Diabetes Health Talk

Eating right may help protect your nerves from diabetic neuropathy.

Tip 1. Eat a Balanced Diet
Why? Remember the good-old food pyramid you learned about back in school? A balanced diet includes a variety of foods: carbohydrates (starches), fruits, vegetables, milk and dairy, meat, poultry, fish, and healthy fats. Eating a balanced diet helps you keep your glucose within target levels, control your weight, and reduce the risk of complications like neuropathy, heart disease, and stroke.

Tip 2. Spread Your Meals Throughout the Day
Why? Skipping meals and overeating can send your blood sugar plunging - and then through the roof. Since diabetic nerve damage and pain can decrease appetite and make it harder to digest food, several smaller meals may work better for you. Plus, some diabetes medications work their best when you’re taking them in concert with regularly scheduled meals.

Tip 3. Go for Complex “Carbs”
Why? Carbohydrates digest more slowly and don’t “spike” your blood sugar the way sugars do. They also fill you up faster, so you’re less likely to overeat, and they give you more vitamins, minerals, and fiber.

The goal. Most of what you eat should be healthy carbohydrates. Include whole-grains, fruits, vegetables and low fat milk. Whole grain breads and cereals, brown rice, beans, lentils, potatoes, and corn tortillas are good choices.

Tip 4. Forget “Supersizing”
Why? Most people are shocked to realize how small “official” serving sizes are. A serving of carbs? Only 1 slice of whole-grain bread or 1/2 cup of cooked oatmeal. A serving of dry cereal? Only 3/4 of a cup - that’s smaller than your average cup of coffee. Meat, fish, or poultry? A mere 3 ounces is a serving - that’s about the size of a cassette tape - once it’s cooked. Go for that 16-ounce porterhouse and you’ve just eaten nearly 6 dinners-worth of protein.

Tip 5. Jump on the Wagon
Why? Alcohol is toxic to nerves, says the ADA. Your liver has two main jobs: to clear toxins like alcohol from your body, and to convert carbohydrate into blood glucose your body can use. But drinking sidetracks your liver; it won’t start working to level out blood sugar until it “sweeps” the alcohol from your bloodstream, so blood sugar swings can result. And if you have diabetic neuropathy, drinking may spur on pain, tingling, and other symptoms, says the ADA.

Tip 6. Eat Less Fat
Why? Nearly 9 out of 10 adults with type 2 diabetes are overweight, says the ADA. Losing weight can lower blood glucose, give you more energy, lighten the load on feet already sore from nerve pain, and lower your risk of heart disease and stroke.

The goal? Try to stick to 3 - 5 servings of fat a day (or as advised by your doctor). Remember that 1 serving of fat is only 1 teaspoon of olive oil or margarine.