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Carbohydrates

This leaflet discusses what a carbohydrate is, what different kinds there are, and the effect they can have on your diabetes.

Contents

The role of carbohydrates

Carbohydrate is an important source of energy. It comes from two main sources, starch and sugar. All types of carbohydrate that you eat and drink are broken down into glucose and will cause a rise in your blood glucose levels.

Starchy carbohydrates

Starchy carbohydrates can be found in bread, rice, pasta, potatoes, cereals, chapatis, pastry, noodles and flour. Table 1 shows the main sources of starchy carbohydrates. Most of the carbohydrates you eat should be those listed in the right-hand column.

Table 1: Starchy carbohydrates

Starchy Carbohydrate to Limit

Starchy Carbohydrate to Choose

Sugar or honey coated breakfast cereals e.g. Coco Pops, Frosties, Crunchy Nut Cornflakes

Wholegrain breakfast cereals e.g. porridge, unsweetened muesli, Shredded Wheat

Fried chips, instant mash, roast potatoes

Boiled potatoes, baked potatoes, sweet potatoes, new potatoes

Fried rice, pilau rice, naan bread, cheese/cream based pasta sauces

Basmati rice, wholegrain rice, chapatti, tomato based pasta sauces

White bread, baguettes, rolls 

Wholegrain or seeded bread/baguettes/rolls

Although certain starchy carbohydrates are healthy foods and should be eaten at each main meal, you should bear in mind the points below:

  • Eating carbohydrates of any type will increase your blood glucose levels. The larger the portion, the more your blood glucose will rise. If you eat smaller amounts, however, there will be less of an effect on your blood glucose levels.
  • Choosing starchy carbohydrates which contain fibre and wholegrains and those that have a lower glycaemic index may have less of an effect on your blood glucose levels as you digest these more slowly. They can also help to keep you feeling fuller for longer, so can help with weight loss too.
  • Try to aim for an even distribution of carbohydrate intake throughout the day, rather than saving it all up for one meal. Spreading your carbohydrates through the day normally leads to better controlled blood glucose levels.
  • Eating more carbohydrate than you need will lead to weight gain. If you are trying to lose weight, consider reducing your portion sizes, although if you do, you may need to review your diabetes medication with your care team.

Sugary carbohydrates

Sugar is found in many foods. It can be an added ingredient, e.g. in fizzy drinks, cakes and confectionery, or it can occur naturally in foods such as fruit and milk. Table 2 shows the main sources of sugars, both natural and added. You should try to avoid those in the left-hand column and choose from the foods in the right-hand column in preference..

Table 2: Sugary carbohydrates

High Sugar Items

Lower Sugar Items

Sugar, glucose, glucose raising syrup, dextrose,     sucrose, icing sugar, Light Spoon, Half Spoon

Non-Nutritive Sweeteners for example, Candarel, Sweetex, Stevia, Hermesetas, Splenda

Sweet squash, Normal fizzy drinks, energy drinks for example Lucozade, , Ribena, drinking chocolate

Diet/free/zero fizzy drinks, no added sugar squash, low calorie drinking chocolate

Chocolate, fudge, tablet, mints, chocolate and           cream filled biscuits, marzipan

Plain biscuit, crackers, oatcakes, crackerbreads

Sugar or honey coated breakfast cereals                      e.g.Coco Pops, Frosties, Crunchy Nut Cornflakes

Wholegrain breakfast cereals e.g. Shredded Wheat, Branflakes, porridge, unsweetened muesli

Cheesecake, gateaux, crumbles, milk puddings,         tinned fruit in syrup

Fresh fruit, diet/light yoghurts, tinned fruit in natural juice

Marmalade, jam, honey, syrup

A thin scrapping of reduced sugar jam/marmalade

The safety of non-nutritive sweeteners is an ongoing topic of debate. All the sweeteners listed have undergone rigorous safety checks. It is your choice whether

to include them in your diet, but it is always advisable to check food labels on everything you eat and ensure that you only eat them in limited amounts. You should avoid eating or drinking anything containing aspartame as it is not recommended for people with diabetes.

Limiting the impact of sugar

You should limit the amount of added sugar you eat or drink, as part of a healthy diet. The following tips may help you to limit the impact on your blood glucose levels.

Reduce the total carbohydrate

It is the total amount of carbohydrate (starch and sugar) and the type (low or high glycaemic index) that will affect your blood glucose. So if you do have a dessert after your evening meal, the total amount of carbohydrate you eat will be higher, which is likely to cause raised blood glucose levels. To minimise this, you could have smaller portions of carbohydrate containing foods. Some people with type 2 diabetes have found low carbohydrate diets useful.

Be more active

If you are able to increase your activity or do some exercise after carbohydrate this can help minimise the rise in your blood glucose levels. This is because activity helps your body use insulin better to lower your blood glucose levels. Of course this can also help you manage your weight.

Adjust your diabetes medication

If you manage your diabetes with insulin, some insulin regimens allow you some flexibility to adjust your dose according to your food choices. If you wish to pursue this option, speak with your diabetes care team.

Useful resources

For more information about other aspects of your diet see The Eatwell Guide; Fats, oils and spreads; Fibre; Fruit and vegetables; Salt; and Wholegrains.

 

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