Balanced Nutrition for Maintaining Healthy Blood Sugar Levels
What is diabetes?
Diabetes mellitus is a chronic metabolic disorder characterized by sustained elevated blood glucose resulting from defects in insulin secretion, action or both.
A healthy diet is important for a healthy life, as stated by the old saying, “You are what you eat”. Nutrition is key for preventing and managing diabetes.
People with diabetes require regular monitoring and ongoing treatment to maintain goal blood sugar levels.
How do I manage diabetes?
As the term “diabetes is a lifestyle disease” is stated, treatment includes lifestyle adjustments, self-care measures, physical exercises, good nutrition, and medications; combined, these approaches can help reduce the risk of complications altogether.
Learning to manage diabetes is a process that continues over a lifetime, and requires discipline and consistency.
Any lifestyle adjustments?
Weight reduction: losing weight can help improve blood sugar control. Regular physical activity (at least 30 minutes daily) is also essential for good health.
Physical Activity:
Exercises like squats, push-ups, sit-ups, and light weight lifting improve insulin sensitivity, helping to lower blood sugar. Running, jogging, and cycling aid in weight management.
Exercise can also reduce high blood pressure, improve cholesterol, support healthy weight maintenance, better sleep, memory, and mood. However, exercise alone won't lead to weight loss if nutrition habits are not well-managed!
Tell me more about nutrition…
Monitor your food choices: For managing diabetes, it is crucial to watch your portion sizes, and meal timing. Allow about 4 hours between main meals, with healthy snacks like tea, fruit, or lightly salted nuts to keep blood sugar stable.
Choose complex carbs: like whole grains (e.g., whole meal maize flour, whole meal bread) and root tubers (e.g., arrowroots, sweet potatoes) to prevent blood sugar spikes, as they digest slowly due to their high fiber content. Avoid refined carbs like white flour, rice, and pasta.
Portion control is vital: prioritizing fresh foods over leftovers. A sample meal plan and a visual guide to plating are included for better understanding of portion sizes and balanced meals. You'll also learn which foods to eat more, in moderation, or avoid altogether.
What are the self- care practices I should engage in…
Blood Sugar Monitoring:
Regularly monitor your blood sugar levels and adhere to prescribed medications.
Foot Care:
Avoid tight shoes with slim soles.
Inspect your feet daily for cuts, blisters, and swelling.
Do not self-treat corns or calluses.
Wash your feet with a soft cotton cloth and apply Vaseline afterward.
Avoid washing with very hot water, especially if you have neuropathy.
Moisturize your feet, but do not apply moisturizer between your toes to prevent fungal infections.
Avoid walking barefoot.
Lifestyle Habits:
Develop good problem-solving skills and prioritize quality sleep.
Avoid smoking, alcohol, khat/miraa, and other illicit drugs.
Exercise and Nutrition:
Establish a consistent exercise routine and a disciplined eating schedule.
Take in plenty | Take in moderation | Eliminate |
Kales/ Sukuma wiki Spinach Cabbages Cauliflower Broccoli Okra/lady fingers Lettuce Pumpkin leaves Cowpea leaves (Kunde) Nightshade (Managu) Amaranthus (Mchicha/Terere) Spider plant (Saget) Jews mallow (Mrenda) Crotalaria (Mitoo) Apples Peaches Grapes Strawberries Plums Pears Cherries | Protein Red meat (beef, pork, mutton) Organ meats (liver, kidney, heart, tongue) Poultry (chicken, turkey, duck) Fish and seafood Dairy products (milk, cheese, yogurt) Eggs Carbohydrates Whole meal/ whole grain bread Ugali Afya, milled, whole maize flour Brown rice Whole wheat, brown pasta/ spaghetti Whole wheat, brown chapati Whole grain cereals (Weetabix, Muesli, Oats, Granola) Porridge (all kinds), Cassava, Sweet potatoes, Yams Arrow roots, Pumpkin Butternut/ squash Plantains/ green bananas Fruits Bananas Watermelon Mango Raisins Oranges
| Sugar and sugary foods (cakes, biscuits, cookies, donuts sweeteners, table sugar, honey etc.) sugary soft drinks. white bread. Potatoes. |
Food Exchange Tables and Sample menu timetable
Type of Food | Serving | Portion |
Carbohydrates/Starch
| One serving = 1 leveled serving spoon
|
One serving spoon |
Protein | One serving of meat, poultry, and fish = 75g or an open palm;
One serving of legumes = 175g, ½ cup or 1 leveled serving spoon;
One serving of dairy = 1 cup / 250ml.
|
An open palm One serving spoon
One cup
|
Vegetables | One serving = 1 cup or 2 handfuls of cooked vegetables or 2 heaped serving spoons. |
Two handfuls |
Fruits | One serving = 30g or a closed fist
| A closed fist |
Fats | One serving = 15g, 1 tablespoon or a thumb-size
| A thumb- size |
Understanding your Blood Sugar Readings
Hours after a meal | Normal Blood Sugar Readings |
Fasting | 3.5 - 5 mmol/l |
1 hour after a meal | 6 - 9 mmol/l |
2 hours after a meal | 7 - 10 mmol/l |
3 hours after a meal | 6 - 9 mmol/l |
4 hours after a meal | 4.5 - 8 mmol/l |
5 hours after a meal | 3.5 - 5 mmol/l |
If your blood sugar reading is higher than the values above after eating a meal, you need to re-evaluate the quality and portion of food you ate and make necessary changes.
Food Diary
Record your readings in a blood glucose monitoring & food diary, so that you can discuss this with your nutritionist. Here’s an example:
Date | Time of meal | Food/drinks | Blood Sugar Reading | Time of blood sugar reading (hours after/before meal) | Comment/Notes |
10/12/2020 | 8 am | 1 cup porridge | 5 mmol/l | Fasting/before meal | Normal |
10/12/2020 | 10.30 am | 2 bananas + 1 cup of milk | 12 mmol/l | 2 hours after meal | High; reduce the number of bananas |
Let your Antara Nutritionist know if you are having any difficulties or challenges in managing your diet. Book a session with an Antara Nutritionist through the Antara App or by clicking here. |
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