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Carbs and Blood Sugar

Keeping your blood sugar levels on track means watching what
you eat, plus taking medicines like insulin if you need to. Your
doctor may also have mentioned that you should keep track of
how many carbohydrates (carbs) you eat. But what exactly are
carbohydrates and how do they affect your blood sugar?

The foods we eat contain nutrients that provide energy and
other things the body needs, and one of these is carbohydrates
(pronounced: kar-bo-hi-drates). The two main forms of
carbohydrates are:

1. sugars such as fructose, glucose, and lactose
2. starches, which are found in foods such as starchy
   vegetables (like potatoes or corn), grains, rice, breads, and
   cereals.

The body breaks down or converts most carbohydrates into the
sugar glucose (pronounced: gloo-kose). Glucose is absorbed
into the bloodstream, and with the help of a hormone called
insulin (pronounced: in-suh-lin) it travels into the cells of the
body where it can be used for energy.
But people with diabetes have problems with insulin that can
cause blood sugar levels to rise. For people with type 1
diabetes, the pancreas does not make enough insulin, and for
people with type 2 diabetes, the body can't respond normally
to the insulin that is made.




                     Unfiled Notes Page 1
Carbs Can Be Part of a Healthy Diet

Because the body turns carbohydrates into glucose, eating
carbohydrates makes blood sugar levels rise. But that doesn't
mean you should avoid carbohydrates if you have diabetes.
Carbohydrates are a healthy and important part of a nutritious
diet.

Some carbohydrates have more health benefits than others,
though. For example, whole-grain foods and fruits are healthier
choices than candy and soda because they provide fiber,
vitamins, and other nutrients.

Fiber is important because it helps you feel full and keeps your
digestive system working properly. In fact, eating lots of fiber
can even help to slow the body's absorption of sugar when
eaten together with sugar in the same food. Everyone needs
fiber, and most people don't get enough. Some experts think
that people with diabetes should eat more fiber than people
without diabetes to help control blood sugar.

Sugary foods, like soda and candy, don't usually have fiber and
typically contain "empty calories." That means they have
calories but little nutritional value, and eating too many of
them might leave little room for healthy foods. Eating too many
empty-calorie foods can also make a person more likely to be
overweight or obese. These foods can also cause tooth decay.




                     Unfiled Notes Page 2
What Are Simple Carbohydrates, Complex
Carbohydrates, and Dietary Fiber?

Carbohydrates are a necessary part of a healthy diet, offering
your body nutrients it can convert to glucose to power muscles.
Carbohydrates come in three varieties: simple carbohydrates,
complex carbohydrates, and dietary fiber. All are composed of
units of sugar. What makes one carbohydrate different from
another is the number of sugar units it contains and how the
units are linked together.

 • Simple carbohydrates: These carbohydrates have only
   one or two units of sugar.

    ○ A carbohydrate with one unit of sugar is called a simple
      sugar or a monosaccharide (mono = one; saccharide =
      sugar). Fructose (fruit sugar) is a monosaccharide, and
      so are glucose (blood sugar), the sugar produced when
      you digest carbohydrates, and galactose, the sugar
      derived from digesting lactose (milk sugar).

    ○ A carbohydrate with two units of sugar is called a double
      sugar or a disaccharide (di = two). Sucrose (table sugar),
      which is made of one unit of fructose and one unit of
      glucose, is a disaccharide.

 • Complex carbohydrates: Also known as polysaccharides
   (poly = many), these carbs have more than two units of
   sugar linked together. Carbs with three to ten units of sugar
   are sometimes called oligosaccharides (oligo = few).




                     Unfiled Notes Page 1
• Because complex carbohydrates are, well, complex, with
  anywhere from three to a zillion units of sugars, your body
  takes longer to digest them than it takes to digest simple
  carbohydrates. As a result, digesting complex carbohydrates
  releases glucose into your bloodstream more slowly and
  evenly than digesting simple carbs.

   ○ Raffinose is a trisaccharide (tri = three) that’s found in
     potatoes, beans, and beets. It has one unit each of
     galactose, glucose, and fructose.

   ○ Stachyose is a tetrasaccharide (tetra = four) found in the
     same vegetables mentioned in the previous item. It has
     one fructose unit, one glucose unit, and two galactose
     units.

   ○ Starch, a complex carbohydrate in potatoes, pasta, and
     rice, is a definite polysaccharide, made of many units of
     glucose.

• Dietary fiber: This term is used to distinguish the fiber in
  food from the natural and synthetic fibers (silk, cotton,
  wool, nylon) used in fabrics. Dietary fiber is a third kind of
  carbohydrate.
  Dietary fiber is not like other carbohydrates. The bonds that
  hold its sugar units together cannot be broken by human
  digestive enzymes. Although the bacteria living naturally in
  your intestines convert very small amounts of dietary fiber
  to fatty acids, dietary fiber is not considered a source of
  energy.




      Like the complex carbohydrates, dietary fiber (cellulose,
                    Unfiled Notes Page 2
○ Like the complex carbohydrates, dietary fiber (cellulose,
  hemicellulose, pectin, beta-glucans, gum) is a
  polysaccharide. Lignin, a different kind of chemical, is
  also called a dietary fiber.

○ Some kinds of dietary fiber also contain units of soluble
  or insoluble uronic acids, compounds derived from the
  sugars fructose, glucose, and galactose. For example,
  pectin — a soluble fiber in apples — contains soluble
  galacturonic acid.




                 Unfiled Notes Page 3
Simple Carbs vs Complex Carbs

High carb foods are defined as simple or complex based
on their chemical structure.
The “simpler” that structure is, the faster your body will
digest and absorb that food (think sugar, candy, soda,
etc.).

The more “complex” that structure is, the slower the
digestion and absorption process will be (think
vegetables, beans, grains, etc.).

And this digestion/absorption rate stuff is important
because, the faster this process takes place within your
body, the more it spikes your blood insulin levels.

For this reason, diets high in simple carbs have been
shown to increase our risk of diabetes and heart disease,
while diets high in complex carbs have actually been
shown to help do the opposite.

Simple carbs also tend to be highly processed junk that
lacks any nutritional value of any kind, while complex
carbs are typically unprocessed, high in fiber, and high in
various other important nutrients, vitamins and minerals.

And overall health and nutrition aside, simple carbs are
also less filling, which means you’ll be hungrier sooner
after eating them. Not to mention, that large spike in
blood sugar will result in a crash soon after, and that
crash signals hunger and food cravings.

                   Unfiled Notes Page 1
So, as you can clearly see here for many obvious reasons:
 • Simple carbs should typically be greatly
    limited/avoided.
 • Complex carbs should comprise the majority of your
    daily carb intake.

HOWEVER…
There’s just one tiny problem with all of the above. The
classification of “simple” and “complex” doesn’t tell the
whole story.

It turns out that certain foods that technically fit the
“complex carb” label can actually end up causing a rapid
spike in blood sugar levels. Similarly, there are some
foods fitting the “simple carb” label that really don’t have
much of an effect on blood sugar at all.

Confusing, right? Well, to un-confuse this whole carb
situation, a little something called the Glycemic Index
was created.

The Glycemic Index: High GI vs Low GI

The glycemic index classifies carbs based on how quickly
and how high they raise blood sugar levels when
compared to pure glucose (sugar), although white bread
is now used as the reference food in its place.

And despite the fact that the glycemic index was
originally created for diabetics as a way of figuring out
which foods would be best for them, it quickly became
used by bodybuilders, athletes, and regular people who
just want to look good and be healthy.
                    Unfiled Notes Page 2
just want to look good and be healthy.

Why? Because the glycemic index allows us to maintain
steady blood glucose levels throughout the day by
choosing the right types of high carb foods.

This of course is useful for many reasons, the most
important of which are controlling hunger, maintaining
energy levels, improving the way our bodies
look/perform and preventing a variety of health/medical
issues associated with frequent and sustained spikes in
blood sugar levels (like type 2 diabetes and heart
disease).

How exactly? Quite simply:

A carbohydrate with a high glycemic index (high GI)
breaks down quickly during digestion and therefore
releases glucose into the bloodstream rapidly. Some
common foods with a high GI rating include white bread,
white rice, corn flakes, crackers and most sugary and/or
highly processed snack foods.
A carbohydrate with a low glycemic index (low GI)
breaks down more slowly therefore causing a much
slower and more gradual release of glucose into the
bloodstream. Some common foods with a low GI rating
include most fruits, vegetables, and beans.

What this all loosely translates into in plain English is:
• High glycemic foods typically = bad for a variety of
  reasons.
• Low glycemic foods typically = good for a variety of
  reasons.

                    Unfiled Notes Page 3
List of Complex Carbohydrates Foods

 Carbohydrates are a macronutrient that your body needs in
 high doses on a daily basis for proper functioning. When you
 eat carbohydrates, they get converted to glycogen and either
 used immediately for energy, providing a steady dose of blood
 sugar, or they are stored in the muscles and liver for energy at
 a later time. Simple carbs, by contrast, cause a spike in blood
 sugar that quickly dissipates. For sustained energy, eat foods
 rich in complex carbs.

 Whole Grains
 Whole grains are high in fiber, have moderate protein levels,
 are low in fat and are also a good source of complex carbs.
 Specific examples include millet, oats, wheat germ, barley,
 wild rice, brown rice, buckwheat, oat bran, cornmeal and
 amaranth. Any product that is made from these grains is also
 complex as well. Whole grain bread, bagels, buns and rolls are
 examples of these. Also pasta, macaroni and breakfast cereals
 that are made from whole grains are complex carbohydrates.

 Fruits
 Fruits are high in water content, fiber, vitamins and they have
 virtually no fat at all. Fruits packed with complex
 carbohydrates include apricots, oranges, plums, pears,
 grapefruits and prunes.

 Vegetables
 Vegetables are high in water, low in fat, have multiple
 vitamins and minerals, and most varieties are complex carbs.
 Broccoli, cauliflower, spinach, turnip greens, eggplant,
 potatoes, yams, corn, carrots, onions, all types of lettuce,
 celery, cucumbers, cabbage, artichokes and asparagus are all
 examples of these.



                     Unfiled Notes Page 1
Legumes
Legumes are oftentimes called pulses. These are characterized
by seeds that have an exterior pod surrounding them. Beans
are a type of legume that is a complex carbohydrate. Specific
examples include lentils, kidney beans, black beans, peas,
garbanzo beans, soy beans and pinto beans.




                   Unfiled Notes Page 2

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Carbohydrates food for diabetics

  • 1. Carbs and Blood Sugar Keeping your blood sugar levels on track means watching what you eat, plus taking medicines like insulin if you need to. Your doctor may also have mentioned that you should keep track of how many carbohydrates (carbs) you eat. But what exactly are carbohydrates and how do they affect your blood sugar? The foods we eat contain nutrients that provide energy and other things the body needs, and one of these is carbohydrates (pronounced: kar-bo-hi-drates). The two main forms of carbohydrates are: 1. sugars such as fructose, glucose, and lactose 2. starches, which are found in foods such as starchy vegetables (like potatoes or corn), grains, rice, breads, and cereals. The body breaks down or converts most carbohydrates into the sugar glucose (pronounced: gloo-kose). Glucose is absorbed into the bloodstream, and with the help of a hormone called insulin (pronounced: in-suh-lin) it travels into the cells of the body where it can be used for energy. But people with diabetes have problems with insulin that can cause blood sugar levels to rise. For people with type 1 diabetes, the pancreas does not make enough insulin, and for people with type 2 diabetes, the body can't respond normally to the insulin that is made. Unfiled Notes Page 1
  • 2. Carbs Can Be Part of a Healthy Diet Because the body turns carbohydrates into glucose, eating carbohydrates makes blood sugar levels rise. But that doesn't mean you should avoid carbohydrates if you have diabetes. Carbohydrates are a healthy and important part of a nutritious diet. Some carbohydrates have more health benefits than others, though. For example, whole-grain foods and fruits are healthier choices than candy and soda because they provide fiber, vitamins, and other nutrients. Fiber is important because it helps you feel full and keeps your digestive system working properly. In fact, eating lots of fiber can even help to slow the body's absorption of sugar when eaten together with sugar in the same food. Everyone needs fiber, and most people don't get enough. Some experts think that people with diabetes should eat more fiber than people without diabetes to help control blood sugar. Sugary foods, like soda and candy, don't usually have fiber and typically contain "empty calories." That means they have calories but little nutritional value, and eating too many of them might leave little room for healthy foods. Eating too many empty-calorie foods can also make a person more likely to be overweight or obese. These foods can also cause tooth decay. Unfiled Notes Page 2
  • 3. What Are Simple Carbohydrates, Complex Carbohydrates, and Dietary Fiber? Carbohydrates are a necessary part of a healthy diet, offering your body nutrients it can convert to glucose to power muscles. Carbohydrates come in three varieties: simple carbohydrates, complex carbohydrates, and dietary fiber. All are composed of units of sugar. What makes one carbohydrate different from another is the number of sugar units it contains and how the units are linked together. • Simple carbohydrates: These carbohydrates have only one or two units of sugar. ○ A carbohydrate with one unit of sugar is called a simple sugar or a monosaccharide (mono = one; saccharide = sugar). Fructose (fruit sugar) is a monosaccharide, and so are glucose (blood sugar), the sugar produced when you digest carbohydrates, and galactose, the sugar derived from digesting lactose (milk sugar). ○ A carbohydrate with two units of sugar is called a double sugar or a disaccharide (di = two). Sucrose (table sugar), which is made of one unit of fructose and one unit of glucose, is a disaccharide. • Complex carbohydrates: Also known as polysaccharides (poly = many), these carbs have more than two units of sugar linked together. Carbs with three to ten units of sugar are sometimes called oligosaccharides (oligo = few). Unfiled Notes Page 1
  • 4. • Because complex carbohydrates are, well, complex, with anywhere from three to a zillion units of sugars, your body takes longer to digest them than it takes to digest simple carbohydrates. As a result, digesting complex carbohydrates releases glucose into your bloodstream more slowly and evenly than digesting simple carbs. ○ Raffinose is a trisaccharide (tri = three) that’s found in potatoes, beans, and beets. It has one unit each of galactose, glucose, and fructose. ○ Stachyose is a tetrasaccharide (tetra = four) found in the same vegetables mentioned in the previous item. It has one fructose unit, one glucose unit, and two galactose units. ○ Starch, a complex carbohydrate in potatoes, pasta, and rice, is a definite polysaccharide, made of many units of glucose. • Dietary fiber: This term is used to distinguish the fiber in food from the natural and synthetic fibers (silk, cotton, wool, nylon) used in fabrics. Dietary fiber is a third kind of carbohydrate. Dietary fiber is not like other carbohydrates. The bonds that hold its sugar units together cannot be broken by human digestive enzymes. Although the bacteria living naturally in your intestines convert very small amounts of dietary fiber to fatty acids, dietary fiber is not considered a source of energy. Like the complex carbohydrates, dietary fiber (cellulose, Unfiled Notes Page 2
  • 5. ○ Like the complex carbohydrates, dietary fiber (cellulose, hemicellulose, pectin, beta-glucans, gum) is a polysaccharide. Lignin, a different kind of chemical, is also called a dietary fiber. ○ Some kinds of dietary fiber also contain units of soluble or insoluble uronic acids, compounds derived from the sugars fructose, glucose, and galactose. For example, pectin — a soluble fiber in apples — contains soluble galacturonic acid. Unfiled Notes Page 3
  • 6. Simple Carbs vs Complex Carbs High carb foods are defined as simple or complex based on their chemical structure. The “simpler” that structure is, the faster your body will digest and absorb that food (think sugar, candy, soda, etc.). The more “complex” that structure is, the slower the digestion and absorption process will be (think vegetables, beans, grains, etc.). And this digestion/absorption rate stuff is important because, the faster this process takes place within your body, the more it spikes your blood insulin levels. For this reason, diets high in simple carbs have been shown to increase our risk of diabetes and heart disease, while diets high in complex carbs have actually been shown to help do the opposite. Simple carbs also tend to be highly processed junk that lacks any nutritional value of any kind, while complex carbs are typically unprocessed, high in fiber, and high in various other important nutrients, vitamins and minerals. And overall health and nutrition aside, simple carbs are also less filling, which means you’ll be hungrier sooner after eating them. Not to mention, that large spike in blood sugar will result in a crash soon after, and that crash signals hunger and food cravings. Unfiled Notes Page 1
  • 7. So, as you can clearly see here for many obvious reasons: • Simple carbs should typically be greatly limited/avoided. • Complex carbs should comprise the majority of your daily carb intake. HOWEVER… There’s just one tiny problem with all of the above. The classification of “simple” and “complex” doesn’t tell the whole story. It turns out that certain foods that technically fit the “complex carb” label can actually end up causing a rapid spike in blood sugar levels. Similarly, there are some foods fitting the “simple carb” label that really don’t have much of an effect on blood sugar at all. Confusing, right? Well, to un-confuse this whole carb situation, a little something called the Glycemic Index was created. The Glycemic Index: High GI vs Low GI The glycemic index classifies carbs based on how quickly and how high they raise blood sugar levels when compared to pure glucose (sugar), although white bread is now used as the reference food in its place. And despite the fact that the glycemic index was originally created for diabetics as a way of figuring out which foods would be best for them, it quickly became used by bodybuilders, athletes, and regular people who just want to look good and be healthy. Unfiled Notes Page 2
  • 8. just want to look good and be healthy. Why? Because the glycemic index allows us to maintain steady blood glucose levels throughout the day by choosing the right types of high carb foods. This of course is useful for many reasons, the most important of which are controlling hunger, maintaining energy levels, improving the way our bodies look/perform and preventing a variety of health/medical issues associated with frequent and sustained spikes in blood sugar levels (like type 2 diabetes and heart disease). How exactly? Quite simply: A carbohydrate with a high glycemic index (high GI) breaks down quickly during digestion and therefore releases glucose into the bloodstream rapidly. Some common foods with a high GI rating include white bread, white rice, corn flakes, crackers and most sugary and/or highly processed snack foods. A carbohydrate with a low glycemic index (low GI) breaks down more slowly therefore causing a much slower and more gradual release of glucose into the bloodstream. Some common foods with a low GI rating include most fruits, vegetables, and beans. What this all loosely translates into in plain English is: • High glycemic foods typically = bad for a variety of reasons. • Low glycemic foods typically = good for a variety of reasons. Unfiled Notes Page 3
  • 9. List of Complex Carbohydrates Foods Carbohydrates are a macronutrient that your body needs in high doses on a daily basis for proper functioning. When you eat carbohydrates, they get converted to glycogen and either used immediately for energy, providing a steady dose of blood sugar, or they are stored in the muscles and liver for energy at a later time. Simple carbs, by contrast, cause a spike in blood sugar that quickly dissipates. For sustained energy, eat foods rich in complex carbs. Whole Grains Whole grains are high in fiber, have moderate protein levels, are low in fat and are also a good source of complex carbs. Specific examples include millet, oats, wheat germ, barley, wild rice, brown rice, buckwheat, oat bran, cornmeal and amaranth. Any product that is made from these grains is also complex as well. Whole grain bread, bagels, buns and rolls are examples of these. Also pasta, macaroni and breakfast cereals that are made from whole grains are complex carbohydrates. Fruits Fruits are high in water content, fiber, vitamins and they have virtually no fat at all. Fruits packed with complex carbohydrates include apricots, oranges, plums, pears, grapefruits and prunes. Vegetables Vegetables are high in water, low in fat, have multiple vitamins and minerals, and most varieties are complex carbs. Broccoli, cauliflower, spinach, turnip greens, eggplant, potatoes, yams, corn, carrots, onions, all types of lettuce, celery, cucumbers, cabbage, artichokes and asparagus are all examples of these. Unfiled Notes Page 1
  • 10. Legumes Legumes are oftentimes called pulses. These are characterized by seeds that have an exterior pod surrounding them. Beans are a type of legume that is a complex carbohydrate. Specific examples include lentils, kidney beans, black beans, peas, garbanzo beans, soy beans and pinto beans. Unfiled Notes Page 2