Should I be eating a low-carb diet?
Expert answers to questions you usually save for midnight Google searches.
Diets that severely restrict carb intake below 60 grams per day have become popular, but there’s not enough research to recommend them for diabetes management. Many people who start this diet lose weight and see improved A1C levels, but this may have less to do with carb intake and more to do with being extra focused and mindful about what they’re eating. (This is the case with most fad diets.) Plus, there are risks, including more frequent low-bloodsugar episodes, especially if you take medications with hypoglycemia as a side effect, like insulin or sulfonylureas. If you do change your diet, check your blood sugar more often to get a better sense of trends and to catch any lows. And make sure you are getting the wide range of nutrients your body needs. Many people on low-carb diets don’t eat enough fruits, vegetables, or whole grains, and may get too much saturated fat. It’s a good idea to talk to an RD or CDE. There is added concern if you are pregnant, very athletic, or on medicine that might raise your risk of lows.