Rolle Medical Partnership Exmouth Health Centre ADVICE FOR CONTROLLING YOUR BLOOD SUGAR 1 A Guide to Choosing Food for a Healthy Lifestyle to Control Your Blood Sugar The advice on food to choose is given by dividing foods into 3 groups: FOODS TO EAT IN MODERATION FOODS TO AVOID These foods are low in sugar, low in fat or high in fibre and should form the basis of your diet. It is not a good idea to eat these foods everyday, but eating a few once or twice a week will not prevent you from having a healthy diet. These foods have either a high sugar or high fat content, or are low in fibre. They should be eaten very occasionally. FRUIT & VEGETABLES BREAD, CEREALS, POTATOES FOODS FOR EVERYDAY USE FOODS FOR EVERYDAY USE FOODS TO EAT IN MODERATION FOODS TO AVOID Wholemeal and granary bread. Wholemeal flour. Wholemeal breakfast cereals, eg Branflakes, Weetabix, Shredded Wheat, Porridge. Pasta and rice. Chapattis. Potatoes – try jacket, boiled or mashed. Plain biscuits, eg Crispbread, Rich Tea, Wholewheat crackers, Morning Coffee & Marie. White breads. Naan bread. Refined breakfast cereals, eg Cornflakes, Rice Krispies. White flour. Digestive biscuits, oatcakes, cream crackers. Thick cut chips or roast potatoes cooked in rapeseed, olive or sunflower oil, reduced fat oven chips. Crisps. Croissants. Sugar or honeycoated breakfast cereals. Chocolate and cream filled biscuits. All fresh and frozen vegetables, salad. Try baked beans and pulses, eg lentils, kidney beans, etc. Try fresh or stewed fruit, fruit tinned in natural juice. Coleslaw with low fat dressings. Dried fruit, a small glass of unsweetened fruit juice eg ¼ pt per day. Potatoes cooked in lard or dripping. Coleslaw, potato salad in mayonnaise. Fruit tinned in syrup. TRY AND HAVE 5 HELPINGS OF FRUIT & VEGETABLES DAILY. 2 FISH FOODS FOR EVERYDAY USE FOODS TO EAT IN MODERATION FOODS TO AVOID ALL TYPES OF FISH eg salmon, tuna, mackerel, sardines. If tinned, choose variety in brine or tomato sauce. You can use grilled fish fingers, fish in skimmed milk sauce. Baked fish in breadcrumbs, shellfish, fish paste and pâté. Fish in batter. Taramasalata. FATS & OILS TRY AND INCLUDE OILY FISH TWICE A WEEK. Soft margarines high in polyunsaturates and low in saturates eg Flora, Vitalite and Olivio. Check supermarket brands with your dietician. Low fat salad cream. Salad dressing made from a polyunsaturated oil or olive oil. Fat-free dressing. Oils including olive, sunflower, safflower, corn, blended vegetable and soya oil. Butter, hard margarines, eg Stork, Krona. Suet, dripping, lard, vegetable white cooking fat. Mayonnaise, salad cream. Palm oil. Low fat spreads: St Ivel Gold, Olivite, Flora Light. DAIRY PRODUCTS MEAT It is important to reduce the total amount of fat in your diet, so use margarines/spreads/oils sparingly. Lean pork, ham, gammon, lamb, beef, lean mince, chicken and turkey (skin removed), eg 4oz per cooked meal, 2oz per snack meal. Liver, kidney, tongue, bacon, corned beef, luncheon meat, chopped ham and pork, low fat sausages and burgers. Visible fat on meat, sausages, belly pork, streaky bacon, meat pies, pasties, sausage rolls, black pudding, salami, haslet, pâté and potted meat. Eggs, boiled or poached. Skimmed and semiskimmed milks. Very low fat soft cheese, cottage and curd cheese. Fromage frais low in fat and sugar. Low fat and low sugar ‘diet’ yoghurts. Scrambled eggs. Evaporated milk. Medium fat cheeses, eg Edam, Gouda, Camembert, Brie. Processed cheese or reduced fat cheeses, eg Shape, Tendale. Plain icecream. Low fat Crème frais, single and double cream. Fried eggs. Hard cheeses, eg Cheddar, Stilton, cream cheese. Full cream milk, condensed milk. Clotted cream (any type). Yoghurt made with full cream milk. Milk substitutes, eg Coffeemate and coffee complement. Fancy icecream made with cream. 3 FOODS TO AVOID Coconut and coconut cream. Low sugar custard. Low sugar whips and mousses and milk puddings made with water, skimmed or semi-skimmed milk and sweetened with artificial sweetener (eg 5oz portions). Low sugar jelly. Tinned low fat and low sugar milk puddings, eg Heinz Weight Watchers and Ambrosia Lite. Home-made cakes and puddings made with wholemeal flour, skimmed or semi-skimmed milk, reduced sugar and polyunsaturated margarine. Yorkshire pudding. Dumplings. Tinned whole milk puddings. Ordinary jelly, cakes, puddings, pastries and biscuits. Artificial sweeteners, eg Sweetex, Hermesetas, Natrene, Nutrasweet, Canderel, Hermesetas Gold and supermarket sweeteners. Low sugar and high fruit content jams, eg 2 tsp per day. Ordinary jam and marmalade spread thinly on bread, eg 1 tsp per day. Sugar. Chocolate and chocolate spreads. Boiled sweets, peppermints, toffee, fudge, butterscotch, etc. Treacle and syrup. Honey, lemon curd. Mincemeat. Marzipan. Sorbitol based sweeteners. Herbs and spices. Unsweetened pickles, eg beetroot, pickled onions, pickled cabbage and gherkins. Gravy granules. Salt. Use a minimum quantity in cooking, do not add to food at the table. Brown and tomato sauce, soya sauce. Pickles and chutney with a high sugar content. Sweet and sour sauces. HOMEMADE DISHES NUTS All nuts, including peanut butter. SWEETS AND PRESERVES FOODS TO EAT IN MODERATION MISCELLANEOUS FOODS FOR EVERYDAY USE 4 DRINKS FOODS FOR EVERYDAY USE FOODS TO EAT IN MODERATION FOODS TO AVOID Tea, coffee, soda and mineral waters. No added sugar and low calorie squashes and fizzy drinks. Low calorie chocolate drinks, eg Highlights, Options and cocoa powder. Packet soups. Oxo, Bovril, Marmite. Alcoholic drinks. Cream soups. Ordinary squash and fizzy drinks. Liqueurs. Low fat bedtime drinks. Drink alcohol in moderation only. Keep to sensible drinking limits 2 units per day for women, 3 units per day for men. ALCOHOL 1 unit is equal to: ½ pint ordinary strength beer/lager. 1 glass wine. 1 measure spirits. Remember: Never drink on an empty stomach as alcohol can make hypoglycaemia (low blood glucose levels) more likely to occur. Use ‘diet/low calorie’ mixers. Before you come to see the Diabetic Nurse, keep a food diary for 2 days. 5