Figuring out the best foods to eat when you have diabetes can be tough.
The main goal is to keep blood sugar levels well-controlled.
However, it's also important to eat foods that help prevent diabetes complications like heart disease.
Here are the 16 best foods for diabetics, both type 1 and type 2.
Fatty fish is one of the healthiest foods on the planet.
Getting enough of these fats on a regular basis is especially important for diabetics, who have an increased risk of heart disease and stroke (1).
Bottom Line: Fatty fish contain omega-3 fats that reduce inflammation and other risk factors for heart disease and stroke.
Leafy green vegetables are extremely nutritious and low in calories.
They're also very low in digestible carbs, which raise your blood sugar levels.Spinach, kale and other leafy greens are good sources of several vitamins and minerals, including vitamin C.
In one study, increasing vitamin C intake reduced inflammatory markers and fasting blood sugar levels for people with type 2 diabetes or high blood pressure (11).
In addition, leafy greens are good sources of the antioxidants lutein and zeaxanthin.
Bottom Line: Leafy green vegetables are rich in nutrients and antioxidants that protect your heart and eye health.
Long-term diabetes control is typically determined by measuring hemoglobin A1c, which reflects your average blood sugar level over 2–3 months.
In one study, type 2 diabetes patients who took cinnamon for 90 days had more than a double reduction in hemoglobin A1c, compared those who only received standard care (22).
A recent analysis of 10 studies found that cinnamon may also lower cholesterol and triglyceride levels (23).
Furthermore, you should limit your intake of cassia cinnamon — the type found in most grocery stores — to less than 1 teaspoon per day.
It contains coumarin, which is linked to health problems at higher doses (27).
On the other hand, ceylon ("true") cinnamon contains much less coumarin.
Bottom Line: Cinnamon may improve blood sugar control, insulin sensitivity, cholesterol and triglyceride levels in type 2 diabetics.
Eggs provide amazing health benefits.
Regular egg consumption may also reduce your heart disease risk in several ways.
Just be sure to eat whole eggs. The benefits of eggs are primarily due to nutrients found in the yolk rather than the white.
Bottom Line: Eggs improve risk factors for heart disease, promote good blood sugar control, protect eye health and keep you feeling full.
Chia seeds are a wonderful food for people with diabetes.
They're extremely high in fiber, yet low in digestible carbs.
In fact, 11 of the 12 grams of carbs in a 28-gram (1-oz) serving of chia seeds are fiber, which doesn't raise blood sugar.
Chia seeds may help you achieve a healthy weight because fiber reduces hunger and makes you feel full. In addition, fiber can decrease the amount of calories you absorb from other foods eaten at the same meal (41, 42).
Additionally, chia seeds have been shown to reduce blood pressure and inflammatory markers (43).
Bottom Line: Chia seeds contain high amounts of fiber, are low in digestible carbs and may decrease blood pressure and inflammation.
Turmeric is a spice with powerful health benefits.
Unfortunately, curcumin isn't absorbed that well on its own. Be sure to consume turmeric with piperine (found in black pepper) in order to boost absorption by as much as 2,000% (53).
Bottom Line: Turmeric contains curcumin, which may reduce blood sugar levels and inflammation, while protecting against heart and kidney disease.
Studies have found that yogurt and other dairy foods may lead to weight loss and improved body composition in people with type 2 diabetes.
What's more, Greek yogurt contains only 6–8 grams of carbs per serving, which is lower than conventional yogurt. It's also higher in protein, which promotes weight loss by reducing appetite and decreasing calorie intake (61).
Bottom Line: Greek yogurt promotes healthy blood sugar levels, reduces risk factors for heart disease and may help with weight management.
Nuts are delicious and nutritious.
All types of nuts contain fiber and are low in digestible carbs, although some have more than others.
Here are the amounts of digestible carbs per 1-oz (28-gram) serving of nuts:
- Almonds: 2.6 grams.
- Brazil nuts: 1.4 grams.
- Cashews: 7.7 grams.
- Hazelnuts: 2 grams.
- Macadamia: 1.5 grams.
- Pecans: 1.2 grams.
- Pistachios: 5 grams.
- Walnuts: 2 grams.
In one study, people with diabetes who included 30 grams of walnuts in their daily diet for one year lost weight, had improvements in body composition and experienced a significant reduction in insulin levels (66).
This finding is important because people with type 2 diabetes often have elevated levels of insulin, which are linked to obesity.
Bottom Line: Nuts are a healthy addition to a diabetic diet. They're low in digestible carbs and help reduce blood sugar, insulin and LDL levels.
Broccoli is one of the most nutritious vegetables around.
A half cup of cooked broccoli contains only 27 calories and 3 grams of digestible carbs, along with important nutrients like vitamin C and magnesium.
What's more, broccoli is another good source of lutein and zeaxanthin. These important antioxidants help prevent eye diseases (71).
Bottom Line: Broccoli is a low-calorie, low-carb food with high nutrient value. It is loaded with healthy plant compounds that can protect against various diseases.
Extra-virgin olive oil is extremely beneficial for heart health.
It contains oleic acid, a type of monounsaturated fat that has been shown to improve triglycerides and HDL, which are often at unhealthy levels in type 2 diabetes.
Olive oil also contains antioxidants called polyphenols. They reduce inflammation, protect the cells lining your blood vessels, keep your LDL cholesterol from becoming damaged by oxidation and decrease blood pressure (75, 76, 77).
Extra-virgin olive oil is unrefined and retains the antioxidants and other properties that make it so healthy. Be sure to choose extra-virgin olive oil from a reputable source, since many olive oils are mixed with cheaper oils like corn and soy (78).
Bottom Line: Extra-virgin olive oil contains healthy oleic acid. It has benefits for blood pressure and heart health.
Flaxseeds are an incredibly healthy food.
In one study, people with type 2 diabetes who took flaxseed lignans for 12 weeks had a significant improvement in hemoglobin A1c (80).
Another study suggested that flaxseeds may lower the risk of strokes and potentially reduce the dosage of medication needed to prevent blood clots (81).
Your body can't absorb whole flaxseeds, so purchase ground seeds or grind them yourself. It's also important to keep flaxseeds tightly covered in the refrigerator to prevent them from going rancid.
Bottom Line: Flaxseeds may reduce inflammation, lower heart disease risk, decrease blood sugar levels and improve insulin sensitivity.
Apple cider vinegar has many health benefits.
Apple cider vinegar has been shown to improve insulin sensitivity and lower fasting blood sugar levels. It may also reduce blood sugar response by as much as 20% when consumed with meals containing carbs (85, 86, 87, 88).
In one study, people with poorly controlled diabetes had a 6% reduction in fasting blood sugar when they took 2 tablespoons of apple cider vinegar before bed (88).
Apple cider vinegar may also slow stomach emptying and keep you feeling full.
However, this can be a problem for people who have gastroparesis, a condition of delayed stomach emptying that is common in diabetes, particularly type 1 (89).
To incorporate apple cider vinegar into your diet, begin with 1 teaspoon mixed in a glass of water each day. Increase to a maximum of 2 tablespoons per day.
Bottom Line: Apple cider vinegar can improve insulin sensitivity and lower blood sugar levels. It may also help you feel full for longer.
Strawberries are one of the most nutritious fruits you can eat.
They're high in antioxidants known as anthocyanins, which give them their red color.
A one-cup serving of strawberries contains 49 calories and 11 grams of carbs, three of which are fiber.
This serving also provides more than 100% of the RDI for vitamin C, which provides additional anti-inflammatory benefits for heart health (11).
Bottom Line: Strawberries are low-sugar fruits that have strong anti-inflammatory properties and may help reduce heart disease risk.
Garlic is a delicious herb with impressive health benefits.
In one study, people with uncontrolled high blood pressure who took aged garlic for 12 weeks averaged a 10-point decrease in blood pressure (97).
One clove of raw garlic contains only 4 calories and 1 gram of carbs.
Bottom Line: Garlic helps lower blood sugar, inflammation, LDL cholesterol and blood pressure in people with diabetes.
Squash is one of the healthiest vegetables around.
Winter varieties have a hard shell and include acorn, pumpkin and butternut.
Summer squash has a soft peel that can be eaten. The most common types are zucchini and Italian squash.
Like most vegetables, squash contains beneficial antioxidants. Many types of winter squash are high in lutein and zeaxanthin, which protect against cataracts and macular degeneration.
Although there's very little research on humans, one study found that people with type 2 diabetes who took an extract of the winter squash Cucurbita ficifolia experienced a significant decrease in blood sugar levels (100).
However, winter squash is higher in carbs than summer squash.
For example, 1 cup of cooked pumpkin contains 9 grams of digestible carbs, while 1 cup of cooked zucchini contains only 3 grams of digestible carbs.
Bottom Line: Summer and winter squash contain beneficial antioxidants and may help lower blood sugar and insulin levels.
Shirataki noodles are wonderful for diabetes and weight control.
These noodles are high in the fiber glucomannan, which is extracted from konjac root.
This plant is grown in Japan and processed into the shape of noodles or rice known as shirataki.
Glucomannan is a type of viscous fiber, which makes you feel full and satisfied. It also lowers levels of the "hunger hormone" ghrelin (101).
A 3.5-oz (100-gram) serving of shirataki noodles also contains less than one gram of digestible carbs and just two calories per serving.
However, these noodles are typically packaged with a liquid that has a fishy odor and you need to rinse them very well before use. Then, to ensure a noodle-like texture, cook the noodles for several minutes in a skillet over high heat without added fat.
Bottom Line: The glucomannan in shirataki noodles promotes feelings of fullness and can improve blood sugar control and cholesterol levels.
Uncontrolled diabetes increases your risk of several serious diseases.
However, eating foods that help keep blood sugar, insulin and inflammation under control can dramatically reduce your risk of developing complications.