Macronutrients and Blood Sugar

Here is a comparison of the macronutrients we have discussed so far. You can see that carbohydrates make the biggest impact on blood sugar but proteins, fats and sugar alcohols also play a role in blood glucose management.

CARBOHYDRATES 100% Glucose   PROTEINS 50% Glucose   FATS 0% Glucose   SUGAR ALCOHOLS 50% Glucose

Fiber

Fiber is a carbohydrate. Since insoluble fiber is not digested by the body, 100% of this fiber can be deducted from the total carbohydrate count. Insoluble fiber is found in fruits, nuts & seeds, vegetables, wheat bran and whole grain foods such as brown rice, whole grain breads, cereals and pastas.

Fiber is a carbohydrate Found in nuts & seeds, vegetables, whole grain foods Insoluble fiber is not digested by the body

Alcohol

Alcohol can impact blood sugar levels. Drinking and diabetes can get complicated. While a glass of wine with dinner can be managed, an alcoholic drink on an empty stomach can be a big deal. Let’s discuss the components involved when someone with diabetes chooses to drink.

First, the liver is an organ that stabilizes glucose levels by storing carbohydrates and releasing them into the blood stream between meals and overnight. The liver is also the center for breaking down toxins like alcohol so the kidneys can easily flush them away. The problem is that the liver is not a multi-tasker. The liver will metabolize the alcohol first as a priority over releasing and regulating glucose. As a result, blood sugar levels can become low leading to hypoglycemia. That is why it is important for someone with diabetes to have a little food as they drink.

Often the symptoms of hypoglycemia are confused with being drunk such as slurred speech, drowsiness, confusion, or difficulty walking. This coupled with someone who has hypoglycemia unawareness can present a problem.

Drinking is individualized. If someone with diabetes chooses to drink, it is important that they learn to do so safely.

Can cause hypoglycemia Moderation is key Best with food