EVERYTHING YOU WANTED TO KNOW ABOUT FOOD

(but were too afraid to ask)

Everything you wanted to

know about food Healthy eating can be confusing; Dr Kate Marsh has sensible, can-do advice

If you’re unsure about what to eat, you are certainly not alone. There’s plenty of confusing and conflicting information out there when it comes to good nutrition, particularly when you have diabetes. Fortunately, healthy eating doesn’t need to be hard. We cut through the jargon and got the straight talk on how to eat well.

Should I go low carb if I have diabetes?

There’s certainly some evidence to show low-carb diets can help with improving blood glucose levels and blood fats, and reducing medication needs in people with type 2 diabetes.

But other diets, including Mediterranean and low-fat vegetarian diets, have shown similar benefits. And we don’t know the long-term effect of a very low-carb diet. Those in favour of low-carb diets for diabetes say cutting carbs is the answer because these are the foods that directly affect our blood glucose levels.

But if you have type 2 diabetes, the reason you don’t deal with carbs in the same way as someone without diabetes is because of underlying insulin resistance. So the aim of any dietary or lifestyle changes should be to improve how insulin works in your body. And there is evidence low-fat, high-fibre, plant-based diets improve insulin resistance while high intakes of saturated fat and red meat can worsen insulin resistance. So, while a very low-carb diet may work in the short-term, it may not be the best way to manage diabetes in the longer term.

Low fat or low carb? Small regular meals or fasting? When did healthy eating become so hard? DL dietitian and

diabetes educator Dr Kate Marsh

tells all