Type 2 Diabetes – insulin treated

Diabetic Meal Plan for Type 2 Diabetes – insulin treated. Diabetes, or as it's fully called Diabetes Mellitus is, in fact, two completely different diseases type 1 and type 2, and from a nutritional point of view each should be treated differently, therefore we have a plan for both.

Blood sugar (glucose) levels are controlled by a hormone called insulin, produced by the pancreas. Glucose comes from the digestion of starchy foods, such as bread and potatoes, from sugar and naturally sweet foods, and the liver where it is made and passed into the blood. In diabetes glucose cannot be used effectively as a fuel by the body, leading to increased levels in the blood, and the excess glucose passes over into urine making the patient pass more urine and feel thirsty. Other symptoms include tiredness, blurred vision and disorientation.

In type 1 diabetes the pancreas produces no insulin at all, so the patient has to be treated with injections of insulin as well as a suitable diet. In type 2 diabetes insulin is unable to act properly in the body. This is due to a metabolic state of the body called insulin resistance and because the insulin is not having its desired effect this can in fact lead to more and more insulin being released, and high blood glucose levels are associated with high blood insulin levels. The condition is very often, but not always, associated with being overweight and rarely in people under 40 years old, unless they are obese.

Type 2 diabetes is also called non insulin dependant diabetes mellitus (NIDDM) and can be treated with diet only, with different types of drugs or in more advanced stages will actually require insulin treatment. For type 2 diabetics who are treated with diet only or use anti-diabetic drugs like biguanides (e.g. Metformin) please see the plan here. The plan below is aimed at type 2 diabetics who are treated with insulin or sulfonylurea drugs like tolbutaminde, gliclazide and others, which trigger insulin release. The meal plan for type 1 diabetics would also be suitable for this group.



The aim of treatment is to improve blood glucose regulation and to prevent the onset of hypoglycaemia, or low blood sugar levels. For this reason regular meals and snacks are encouraged, especially in respect of carbohydrate foods. Diabetics should aim for slow-released low glycaemic carbs as the basis of each meal and snack. Unlike type 1 diabetes, type 2 diabetics on insulin will more likely have longer acting insulin regimens, meaning there is less flexibility with meals, so try to stick to a plan. See our Glycaemic Index Tables for GI values of foods.

It's important that diabetics follow a suitable diet because:

What you eat affects your blood glucose levels
Being a healthy weight helps control your blood sugar levels
Diet affects the amounts and type of fats in blood, keeping these to a desired level reduces risk of heart disease
A diet for type 2 diabetes is simply based on the healthy eating guidelines which we all should be following. A word of caution though, so called 'diabetic products' such as special chocolates, cakes, biscuits, etc are not recommended. Eating a range of low fat, low sugar, high fibre 'ordinary' foods is far better. Many of these 'diabetic products' are no lower in fat or calories and are normally more expensive. Some contain the sweetener sorbitol which can cause wind, stomach upsets and diarrhoea. However 'low sugar'/'sugar-free' products, like diet soft drinks, are fine, and can be enjoyed.

The following meal plan is an example plan of a healthy diet which is suitable for a type 2 diabetic treated with insulin or sulfonylurea drugs. It is aimed at weight control as the condition is often associated with being overweight. Use this to give you an idea of what are healthy nutritious foods to include, but don't forget to vary your food choices and to drink plenty of water through the day. Remember to check with your doctor or diabetes specialist nurse before commencing this plan.
Today
Thursday, Jul 7, 2022 UTC/GMT +03:00
Thursday, Jul 7, 2022 UTC/GMT +03:00
Thu Jul 7 08:00 - 08:00 High fibre cereal (porridge, no added sugar muesli, Shredded Wheat, Weetabix, etc) + 200ml skimmed milk + sweetener (optional) or 1-2 slices granary bread with olive oil-based spread 200ml fruit juice Mug tea/coffee
10:00 - 10:00 1-2 oatcakes or digestive biscuits Item fruit Drink
13:00 - 13:00 2 slices granary bread or 2-4 oatcakes or 2-4 rye crispbread and slice deli chicken/ham or tuna in low fat natural yoghurt or smoked salmon or low fat cheese and mixed salad Low fat / low sugar yoghurt Drink water
16:00 - 16:00 Banana Mug tea/coffee
19:00 - 19:00 Chicken breast or white fish or lean meat and basmati rice or wholewheat pasta or medium jacket potato or small sweet potato and loads of veg or large salad
22:00 - 22:00 Item fruit Drink water
Fri Jul 8 08:00 - 08:00 High fibre cereal (porridge, no added sugar muesli, Shredded Wheat, Weetabix, etc) + 200ml skimmed milk + sweetener (optional) or 1-2 slices granary bread with olive oil-based spread 200ml fruit juice Mug tea/coffee
10:00 - 10:00 1-2 oatcakes or digestive biscuits Item fruit Drink
13:00 - 13:00 2 slices granary bread or 2-4 oatcakes or 2-4 rye crispbread and slice deli chicken/ham or tuna in low fat natural yoghurt or smoked salmon or low fat cheese and mixed salad Low fat / low sugar yoghurt Drink water
16:00 - 16:00 Banana Mug tea/coffee
19:00 - 19:00 Chicken breast or white fish or lean meat and basmati rice or wholewheat pasta or medium jacket potato or small sweet potato and loads of veg or large salad
22:00 - 22:00 Item fruit Drink water
Sat Jul 9 08:00 - 08:00 High fibre cereal (porridge, no added sugar muesli, Shredded Wheat, Weetabix, etc) + 200ml skimmed milk + sweetener (optional) or 1-2 slices granary bread with olive oil-based spread 200ml fruit juice Mug tea/coffee
10:00 - 10:00 1-2 oatcakes or digestive biscuits Item fruit Drink
13:00 - 13:00 2 slices granary bread or 2-4 oatcakes or 2-4 rye crispbread and slice deli chicken/ham or tuna in low fat natural yoghurt or smoked salmon or low fat cheese and mixed salad Low fat / low sugar yoghurt Drink water
16:00 - 16:00 Banana Mug tea/coffee
19:00 - 19:00 Chicken breast or white fish or lean meat and basmati rice or wholewheat pasta or medium jacket potato or small sweet potato and loads of veg or large salad
22:00 - 22:00 Item fruit Drink water
Sun Jul 10 08:00 - 08:00 High fibre cereal (porridge, no added sugar muesli, Shredded Wheat, Weetabix, etc) + 200ml skimmed milk + sweetener (optional) or 1-2 slices granary bread with olive oil-based spread 200ml fruit juice Mug tea/coffee
10:00 - 10:00 1-2 oatcakes or digestive biscuits Item fruit Drink
13:00 - 13:00 2 slices granary bread or 2-4 oatcakes or 2-4 rye crispbread and slice deli chicken/ham or tuna in low fat natural yoghurt or smoked salmon or low fat cheese and mixed salad Low fat / low sugar yoghurt Drink water
16:00 - 16:00 Banana Mug tea/coffee
19:00 - 19:00 Chicken breast or white fish or lean meat and basmati rice or wholewheat pasta or medium jacket potato or small sweet potato and loads of veg or large salad
22:00 - 22:00 Item fruit Drink water
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