, original (sparkling glucose drink) 95±10 250 mL 40
Apple juice, unsweetened, average 44 250 mL 30
Cranberry juice cocktail (Ocean Spray®) 68 250 mL 24
Gatorade 78 250 mL 12
Orange juice, unsweetened 50 250 mL 12
Tomato juice, canned 38 250 mL 4
BREAKFAST CEREALS AND RELATED PRODUCTS
All-Bran™, average 55 30 12
Coco Pops™, average 77 30 20
Cornflakes™, average 93 30 23
Cream of Wheat™ (Nabisco) 66 250 17
Cream of Wheat™, Instant (Nabisco) 74 250 22
Grapenuts™, average 75 30 16
Muesli, average 66 30 16
Oatmeal, average 55 250 13
Instant oatmeal, average 83 250 30
Puffed wheat, average 80 30 17
Raisin Bran™ (Kellogg’s) 61 30 12
Special K™ (Kellogg’s) 69 30 14
GRAINS
Pearled barley, average 28 150 12
Sweet corn on the cob, average 60 150 20
Couscous, average 65 150 9
Quinoa 53 150 13
White rice, average 89 150 43
Quick cooking white basmati 67 150 28
Brown rice, average 50 150 16
Converted, white rice (Uncle Ben’s®) 38 150 14
Whole wheat kernels, average 30 50 11
Bulgur, average 48 150 12
COOKIES AND CRACKERS
Graham crackers 74 25 14
Vanilla wafers 77 25 14
Shortbread 64 25 10
Rice cakes, average 82 25 17
Rye crisps, average 64 25 11
Soda crackers 74 25 12
DAIRY PRODUCTS AND ALTERNATIVES
Ice cream, regular 57 50 6
Ice cream, premium 38 50 3
Milk, full fat 41 250mL 5
Milk, skim 32 250 mL 4
Reduced-fat yogurt with fruit, average 33 200 11
FRUITS
Apple, average 39 120 6
Banana, ripe 62 120 16
Dates, dried 42 60 18
Grapefruit 25 120 3
Grapes, average 59 120 11
Orange, average 40 120 4
Peach, average 42 120 5
Peach, canned in light syrup 40 120 5
Pear, average 38 120 4
Pear, canned in pear juice 43 120 5
Prunes, pitted 29 60 10
Raisins 64 60 28
Watermelon 72 120 4
BEANS AND NUTS
Baked beans, average 40 150 6
Blackeye peas, average 33 150 10
Black beans 30 150 7
Chickpeas, average 10 150 3
Chickpeas, canned in brine 38 150 9
Navy beans, average 31 150 9
Kidney beans, average 29 150 7
Lentils, average 29 150 5
Soy beans, average 15 150 1
Cashews, salted 27 50 3
Peanuts, average 7 50 0
PASTA and NOODLES
Fettucini, average 32 180 15
Macaroni, average 47 180 23
Macaroni and Cheese (Kraft) 64 180 32
Spaghetti, white, boiled, average 46 180 22
Spaghetti, white, boiled 20 min, average 58 180 26
Spaghetti, wholemeal, boiled, average 42 180 17
SNACK FOODS
Corn chips, plain, salted, average 42 50 11
Fruit Roll-Ups® 99 30 24
M & M’s®, peanut 33 30 6
Microwave popcorn, plain, average 55 20 6
Potato chips, average 51 50 12
Pretzels, oven-baked 83 30 16
Snickers Bar® 51 60 18
VEGETABLES
Green peas, average 51 80 4
Carrots, average 35 80 2
Parsnips 52 80 4
Baked russet potato, average 111 150 33
Boiled white potato, average 82 150 21
Instant mashed potato, average 87 150 17
Sweet potato, average 70 150 22
Yam, average 54 150 20
MISCELLANEOUS
Hummus (chickpea salad dip) 6 30 0
Chicken nuggets, frozen, reheated in microwave oven 5 min 46 100 7
Pizza, plain baked dough, served with parmesan cheese and tomato sauce 80 100 22
Pizza, Super Supreme (Pizza Hut) 36 100 9
Honey, average 61 25 12

The complete list of the glycemic index and glycemic load for more than 1,000 foods can be found in the article “International tables of glycemic index and glycemic load values: 2008” by Fiona S. Atkinson, Kaye Foster-Powell, and Jennie C. Brand-Miller in the December 2008 issue of Diabetes Care, Vol. 31, number 12, pages 2281-2283.

An earlier version of this table appeared here: “International tables of glycemic index and glycemic load values: 2002,” by Kaye Foster-Powell, Susanna H.A. Holt, and Janette C. Brand-Miller in the July 2002 American Journal of Clinical Nutrition, Vol. 62, pages 5–56.

source: http://www.health.harvard.edu/glycemic

Carbohydrates

The amount of carbohydrate in a food should also be carefully considered as carbohydrates are essentially converted to sugar in the body. One would should limit the amount of carbohydrates eaten daily to a minimum if they are prediabetic. Generally, one should eat foods that are high in fiber, low in fat, unprocessed, and unrefined.

Here is a chart describing foods to avoid and a couple of smarter alternatives to eat instead that can still help get the nutrients the body needs (according to myfoodplate.gov and American Diabetes Association). The important thing to remember is that one doesn’t have to avoid the foods listed entirely, but to eat them less frequently and in smaller portions:

AVOID:

ALTERNATIVES:

FRUITS

Some fruits have higher GI indexes than others. Apples are a healthy alternative to sugary fruits. by McKel Hill

Apples by McKel Hill http://nutritionstripped.com/wp-content/uploads/2013/09/IMG_1514-660.jpg

Raisins, dried fruits, pineapples, mangoes, grapes, bananas, juices from concentrate

Apples, strawberries, grapefruit,  blueberries, raspberries

GRAINS

Whole-grains are generally better for you than processed grains. Creative Commons.

Creative Commons: http://www.plumorganics.com/wp-content/files_mf/oats292.jpg

White bread, packaged pastries, foods made from white flour

Whole oats, brown rice, quinoa, buckwheat

VEGETABLE

Salad is a nutritional alternative to starchy vegetables. Creative Commons.

Creative Commons: http://img4-2.myrecipes.timeinc.net/i/recipes/ck/09/11/pear-salad-ck-1932659-l.jpg

French fries, canned vegetables, potatoes, corn

Beans, leafy greens, broccoli, celery, cucumber, eggplant

PROTEIN

Fish has a healthier fat content than red meats and are a nutritional source of protein. Creative Commons

Creative Commons: http://www.plumorganics.com/wp-content/files_mf/salmon2.jpg

Fatty red meats, processed meats such as hot dogs

Beans, fish, skinless chicken, skinless turkey

DAIRY

Fat free milk or even milk from plants (almond, soy) are a healthier alternative to 100% milk. Creative Commons.

Creative Commons: http://assets.inhabitots.com/wp-content/uploads/2012/09/cow-milk-alternative-soy-milk-537×385.jpg

Sugar-filled flavored yogurts, whole milk, cheddar cheese

Fat free or 1% milk, plain or nonfat yogurt, soy milk, almond milk, cottage cheese