
Prediabetes is a condition where your blood sugar levels are higher than normal, but not high enough to be classified as type 2 diabetes. People with prediabetes have no noticeable symptoms, but they are at an increased risk of developing type 2 diabetes and are more likely to experience heart disease or a stroke. A prediabetic diet aims to help control and even reverse prediabetes by focusing on balanced meals that incorporate lean protein, low-fat dairy, complex carbohydrates, and plenty of fibre, while limiting added sugars and simple carbohydrates.
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What You'll Learn

The Mediterranean diet is recommended for prediabetes
Prediabetes is a condition where your fasting blood sugar levels are elevated, but they do not meet the criteria of type 2 diabetes. While there is no one-size-fits-all diet for prediabetes, the Mediterranean diet is recommended for prediabetes as it is a flexible, well-rounded, and tasty approach to healthy eating.
The Mediterranean diet is inspired by the traditional eating and cooking patterns of countries bordering the Mediterranean Sea. It is a holistic, natural approach to meals, emphasising the importance of not just what you eat, but also how you eat it, who you eat with, and your physical activity. The diet includes whole grains, lean protein, legumes, beans, seafood, nuts, seeds, and plenty of healthy, unsaturated fats. It encourages the use of herbs and spices instead of salt and limits sweets, refined grains, sugars, and red meat.
The Mediterranean diet is a great choice for people with prediabetes as it includes plenty of high-fibre foods, which can help improve blood sugar control. It has been shown to improve insulin sensitivity and sustain diabetes homeostasis. Research has also found that it can reduce the risk of diabetes, heart disease, and even some cancers. One study found that an olive oil-rich Mediterranean diet improved arterial blood flow in people with prediabetes.
The Mediterranean diet is a flexible and tasty approach to healthy eating, which can help you make a lifestyle change and shift to more homemade meals. It is a well-rounded diet that can help you manage your blood sugar levels and improve your overall health.
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Prediabetics should eat more whole fruits and vegetables
Prediabetes is a condition in which the body's cells respond abnormally to insulin, causing the pancreas to produce more insulin to compensate. A prediabetic diet aims to control blood sugar levels and prevent the progression to type 2 diabetes. While there is no one-size-fits-all diet for prediabetes, it is well-established that a balanced diet, rich in whole fruits and vegetables, can help manage and even reverse prediabetes.
Fruits and vegetables are excellent sources of vitamins, minerals, fiber, and phytochemicals. They are also low in calories and carbohydrates, making them a healthy choice for prediabetics. When it comes to fruit, it is best to consume whole, fresh, frozen, or canned fruit with no added sugars. While all fruits are generally safe for prediabetics, some lower-sugar options include berries, kiwi, melons, and oranges. Pairing fruit with a source of protein, such as nuts, seeds, or yogurt, can help slow the absorption of glucose and keep blood sugar levels steady.
Vegetables, both starchy and non-starchy, should also be a staple in a prediabetic diet. Non-starchy vegetables, such as leafy greens, are especially important as they are low in carbohydrates. Starchy vegetables, like potatoes and squash, contain more carbohydrates but also provide essential nutrients. Aim for a variety of colorful vegetables to ensure a diverse range of nutrients.
In addition to whole fruits and vegetables, a prediabetic diet should include other fiber-rich foods, such as whole grains, and healthy sources of protein. It is also crucial to limit added sugars, choose complex carbohydrates over simple ones, and be mindful of portion sizes. Consulting with a registered dietitian can help prediabetics tailor their diet to their individual needs and incorporate healthy choices into their daily lives.
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Lean protein, low-fat dairy, and fibre are important
A prediabetic diet should be balanced and not eliminate entire food groups. It should focus on controlling blood sugar levels by limiting added sugars and simple carbohydrates, and instead incorporating complex carbohydrates and fibre.
Lean protein can be sourced from animal products such as fish, skinless poultry, and cuts of red meat like pork tenderloin, loin, and sirloin roasts. Fish is an excellent source of lean protein, providing less than 3g of fat, 20-25g of protein, and 85-130 calories per 3.5 oz (100g). Frozen unbreaded shrimp is also a convenient, low-fat, high-protein option.
Low-fat dairy products such as cottage cheese, yoghurt, milk, and cheese are good sources of protein.
Fibre can be found in plant-based proteins like legumes, beans, and lentils, as well as whole grains, fruits, and vegetables.
The Mediterranean diet is often regarded as a good prediabetic diet, emphasising whole grains, lean protein, and healthy fats.
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Avoid high-sugar drinks and refined carbohydrates
If you have prediabetes, it is important to limit certain foods and drinks to prevent the condition from progressing to type 2 diabetes. One of the quickest ways to reduce the amount of added sugar in your diet is to avoid high-sugar drinks. This includes sugary soft drinks, juice, sports drinks, sweet tea, and alcoholic beverages. Alcoholic drinks are a form of carbohydrate and can cause blood sugar spikes, especially when consumed in large quantities.
It is also important to watch your carbohydrate intake to avoid blood sugar spikes. The type of carbohydrates you consume matters; opt for complex carbohydrates that take longer to digest and slow down glucose absorption, such as whole grains, beans, and pulses. On the other hand, refined and processed carbohydrates like white rice, white bread, and white potatoes can cause higher spikes in blood sugar as they are quickly digested.
Additionally, be mindful of portion sizes, especially when it comes to sugary foods and refined carbohydrates. Eating large portions of these foods can significantly increase your sugar intake and lead to blood sugar spikes. Reading food labels can help you understand the nutritional value of the food you are consuming and make informed choices.
It is worth noting that you don't have to eliminate entire food groups or restrict yourself to a specific diet. Instead, focus on making gradual behaviour changes and adopting healthier eating habits that work for your lifestyle and preferences. Consulting a doctor or dietitian can provide personalized guidance on managing your prediabetes through diet and lifestyle modifications.
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Portion sizes should be considered to keep blood sugar low
Portion sizes are an important consideration for people with prediabetes, as they directly impact blood sugar levels. Prediabetes is a condition where your blood sugar levels are higher than normal, but not high enough to be classified as type 2 diabetes. Therefore, keeping blood sugar levels low is crucial for managing prediabetes and preventing its progression to type 2 diabetes.
The amount of carbohydrates consumed in a meal influences blood sugar levels. Refined and processed carbohydrates that digest quickly can cause higher spikes in blood sugar. As a result, it is recommended to watch your carb intake and opt for complex carbohydrates that take longer to digest, such as whole grains, beans, and pulses. These slow-releasing carbohydrates are often referred to as low-GI foods, and they help to keep blood sugar levels stable.
When it comes to portion sizes, it is important to understand that they directly impact blood sugar levels. Paying attention to portion sizes can help you keep your diet low on the glycemic index (GI), which is a tool used to determine how a particular food affects your blood sugar. In general, portion sizes in the United States tend to be larger than the intended serving sizes. Therefore, it is crucial to read food labels and understand the nutritional value of the food you are consuming.
To manage prediabetes effectively, it is recommended to limit portion sizes, especially when it comes to carbohydrates. This can help prevent blood sugar spikes after meals. For starchy vegetables, such as potatoes, it is recommended to give them a quarter of your plate using the plate method. For fruits, it is suggested to limit portion sizes to one cup or less at a time and opt for lower-sugar fruits like berries and kiwi.
Additionally, pairing carbohydrates with proteins and healthy fats can help minimize blood sugar spikes. Lean proteins, such as chicken breast, fish, legumes, and nuts, are recommended. Including a small amount of healthy fat, such as olive oil or avocado, can also help to slow down digestion and keep blood sugar levels stable.
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Frequently asked questions
A prediabetic diet is one that helps to manage or reverse prediabetes. It involves cutting out added sugars, swapping simple carbohydrates for complex ones, and eating more vegetables and lean protein. It is also important to watch your portion sizes and to limit alcohol consumption.
There is no single one-size-fits-all diet for prediabetes. The Mediterranean diet is often recommended, but the keto diet and intermittent fasting are also options. The key is to make gradual behaviour changes and adopt a well-balanced diet.
If you have prediabetes, it's important to limit foods and drinks with added sugars and simple carbohydrates. These can cause spikes in blood sugar levels. Alcoholic beverages, which are a form of carbohydrate, are best consumed in moderation or not at all.
If you have prediabetes, it's important to eat a balanced diet that includes complex carbohydrates, lean protein, low-fat dairy, and plenty of fibre and vegetables. Aim for at least 3-5 servings of vegetables a day.
Lowering your blood sugar can be done by adjusting your diet and adding protein and fibre. Eating foods with complex carbohydrates can give your body the carbs it needs without the sugar dump brought by simple carbs.











































