Carbohydrates in your Diet
Diabetes is a metabolic disorder, which causes abnormalities in the glucose levels in the blood due to either deficient insulin production or lack of its action on the target cells. Since this disorder results in high glucose levels, carbohydrate intake regulation forms a major part of the management. This is especially true in case of Type 1 Diabetes patients. Since Type 1 is characterized by deficient insulin production, the glucose levels have to be carefully monitored according to the dose of insulin the patient receives to prevent both, very high or very low blood glucose levels, both of which can be fatal. In case of Type 2 Diabetes, proper regulation of the diet can control the sugar levels adequately enough that the need for medication can be eliminated and complications kept at bay for long periods.
Earlier, carbohydrates were an anathema to a diabetic diet. Patients diagnosed with diabetes were recommended a diet that avoided carbohydrates completely. However, recent research have shown that total restriction of carbohydrates is unwarranted for diabetics. Since a large part of the energy required by the body is derived from carbohydrates, a sudden switch over to fats and proteins as an energy source is fraught with complications, especially in diabetics, who suffer from kidney abnormalities as a complication of the parent disease.
By regulating the amount and the types of carbohydrates in the diet, these basic components may enjoy a prominent place in the diet of a diabetic, allowing him/her to lead a healthy life. To develop a sane approach to the amount of carbohydrates in a diabetic diet, it is first important to understand the types of carbohydrates that are a part of the human diet.
Carbs can be classified into the three following types
Starches – Starches include peas, beans, potatoes and whole grains like oats, barley and rice.
Sugars – Sugar can the natural sugars found in milk and fruits or the additives in food.
Fiber – Fiber includes roughage found in fruits and vegetables.
A rough rule of thumb to keep in mind when you are on a diabetic diet is that 13 grams of carbohydrates per 100 calories are considered ideal. This roughly accounts for 50% of the total calorie intake. In addition, 2.5 to 5 grams of fiber per serving is recommended.
Type 1 Diabetes
In the case of Type 1 Diabetes, the amount of total sugar intake is to be strictly balanced against the insulin dose that the patient receives. This includes sugar in both the natural and added forms, so that if a patient knows that he is going to consume an extra portion of one form, he has to balance it out by reducing the amount in another form. However, adequate amounts of starches and fiber are recommended, with an emphasis on the consumption of whole grains, fresh raw vegetables and fruits. This not only ensures that the blood sugar levels remain steady over a long period, as these foods have a low glycaemic index but also ensures the intake of the recommended amounts of vitamins and minerals which are found in sufficient quantities in fruits and vegetables. Also, less amounts of fat guards against high blood cholesterol levels.
Type 2 Diabetes
In the case of Type 2 Diabetes, the same holds true, although these patients are allowed to ‘cheat’ sometimes because their raised blood sugar levels are not due to the deficient quantities of insulin. They too are advised large quantities of fiber rich carbohydrates with a low glycaemic index, but may be allowed occasional helpings of refined flour with added sugar, just as long as they don’t make a habit of it!
Finally it is important for both groups to eat adequate amounts of proteins and unsaturated fats as per dietary recommendations. Diabetics need not totally exclude carbohydrates from the diet as long as a well informed, medically backed and judicious approach is maintained. As always, do consult with your doctor or a licensed medical professional before starting any diet.



