Type 2 Diabetes Diet Plans
Diet recommendations for people with type 2 diabetes include a
- vegetarian or vegan diet,
- the American Diabetes Association diet (which also emphasizes exercise),
- the Paleo Diet, and
- the Mediterranean diet.
Type 2 diabetes is the most common type of diabetes. It is a chronic problem in which blood glucose (sugar) can no longer be regulated. There are two reasons for this. First, the cells of the body become resistant to insulin (insulin resistant). Insulin works like a key to let glucose (blood sugar) move out of the blood and into the cells where it is used as fuel for energy. When the cells become insulin resistant, it requires more and more insulin to move sugar into the cells, and too much sugar stays in the blood. Over time, if the cells require more and more insulin, the pancreas can't make enough insulin to keep up and begins to fail.
This type of diabetes is caused by a combination of genetics and unhealthy lifestyle habits.
As mentioned previously, this disease can be reversed with diligent attention to changing lifestyle behaviors.
Risk factors for type 2 diabetes are:
Lifestyle habits can contribute to a person developing the disease, for example:
Diet recommendations for people with type 2 diabetes include a
This type of diabetes develops gradually, over years, so the signs and symptoms can seem subtle, and you might think it is something you "just have to live with." If you are overweight or obese, this is the major symptom, but not everyone will be overweight. In fact, weight loss can be a symptom.
Other symptoms and signs include:
Type 2 diabetes is a condition of blood sugar dysregulation. In general blood sugar is too high, but it also can be too low. This can happen if you take medications then skip a meal. Blood sugar also can rise very quickly after a high glycemic index meal, and then fall a few hours later, plummeting into hypoglycemia (low blood sugar). The signs and symptoms of hypoglycemia can include
Hyperglycemia, or high blood sugar, is common in type 2 diabetes.Its signs and symptoms can be either acute (short in duration) or chronic (last over a long period of time).
If you are a diabetic and are pregnant you can have a normal, healthy pregnancy, but you need to take extra steps to avoid gaining excess weight and high blood sugars. Lifestyle habits (eating primarily vegetables and lean protein and exercising every day) will prevent problems during pregnancy. If you are a diabetic and become pregnant, monitor your blood sugar levels often. Talk with your doctor about exploring additional health care professionals, for example, a nutritionist, health coach, or naturopathic doctor about a healthy eating plan. If your blood sugar gets out of control you may:
Yes, there is a blood test to diagnose this disease. The blood is tested for glucose and if it is greater than 125 fasting, or more than 200 when randomly tested, the diagnosis is diabetes If the fasting blood sugar is between 100-125, the person has a diagnosis of pre-diabetes.
Tests also can measure average blood sugar over time. Hemoglobin A1c (HbA1c) test greater than 6.5% indicates the diagnosis of the disease. Pre-diabetes is diagnosed with an HbA1c of 5.7% - 6.4%
Treatment for this type of diabetes can include:
Not diabetic need drug therapy. A healthy eating plan and exercise alone can be enough it the person makes significant lifestyle changes. Other signs, symptoms, and complications also may need treatment. For example, nutritional deficiencies should be corrected, heart or kidney disease may need to be treated, and vision must be checked for eye problems like diabetic retinopathy.
If you have this type of diabetes the foods you eat should have a low glycemic load (index) (foods higher in fiber, protein or fats) like vegetables and good quality protein such as fish, chicken, beans, and lentils. From that base, other types of nutritious foods like fruit, whole grains, low-fat dairy products, and nuts should be added.
Foods with a high glycemic index (foods that raise blood sugar too quickly) are foods to avoid, such as processed foods, high in carbohydrates, sugars, or animal fat. Examples of foods to avoid include:
A good rule of thumb is to avoid white foods (except for cauliflower!).
Exercise is very important if you have this health condition. Exercise makes cells more insulin sensitive, pulling glucose out of the blood. This brings down blood sugar, and more importantly, gives you better energy because the glucose is being transferred to the cells. Any type of exercise will do this, but extra benefit is gained when the activity helps build muscle, such as weight training or using resistance bands. The benefits of exercise on blood sugar last about 48-72 hours, so it is important for you to be physically active almost every day.
Insulin is only recommended for individuals for type 2 diabetics when they have not been able to get blood sugars low enough to prevent complications through other means. To avoid insulin, those with this health condition should work very hard to follow a healthy eating plan that includes a lot of vegetables and lean proteins, exercise every day, and keep stress in perspective. They also should take their oral drugs regularly. It can be difficult to follow these recommendations and the help of your doctor, nutritionist, diabetes educator, health coach, or integrative medicine practitioner may be helpful. If you who want to avoid taking medicine, work with health professionals who are knowledgeable about lifestyle medicine, and can help you understand how to fit the changes into your life.
There are different types of diabetes drugs. They work in different ways to either stop the liver from making glucose, make the pancreas release more insulin, or block glucose from being absorbed. Insulin replaces the natural insulin when the pancreas can't make anymore.
Metformin (Glucophage, Glucophage XR, Glumetza, Fortamet, Riomet) belongs to a class of drugs called biguanides. Metformin is first-line therapy for most type 2 diabetics. It works to stop the liver from making excess glucose, and has a low risk of hypoglycemia. Hypoglycemia, or very low blood sugar can cause symptoms such as sweating, nervousness, heart palpitations, weakness, intense hunger, trembling, and problems speaking. Many patients lose some weight taking metformin, which is also helpful for blood sugar control.
Sulfonureas and meglitinides are classes of drugs also prescribed for treatment. These drugs cause the pancreas to release more insulin. Since the pancreas can only work so hard, these drugs have a limited duration of usefulness.
The sulfonureas include:
The meglitinides include:
Canagliflozin (Invokana) and dapagliflozin (Farxiga) are oral medications prescribed to treat type 2 diabetics. These drugs belong to the drug class referred to as sodium-glucose co-transporter 2 (SGLT2) inhibitors. These drugs work by stopping the absorption of glucose in the kidneys, enabling some of it to be urinated out.
There are other oral and injectable drugs for patients with type 2 diabetics such as:
For people who want to avoid drugs, taking an aggressive approach to healthy eating plan and lifestyle change is an option. It isn't easy, but if someone is very committed and motivated, lifestyle changes can be enough to maintain a healthy blood sugar level and to lose weight. Learning about a healthy diabetes diet (a low glycemic load diet) can be an good place to start.
If blood sugar is not controlled over time, complications can develop. These include:
If you have diabetes you have a higher risk of heart disease and heart attack. Because of this, it is important to control cholesterol and high blood pressure in addition to blood sugar. The good news is that all of these diseases are responsive to healthy lifestyle changes.
A healthy lifestyle can prevent almost all cases of type 2 diabetes. A large research study called the Diabetes Prevention Program, found that patients who made intensive changes including diet and exercise, reduced their risk of developing diabetes by 58%. Patients who were over 60 years old seemed to experience extra benefit; they reduced their risk by 71%. In comparison, patients who were given the drug metformin for prevention only reduced their risk by 31%.
Some research shows that people with type 2 diabetes may die 10 years earlier than those without diabetes. Most people with the disease die of secondary complications of it, for example kidney failure or heart disease. However, with good blood sugar control and healthy lifestyle choices complications can be prevented.
Adult and pediatric endocrinologists, specialists in treating hormone imbalances and disorders of the endocrine system, are experts in helping patients with diabetes manage their disease. People with the disease also may be cared for by a number of primary care providers including family or internal medicine practitioners, naturopathic doctors, or nurse practitioners. When complications arise, these patients often consult other specialists, including neurologists, gastroenterologists, ophthalmologists, acupuncturists, surgeons, and cardiologists. Nutritionists, integrative and functional medicine doctors, and physical activity experts such as personal trainers are also important members of a diabetes treatment team. It is important to interview a new health care professional about their experience, expertise, and credentials to make sure they are well qualified to help you.
Diabetes in the UK 2012. Key statistics on diabetes. Accessed 6-20-15
Grøntved A., et al. "Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis."JAMA. 2011 Jun 15;305(23):2448-55.
Malik VS, et al. "Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis." Diabetes Care. 2010 Nov;33(11):2477-83.
Nettleton JA. et al. "Diet soda intake and risk of incident metabolic syndrome and type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA)."Diabetes Care. 2009 Apr;32(4):688-94.
NIH. National Institute of Diabetes and Digestive and Kidney Diseases. Diabetes Prevention Program (DPP).< http://www.niddk.nih.gov/about-niddk/research-areas/diabetes/diabetes-prevention-program-dpp/Pages/default.aspx>
Ross R. "Does exercise without weight loss improve insulin sensitivity?" Diabetes Care. 2003 Mar;26(3):944-5. Review.
Suez, J. et al. "Artificial sweeteners induce glucose intolerance by altering the gut microbiota." Nature. 2014 Oct 9;514(7521):181-6.
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Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
A type 2 diabetes diet or a type 2 diabetic diet is important for blood sugar (glucose) control in people with diabetes to prevent complications of diabetes. There are a variety of type 2 diabetes diet eating plans such as the Mediterranean diet, Paleo diet, ADA Diabetes Diet, and vegetarian diets.Learn about low and high glycemic index foods, what foods to eat, and what foods to avoid if you have type 2 diabetes.
Hemoglobin A1c or HbA1c is a protein on the surface of red blood cells. The HbA1c test is used to monitor blood sugar levels in people with type 1 and type 2 diabetes over time. Normal HbA1c levels are 6% or less. HbA1c levels can be affected by insulin use, fasting, glucose intake (oral or IV), or a combination of these and other factors. High hemoglobin A1c levels in the blood increases the risk of microvascular complications, for example:
Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, or medication. Some of the renal causes of kidney failure include sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis.
Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones.Treatment options included diet, medications, or dialysis.