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Make Healthy Carbohydrate Choices

A Variety Of Delicious Meals And Snacks Will Hit The Spot

How much and what type of foods you eat makes a difference in your general health, and especially if you are managing diabetes. If you are constantly asking yourself what carbohydrates you should eat, the American Diabetes Association has advice on balancing your meals and making the healthiest food choices.

The three main types of carbohydrate in food are Starches (also known as complex carbohydrates), Sugars and Fiber.

You’ll also hear terms like naturally occurring sugar, added sugar, low-calorie sweeteners, sugar alcohols, reduced-calorie sweeteners, processed grains, enriched grains, complex carbohydrate, sweets, refined grains and whole grains. It’s no wonder knowing what kind and how much carbohydrate to eat can be confusing.

On the nutrition label, the term “total carbohydrate” includes all three types of carbohydrates. This is the number you should pay attention to if you are carbohydrate counting.

Starch

Foods high in starch include:

  • Starchy vegetables like peas, corn, lima beans and potatoes.
  • Dried beans, lentils and peas such as pinto beans, kidney beans, black eyed peas and split peas.
  • Grains like oats, barley and rice. (The majority of grain products in the U.S. are made from wheat flour. These include pasta, bread and crackers but the variety is expanding to include other grains as well.) The grain group can be broken down even further into whole grain or refined grain.
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A grain contains three parts: bran, germ and endosperm.

  • The bran is the outer hard shell of the grain. It is the part of the grain that provides the most fiber and most of the B vitamins and minerals.
  • The germ is the next layer and is packed with nutrients including essential fatty acids and vitamin E.
  • The endosperm is the soft part in the center of the grain. It contains the starch. Whole grain means that the entire grain kernel is in the food.

If you eat a whole grain food, it contains the bran, germ and endosperm so you get all of the nutrients that whole grains have to offer. If you eat a refined grain food, it contains only the endosperm or the starchy part so you miss out on a lot of vitamins and minerals. Because whole grains contain the entire grain, they are much more nutritious than refined grains.

Sugar

Sugar is another type of carbohydrate. You may also hear sugar referred to as simple or fast-acting carbohydrate. There are two main types of sugar:

  • naturally occurring sugars such as those in milk or fruit.
  • added sugars such as those added during processing such as fruit canned in heavy syrup or sugar added to make a cookie.
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On the nutrition facts label, the number of sugar grams includes both added and natural sugars.

There are many different names for sugar, including table sugar, brown sugar, molasses, honey, beet sugar, cane sugar, confectioner’s sugar, powdered sugar, raw sugar, turbinado, maple syrup, high-fructose corn syrup, agave nectar and sugar cane syrup.

You may also see table sugar listed by its chemical name, sucrose. Fruit sugar is also known as fructose, and the sugar in milk is called lactose. You can recognize other sugars on labels because their chemical names also end in “-ose,” for example, glucose (also called dextrose), fructose (also called levulose), lactose and maltose.

Fiber

Fiber comes from plant foods so there is no fiber in animal products such as milk, eggs, meat, poultry and fish.

Fiber is the indigestible part of plant foods, including fruits, vegetables, whole grains, nuts and legumes. When you consume dietary fiber, most of it passes through the intestines and is not digested.

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For good health, adults need to try to eat 25 to 30 grams of fiber each day. Most Americans do not consume nearly enough fiber in their diet, so while it is wise to aim for this goal, any increase in fiber in your diet can be beneficial. Most of us only get about half of what is recommended.

Fiber contributes to digestive health, helps to keep you “regular,” and helps to make you feel full and satisfied after eating.

Additional health benefits of a diet high in fiber — such as a reduction in cholesterol levels — have been suggested by some so may be an additional benefit.

Good sources of dietary fiber include:

  • Beans and legumes. Think black beans, kidney beans, pintos, chick peas (garbanzos), white beans, and lentils.
  • Fruits and vegetables, especially those with edible skin (for example, apples, corn and beans) and those with edible seeds (for example, berries).
  • Whole wheat pasta
  • Whole grain cereals (Look for those with three grams of dietary fiber or more per serving, including those made from whole wheat, wheat bran and oats.)
  • Whole grain breads (To be a good source of fiber, one slice of bread should have at least three grams of fiber. Another good indication: look for breads where the first ingredient is a whole grain. For example, whole wheat or oats.) Many grain products now have “double fiber” with extra fiber added.
  • Nuts — try different kinds. Peanuts, walnuts and almonds are a good source of fiber and healthy fat, but watch portion sizes, because they also contain a lot of calories in a small amount.
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In general, an excellent source of fiber contains five grams or more per serving, while a good source of fiber contains 2.5 – 4.9 grams per serving.

It is best to get your fiber from food rather than taking a supplement. In addition to the fiber, these foods have a wealth of nutrition, containing many important vitamins and minerals. In fact, they may contain nutrients that haven’t even been discovered yet.

It is also important that you increase your fiber intake gradually, to prevent stomach irritation, and that you increase your intake of water and other liquids, to prevent constipation.

For more food tips and information about living with diabetes, visit the American Diabetes Association at diabetes.org.

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