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These studies suggest that a prediabetes diet may include low-calorie and low-glycemic index foods, Mediterranean or low-fat diets, and a carbohydrate-last food order, while also considering plant-based options and specific supplements like yogurt with Lactobacillus plantarum OLL2712 and Allium hookeri extract.
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For individuals with prediabetes, incorporating whole grains and low glycemic index (GI) foods is crucial. Whole-grain bread, brown rice, and potatoes with their skins are recommended for their fiber and magnesium content, which help in maintaining stable blood glucose levels . Low GI carbohydrates, which have a GI of less than 55%, should be consumed regularly to prevent spikes in blood sugar.
A diet rich in fruits and vegetables, particularly green leafy vegetables, is highly beneficial for those with prediabetes. These foods provide essential fiber, magnesium, and polyphenols, which are known to improve glycemic control and reduce the risk of progressing to type 2 diabetes . Consuming at least five portions of fruits and vegetables daily is recommended.
Extra virgin olive oil (EVOO) and nuts, especially pistachios and almonds, are excellent sources of healthy fats. These foods not only help in managing blood glucose levels but also provide essential nutrients like omega-3 fatty acids and vitamin E . Including about 8 grams of EVOO and 30 grams of nuts daily can be beneficial.
Moderate consumption of dairy products such as milk and yogurt, amounting to 300-400 grams per day, is advised. These foods are good sources of calcium and protein, which are important for overall health and can aid in maintaining stable blood sugar levels.
Incorporating a variety of protein sources is essential. Fish, white meat, plant-based proteins, and eggs should be included in the diet. Fish should be consumed four times a week, white meat twice a week, plant-based proteins four times a week, and eggs in moderation . Red and processed meats should be limited to once a week due to their association with increased diabetes risk.
Staying hydrated with mineral water is important, with a recommended intake of about 1.5 liters per day for adequate calcium intake. Additionally, moderate consumption of coffee (up to three cups) and one glass of wine (125 mL) per day can be included, as they have been associated with various health benefits.
The Mediterranean diet, which emphasizes whole grains, fruits, vegetables, healthy fats, and lean proteins, has shown significant benefits in improving glycemic control and reducing the risk of type 2 diabetes . On the other hand, a well-formulated ketogenic diet (WFKD) can also be effective but may have some drawbacks, such as lower nutrient intake and sustainability issues.
Adopting a carbohydrate-last food order, where protein-rich foods and non-starchy vegetables are consumed before carbohydrates, has been shown to improve postprandial glucose levels and overall diet quality. This strategy can be a practical approach for individuals with prediabetes to manage their blood sugar levels effectively.
A well-balanced diet for prediabetes should focus on whole grains, low GI foods, a variety of fruits and vegetables, healthy fats, and diverse protein sources. The Mediterranean diet and specific behavioral strategies like the carbohydrate-last food order can be particularly beneficial. By adhering to these dietary recommendations, individuals with prediabetes can significantly improve their glycemic control and reduce the risk of progressing to type 2 diabetes.
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