Diabetes care can be exhausting. You measure your blood sugar, take meds, drag yourself out of bed to exercise and schedule in extra time to pack a healthy lunch.
In the U.S. alone, 23.6 million people have diabetes. And 5.6 million of them don’t even know it. Unfortunately, misinformation about diabetes is rampant – and mixing up the facts about this disease can have dire consequences. That is why information is vital.
But guess what? A lot of what you read and hear is just plain wrong. That’s why we wanted to share 10 most common misconceptions.
1. Don’t eat white foods.
False. Many people with diabetes believe that white food is bad because it’s starchy, sugary and lacking nutrition. But that belief “has no scientific basis and it’s confusing,” says Anne Daly, registered dietitian and certified diabetes educator at the Springfield (Ill.) Diabetes and Endocrine Center.
Some white foods — cauliflower, apples, potatoes, cottage cheese and milk, for example — provide important nutrients.
Size matters too. Sure, brown rice is healthier than white, but when it comes to your blood sugar levels, portion has more impact than the actual food.
To judge a meal’s effect on your blood sugar, check levels about two hours after eating. If your numbers are too high, she recommends:
- Reducing portions
- Taking a 15- to 30-minute walk at mealtime
- Asking your doctor to review your medications for a possible change
2. Losing weight won’t cure diabetes.
True. If you’re overweight, dropping a few pounds is a good idea and should be part of your treatment plan. But weight loss probably won’t reverse a disease that has been developing for years.
High blood sugar level is just one sign in the long-term development of the disease. The precursors to that include:
- Insulin resistance
- A dwindling supply of insulin and other important blood glucose-control hormones
- Abnormal cholesterol and triglycerides levels
Discouraging, yes, but don’t let it derail your diet. Although weight loss won’t cure diabetes, it may slow its progression.
Losing even 10-20 pounds — and figuring out how to keep those pounds off — may help you control your blood glucose, blood pressure and blood lipids for longer and on fewer medications.
3. Fruit isn’t good for you.
False. Don’t fear fruit’s natural sugars. Your body needs all types of produce for good health.
Learning how much carbohydrate is in all food groups — including fruits and vegetables — and what the portion size is for a single serving helps avoid carbohydrate excesses.
4. You must have snacks.
False. Do you eat snacks when you aren’t hungry? It may explain why you’re not slimming down and seeing healthier blood sugar numbers.
So should you snack or not? Do you like to snack? Does it help you eat less, eat healthier?
If the answer is yes, then snacks can fit into a healthy eating plan.
If the answer is no, you need to look at meal and medication timing, exercise and other factors to minimize low blood glucose levels between meals.
5. You don’t have to give up all sweets.
True. Sure, sugar raises blood glucose, but so do other types of carbohydrate, such as wheat flour, oats and other starches. Again, the amount trumps the type.
So how can you tell if a treat is going to have a bad effect on blood sugar control? Learn to read food labels, and look for the serving size and the total amount of carbohydrates.
6. Sugar-free is OK to eat.
False. Sugar-free pies and cakes are popular, but they aren’t necessarily low calorie, low fat or even low carbohydrate. You must read the labels or make substitutions to satisfy your sweet tooth.
Craving a pie? Instead, use your favorite fruits in a crisp. You’ll eat fewer carbs and get more nutrition than from most other desserts.
7. Eat as much as you want as long as it’s good for you.
False. Too much of a good thing is bad for you. The average person doesn’t need a dinner of 8-ounces of grilled salmon or two cups of whole-wheat pasta.
Start trimming your portions by 10% or 20% at each meal. Serve your food on a smaller plate too. Big plates mean big servings.
8. It’s OK to eat sweets if your blood sugar is too low.
False. Are you so panicked by the shakiness, dizziness or confusion that often accompanies hypoglycemia (low blood glucose) that you gorge on sugary delights until you’re almost nauseous?
Low blood sugar isn’t an excuse to eat extra junk food. Hypoglycemia, typically blood glucose less than 70 mg/dl, should not be treated with so much sugar that you “super-spike” your blood glucose. You’re just trading one problem for another.
Candy, cookies and brownies will have more calories (and often unhealthy saturated fats too) than the recommended treatment, and it may take longer to raise your blood glucose.
For starters, limit yourself to just 15 grams of carbohydrate so you don’t overshoot your blood glucose target.
Here’s the American Diabetes Association’s (ADA) advice on treating low blood sugar:
- Wait 15 minutes after treatment before eating anything else.
- If your blood glucose is still low, consume another 15 grams of carbohydrate.
- Recheck your blood glucose in another 15 minutes.
- Once your symptoms are gone and your blood glucose is above 70 mg/dl, you may still need a snack if your next meal is a while away.
- If you don’t have a preferred treatment food, use any carbohydrate-rich food.
9. You can’t save up for a big dinner by eating light the rest of the day.
True. Who doesn’t want a big celebratory meal now and then? Thanksgiving, birthdays, anniversaries or just a visit to your favorite restaurant can push an appetite into overdrive.
Before you had diabetes, you might have been able to get away with skimping on breakfast and lunch to save up for your big plate of pasta or other favorite meal. But those days are gone. How much you eat at meals matters now.
Eating too much is like getting too much rain. Imagine a torrential downpour for hours. That much falling from the sky in such a short time is sure to flood the streets. That’s what happens in your body; giving it more than it can handle at one time floods the blood with glucose.
Spreading food out over the day and avoiding large quantities gives your body time to level out your blood glucose before the next onslaught.
10. Fat doesn’t matter.
False. Because blood sugar jumps with carbohydrate, but not with fat, many people with diabetes ignore the fat content of their meals. But dietary fat is just as much a problem as sugar.
Fat provides many calories (about 120 per tablespoon) and hinders weight control.
And the type of fat matters. Saturated and trans fats are linked to higher cholesterol levels and increase the risk for heart disease – already your most likely cause of death. Studies also suggest that saturated fat worsens blood glucose control by affecting your body’s response to insulin.
Limit unhealthy fats by avoiding stick margarine and packaged foods made with partially hydrogenated oils, poultry skin, animal fat including dairy and fried foods.