Doctors Guide To Diabetes Diet
Doctors Guide To Diabetes Diet
Doctors Guide To Diabetes Diet
DIABETIC DIET
Ahmet Ergin, MD, CDCES, FACE, ECNU
Endocrinologist & Diabetes Specialist
This book is a practical guide to a healthy and comfortable Life. Welcome to
doctor’s guide to diabetic diet , your practical guide to living a healthy and
comfortable life despite having diabetes. This book is designed to help you
understand the power of food—how it can both harm and heal your body.
With this knowledge in hand, you'll be able to navigate through the complex
world of dietary choices with greater confidence.
Understanding Macronutrients
Protein, Fats, and Carbohydrates Defined........................ 4
Reverse Diabetes
Foods to Embrace and Avoid......................................... 20
The Truth about Carbohydrates
There is more to Rice than Meets the Eye....................... 26
Breakfast Bests
Best Foods for Breakfast............................................... 34
Lavish Lunches........................................................... 40
Delicious Dinners....................................................... 46
Healthy Snacks........................................................... 52
Beverage Do’s and Don’ts.......................................... 58
Grocery Shopping List................................................ 62
CHAPTER 1
Understanding
Macronutrients
Protein, Fats, and
Carbohydrates Defined
CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
“Why do some foods make my glucose levels skyrocket while others do not?”
“It seems like every time I eat carbs, my glucose levels increase significantly.”
“How do I know if a snack or meal will spike my glucose levels?”
These are the common questions and comments I receive from my patients
diagnosed with diabetes and ask themselves on a daily basis. While I
appreciate their frustrations and concerns, it is best to gain an understanding
of macronutrients – protein, fats, and carbohydrates, and how they impact
glucose levels. This will help you make better choices when planning daily
snacks and meals.
Protein
Protein contains amino acids, the building blocks of nutrition that help repair
and build muscle, bones, skin, and internal organs. In fact, many hormones
the body produces are made from protein, which also provides energy for
the body when ‘carbs’ are not available for fuel. Protein has a minimal effect
on our glucose levels and can take anywhere from three to four hours to be
digested, much slower than carbohydrates. Protein can still raise your blood
sugar levels but to a much lesser extent. Good protein choices include the
following:
• Chicken
• Fish
• Eggs
• Cheese
• Nuts and seeds.
Healthy Fat
Fat is not the enemy as long as it is a healthy fat. Our bodies need fat energy,
healthy skin, hair, and nails, to absorb nutrients into the cells so they can
function properly and protect our internal organs and body. When consumed
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DOCTOR’S GUIDE TO DIABETIC DIET
Carbohydrates
Now, let’s get to the primary culprit rising blood sugar. Our bodies prefer to
function on carbohydrates, just like our cars need gasoline to run. In simple
terms, there are simple and complex carbohydrates. Unlike simple carbs that
cause a rapid spike, complex carbs release glucose into your bloodstream
more gradually. However, not all complex carbs are created equal. Take
potatoes, for example. I share valuable tips on my SugarMD YouTube
channel on how to enjoy potatoes without the dreaded blood sugar spike.
Don’t miss out on this fascinating insight – check it out now on SugarMD
YouTube channel! A low-carb diet is recommended for those with diabetes
with limited consumption of about 25% of daily caloric intake. For example,
that means consuming less than 120 grams of carbs in a 2,000 calories per day
eating plan. If you are older than 50, daily calories can be reduced to 1500.
Carbohydrates that are high in fiber, such as whole-grain bread, oats,
barley, buckwheat, and bulgur, are digested slowly. Other options include the
following:
• Beans and lentils
• Fresh fruit and berries (preferably organic)
• Nuts
• Acorn and butternut squash
• Cauliflower
• Hummus
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
When you combine lean protein with healthy fats and fiber-rich carbohydrates,
you will promote stable glucose levels. A healthy meal with protein, fat, and
fiber does the following:
• Slows down the digestion of carbohydrates.
• Delays absorption of glucose into the bloodstream.
• Prevents spikes in glucose levels after eating a meal.
• Provides a steady supply of glucose throughout the day.
The charts below will show the values divided into three categories of
low, medium, and high GI ratings. A food with a low GI rating will not spike
blood sugar as much as a food in the medium and high range as follows when
consumed in similar portions:
• Low GI: 55 or less
• Medium GI: 56 to 69
• High GI: 70 to 100
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
Understanding the GI index will help you manage your glucose levels,
especially when planning your meals. Other health benefits include the
following:
• When you focus on low GI foods, you will naturally eat more fresh
fruits, vegetables, whole grains, and legumes as opposed to highly
processed foods.
• You will become more aware of your carbohydrate choices without
having to severely limit your intake, making your eating plans more
sustainable in the long run.
• You will not have to rely on regimented portion control or calorie
counting as much when eating low-GI foods. Keep the portion size
in mind!
You will learn that some foods, such as apples and oranges, fall under
both the glycemic index and glycemic load, while cereals such as cornflakes or
Cheerios and boiled potatoes have a high GL and GI. Another example is the
fruit, dates, which are low on the glycemic index but have a high glycemic load.
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
The same is true for bananas. Another good example is whole-grain spaghetti
versus spaghetti made from white flour. Both are low on the glycemic index,
but whole-grain spaghetti ranks 14 on glycemic load, whereas spaghetti made
from white flour is considered high at 20.
Take a look at the Glycemic Load chart of common foods based on
the Linus Pauling Institute at Oregon State University:
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DOCTOR’S GUIDE TO DIABETIC DIET
4
Water or
3 Carbohydrate 0-Calorie
Foods Drink
1 Nonstarchy
Vegetables
2 Protein
Foods
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
Protein
Protein is very important to include in your meals. Here are the options:
Plant-based proteins - Plant-based protein foods provide quality protein,
healthy fats, and fiber. They vary in how much fat and carbohydrate they
contain, so make sure to read labels.
• Beans such as black, kidney, and pinto
• Hummus and falafel
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DOCTOR’S GUIDE TO DIABETIC DIET
Poultry - Choose poultry without the skin for less saturated fat and cholesterol,
such as turkey, chicken, or Cornish hens.
Cheese and eggs – such as reduced-fat cheese or regular cheese in small
amounts, cottage cheese or whole eggs.
Game Meats – such as Buffalo, ostrich, rabbit, venison, dove, duck, goose,
or pheasant (without the skin)
Beef, Pork, Veal, and Lamb – limit your intake of red meat as it is often
higher in saturated fat. Organic and grass-fed animal meat will have a lot less
saturated fat. Choose grass-fed organic as much as possible. Processed or
Deli meats like bacon, ham, and hot dogs are high in sodium and saturated
fats. Select choice grades of beef trimmed of fat, including chuck, rib, rump
roast, round, sirloin, cubed, flank, porterhouse, T-bone steak, or tenderloin.
Other protein options:
• Lamb: chop, leg, or roast
• Veal: loin chop or roast
• Pork: Canadian bacon, center loin chop, ham or tenderloin
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
Fats
Fat is not the enemy – focus on eating healthy fats that will help lower
cholesterol and protect your heart. Healthy fats include olive oil, avocadoes,
nuts, freshly ground nut butter, and fish.
Avoid Trans Fats - Trans fats are produced when liquid oil is made into
solid fat—a process called hydrogenation. Like saturated fat, trans fat can be
damaging to blood cholesterol levels. It is more harmful than saturated fat,
and for a heart-healthy diet, you want to eat as little trans fat as possible by
avoiding foods that contain it.
Citrus Fruits
Citrus fruits are versatile and easy to add to meals. Add
lemon and lime to seafood, sauces, or glasses of iced tea.
Make their own fruit water by adding citrus slices to a
pitcher of water and store in the refrigerator for a
refreshing beverage.
Berries
Berries are tasty raw. A person might also make a compote
to spoon into oatmeal or meat dishes. Put whole, fresh, or
frozen berries into a saucepan with a tablespoon or two
of water. Cook this on medium or low heat until the
berries have broken down into a thick sauce.
One serving = ½ cup
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DOCTOR’S GUIDE TO DIABETIC DIET
Apples
Apples are a popular fruit. They are delicious raw for a
snack or dessert. Pairing sliced apples with peanut butter
or a piece of cheese can make a simple fruit feel like a
treat. The added protein and fat make for a healthy,
filling snack.
Avocados
Avocados are high in fat, but they contain
monounsaturated fat, the type that is beneficial for the
body. Slice them or mash them and mix in herbs and
vegetables to make a dip, such as guacamole. Add the
juice of a lime or lemon for a boost of citrus.
Fruits To AVOID
Here are the fruits to avoid or enjoy in moderation:
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
Lychees
Diabetics should stay away from lychees due to their
high sugar content and high glycemic index (GI). These
sweet fruits, often used as a sweetener in desserts and
cocktails, contain a staggering 29 grams of sugar per
serving. This can cause a significant spike in blood
glucose levels, making it important for individuals with
diabetes to avoid consuming lychees.
Mango
Even though mangoes are delicious, diabetics should
avoid them. A single serving of mangoes contains 14
grams of sugar, which can lead to a rapid increase in
blood sugar levels for individuals with diabetes.
Therefore, it is important to either avoid mangoes
altogether or consume them in moderation.
Watermelon
It can be challenging to strike a balance with watermelon.
Although it is a popular choice during summer with its
high-water content and lycopene, which helps in
reducing the risk of cancer and heart disease, it’s
important to consume it in moderation. Watermelon has
a high GI, so eating more than a few pieces at a time is
not recommended.
Pineapple
Approach pineapple with caution due to its high sugar
and carbohydrate content. With approximately 46 grams
of sugar and 96 grams of carbs in a single pineapple, it’s
important to consume this fruit in limited portions.
Pineapples offer anti-viral and anti-inflammatory
properties, so it’s best to eat them in small amounts as
part of a healthy diet.
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DOCTOR’S GUIDE TO DIABETIC DIET
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CHAPTER 1: UNDERSTANDING MACRONUTRIENTS
Protein, Fats, and Carbohydrates Defined
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DOCTOR’S GUIDE TO DIABETIC DIET
CHAPTER 2
Reverse Diabetes
Foods to Embrace
and Avoid
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CHAPTER 2: REVERSE DIABETES
Foods to Embrace and Avoid
Lose Weight
Excess body fat affects how the body produces and uses insulin. By losing
just 5-10 % of your body weight, you can have less need for medications if
you take them, reduce the risk of health complications, and improve blood
sugar levels. A lot of my patients simply remain in remission by following a
good diet and taking SugarMD supplements.
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DOCTOR’S GUIDE TO DIABETIC DIET
Avocados
Avocados are fatty, but their
monounsaturated fat promotes brain
and blood health. Avocados are rich in
potassium, Omega-3 essential fatty acids,
and oleic acids (OEA), which can lower
blood pressure and increase cognition,
which is vital for brain health.
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CHAPTER 2: REVERSE DIABETES
Foods to Embrace and Avoid
Berries
Antioxidants in berries defend the body against poisons, chemicals, and
pollution. Blueberries include chemicals, including polyphenols, that can pass
the blood-brain barrier, providing neuroprotection. Blueberries have many
benefits, including improved brain health and mood. They are also important
for relaxing the endothelium (artery lining) to enhance blood flow (particularly
for women with low estrogen and high blood pressure)
Cage Free Eggs
Eggs include nutritious protein and lipids and might keep you full longer.
Antioxidants, lutein, and zeaxanthin in egg yolks can prevent retinal
degeneration and cataracts. Eggs are versatile, cheap, and tasty.
Fatty Fish
Wild-caught salmon or sardines are among the best choices for fatty fish,
providing protein, vitamins, minerals, and essential fatty acids (Omega 3’s).
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DOCTOR’S GUIDE TO DIABETIC DIET
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CHAPTER 3
The Truth about
Carbohydrates
There is more to Rice
than Meets the Eye
CHAPTER 3: THE TRUTH ABOUT CARBOHYDRATES
There is more to Rice than Meets the Eye
Contrary to popular belief, carbohydrates are not always the enemy. It is just
that when we hear the word ‘carbohydrates,’ we often equate them with sugar,
but not all carbs are equal. Carbohydrates include healthy fiber and starches,
which are found in many nutrient-dense foods that can be part of a healthy
diabetes eating plan. The key is to choose whole, unprocessed carbohydrates
that will provide energy for the body that will help you exercise daily and
burn off those carbohydrates.
One carbohydrate exchange equals 15 grams of
carbohydrate.
Below is an exchange list that will help you plan meals with the flexibility to
mix and match your choices for carbohydrates and remain within your budget
of carbohydrates for each meal. For example, if you have a goal of 45 grams
of carbohydrates per meal, you can eat three exchanges of carbohydrates at
each meal.
Let’s put this into practice:
Let’s say you felt like having some rice with your lunch.
1/3 cup of rice = One exchange
A goal of 45 grams of carbohydrates for a meal, then you can eat 1
cup of rice or three exchanges of carbohydrate. Some people will
have a goal of 30 gr or less per meal.
3 exchanges x 15 grams of carbohydrate per exchange = 45 grams
of carbohydrate
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DOCTOR’S GUIDE TO DIABETIC DIET
Shirataki Rice
Shirataki rice is a dish that is popular in many
parts of Asia. Due to its low carbohydrate and
low-calorie characteristics, it is becoming
increasingly popular around the world. It also
contains a significant amount of glucomannan
fiber. the health benefits of glucomannan fiber
present in konjac rice, which has been shown to
lower blood glucose levels, cholesterol levels, and
blood pressure. It may also be beneficial to your
intestinal health, and the Glycemic Index (GI) is
equal to zero.
Parish Rice
Parish rice is another alternative with lower GI
index than regular rice and is perfect for someone
with diabetes or anyone with health concerns but
can’t give up the taste, including those in athletic
training who want to feel better about what they
are eating.
Pearl Barley
The main benefit of pearl barley for people with
type 2 diabetes is that one cup (cooked) provides
6 grams of fiber and about 21% of the daily
recommended value with 44 grams of carbo-
hydrates.
Farro
Farro is whole-grain wheat with a chewy texture
and nutty flavor that is similar to barley. The
Glycemic index of Farro is 45 and is a nutritious
supplement to the diets of vegans and vegetarians
due to its high protein content, which makes it a
significant source of protein. Farro provides
important nutrients such as amino acids, minerals,
vitamins, and phytochemicals.
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CHAPTER 3: THE TRUTH ABOUT CARBOHYDRATES
There is more to Rice than Meets the Eye
Quinoa
Quinoa is a healthier grain for people living with
di-abetes and those at risk of developing the
condition. This whole grain is rich in vitamins
and minerals. Other whole grains that are good
for people living with diabetes include brown rice
and steel-cut oats. Both are one-third cup in
portion size.
Cauliflower Rice
The significant difference in calories and carbs
compared to brown rice makes cauliflower rice an
excellent choice for those managing diabetes.
Moreover, cauliflower rice is rich in fiber, which is
essential for maintaining a healthy diges-tive
system.
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DOCTOR’S GUIDE TO DIABETIC DIET
Milk Group
• 1 cup of low-fat milk
• 1 cup of coconut milk
• 1 cup of buttermilk
• 2/3 cup of plain Greek yogurt
Fruit Group
• One small apple, orange, peach, pear, or nectarine (1/2 if large
fruit)
• One small banana (1/2 of an average banana)
• 1/2 grapefruit
• 1/2 cup unsweetened applesauce
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CHAPTER 3: THE TRUTH ABOUT CARBOHYDRATES
There is more to Rice than Meets the Eye
Non-Starchy Vegetables
The following non-starchy vegetables contain about only 5 grams of
carbohydrate per 1/2 cup cooked or 1 cup raw: Artichokes, asparagus,
green beans, beets, broccoli, brussels sprouts, cabbage, carrots, cauliflower,
eggplant, greens, kohlrabi, leeks, okra, onions, pea pods, peppers, spinach,
summer squash, tomato, tomato sauce, turnips, and zucchini.
Now, let’s get into some meal ideas, starting with Breakfast Bests in
Chapter 4…
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CHAPTER 3: THE TRUTH ABOUT CARBOHYDRATES
There is more to Rice than Meets the Eye
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CHAPTER 4
Breakfast Bests
Best Foods for Breakfast
CHAPTER 4: BREAKFAST BESTS
Best Foods for Breakfast
Some of the best foods for breakfast can be delicious, nutritious, and
satisfying, but they often contain quite a few carbohydrates. When you have
diabetes, you must manage how many carbohydrates you consume each meal.
When it comes to breakfast, or any meal, for that matter, think protein, fiber,
and healthy fats.
Skipping breakfast can lead to blood sugar spikes which can cause
problems later in the day. But if you’re short on time, there are quick and
easy options to help you start your day off right. Grabbing a cheese stick,
boiling an egg, or opting for Greek yogurt are all great low-carb options to
keep sugar levels under control. It might seem like a small thing, but a healthy
breakfast will help you stay focused and energized throughout the day. Take
the time to make sure you’re starting off on the right foot.
Here are some excellent breakfast ideas:
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DOCTOR’S GUIDE TO DIABETIC DIET
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CHAPTER 4: BREAKFAST BESTS
Best Foods for Breakfast
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DOCTOR’S GUIDE TO DIABETIC DIET
Grape-Nuts
• Wheat kernels have their outer layer
removed during milling, creating fiber
and nutrient-rich pellets with a low
glycemic load.
• Enjoy with plain Greek yogurt or milk,
adding cinnamon or berries for extra
flavor.
• One ounce of Grape-Nuts equals 92
calories
• Alternatives include chopped almonds, sunflower seeds, and hazelnuts
roasted in the oven until crunchy and toasted brown.
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CHAPTER 4: BREAKFAST BESTS
Best Foods for Breakfast
Cottage Cheese
• Cottage cheese is an excellent choice
for diabetics, with beneficial effects on
reducing insulin resistance.
• Adding fruits and nuts to cottage cheese
provides a good source of protein and
healthy fats.
• Toppings such as fresh strawberries,
blueberries and small apples are
recommended for a balanced flavor.
• Walnuts or almonds can be added as a crunchy topping. Green onions
with olive oil and pepper make for an additional tasty topping choice.
When it is time for lunch, check out the next chapter for some lavish
lunches…
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CHAPTER 5
Lavish Lunches
CHAPTER 5: LAVISH LUNCHES
• Build your lunch around a lean protein source (chicken breast, shrimp,
fish, tuna, beans, or tofu)
• Add plenty of non-starchy vegetables (broccoli, cauliflower, dark leafy
greens, green beans, or zucchini)
• Brown rice, quinoa, or other whole grain (opt for whole grain carbs over
refined carbs whenever possible)
• Add a healthy fat (avocado or nuts)
Take a look at these ten lunch ideas that will allow you to improvise to
make a quick lunch to enjoy at home or pack up for on the go.
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DOCTOR’S GUIDE TO DIABETIC DIET
Whole-Grain Sandwich
It is possible to have a sandwich when you
have diabetes as long as you use whole-
grain bread with roughly 30 grams or less
of carbohydrates per serving.
Here are some suggestions for making a healthy
sandwich:
• Avoid ketchup, butter, and mayonnaise,
and choose mustard instead.
• Top your bread with a couple of slices
of turkey or chicken breast (do NOT use deli meats)
• Add a slice of Swiss or low-fat mozzarella cheese.
• Add a few slices of tomato and lettuce.
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CHAPTER 5: LAVISH LUNCHES
Vegetable Pizza
Look for a pizza crust made with
cauliflower to reduce the carbohydrate
count, or you can make your own. Then
think of vegetables for toppings. If you
go to a pizza place for lunch, you can
order a variety of vegetables to top your
pizza, such as bell peppers, red onions,
spinach, arugula, cherry tomatoes, garlic,
or artichokes. Add grilled chicken instead
of pepperoni. It is like having a salad on
top of a whole-grain crust.
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DOCTOR’S GUIDE TO DIABETIC DIET
Think Sushi
Start with 2/3 cup of shirataki rice and
top with leftover salmon or tuna. You can
use canned tuna or salmon, even crab; just
make sure you choose one packed in water
and low in sodium. Add sliced cucumbers,
shredded carrots, roasted seaweed, and
a few slices of avocado or edamame.
Drizzle a tablespoon of low-sodium soy
sauce and sprinkle with sesame seeds and
chopped green onions.
Optional Chipotle Dressing
Mix together a cup of low-fat plain Greek yogurt, a chipotle pepper –
chopped, two teaspoons of chipotle sauce, a small handful of fresh cilantro
– chopped, and the juice of half a lime Mix well and drizzle over the top of
your Sushi creation.
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CHAPTER 5: LAVISH LUNCHES
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CHAPTER 6
Delicious Dinners
CHAPTER 6: DELICIOUS DINNERS
Here are ten delicious dinner ideas that won’t raise blood sugar and the
whole family will enjoy:
Stir-Fry
• A stir-fry dinner is a quick and easy
meal to prepare.
• Protein options for the meal include
chicken, beef, or tofu.
• Packed with nutritional value, vegetables
such as broccoli, pea pods, mushrooms,
cabbage, onions, carrots, spinach, and
bean sprouts can be added to the stir-
fry.
• Extra flavor can be brought with garlic, fresh ginger, lime juice or low-
sodium soy sauce.
• Topping it off with chopped nuts adds a crunchy texture.
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DOCTOR’S GUIDE TO DIABETIC DIET
Nut-Crusted Salmon
• Rinse and pat dry the salmon before
seasoning it with salt and pepper and
placing it on a lined baking sheet.
• In a small bowl, combine garlic, olive
oil, mustard, lemon juice, and honey to
create the topping mix.
• Spread ¾ of the mixture onto the
salmon and add your favorite nuts to the
remaining mixture.
• Spoon the nut mix over the top of the salmon and press lightly into place
using a spoon.
• Bake in preheated oven for 15-20 minutes until flaky. Allow to rest for 5
minutes before serving.
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CHAPTER 6: DELICIOUS DINNERS
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DOCTOR’S GUIDE TO DIABETIC DIET
Lemon-Garlic Haddock
• Keep garlic and lemons stocked for an
easy fish dinner.
• Eating fish with Omega-3 helps reduce
the risk of diabetes-related diseases.
• Baking white fish with garlic, lemon
juice, lemon zest, olive oil, and pepper is
a quick meal option.
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CHAPTER 6: DELICIOUS DINNERS
When it’s time for a snack, take a look at these options in the next
chapter…
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CHAPTER 7
Healthy Snacks
CHAPTER 7: HEALTHY SNACKS
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DOCTOR’S GUIDE TO DIABETIC DIET
Pineapple Smoothie
• Combine half a fresh orange and pineapple
chunks with plain Greek yogurt.
• Blend in a food processor or blender,
dropping in ice cubes until you achieve the
desired consistency.
• Serve immediately.
• Serving size 4 ounces!
Turkey-Olive Roll-Ups
• Take a slice of roasted turkey breast.
• Add two olives – pitted and two baby
carrots.
• Roll up and dip in hummus or mustard for
a quick snack.
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CHAPTER 7: HEALTHY SNACKS
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DOCTOR’S GUIDE TO DIABETIC DIET
In the next chapter, you will find Beverages Do’s and Don’ts…
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CHAPTER 7: HEALTHY SNACKS
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CHAPTER 8
Beverage
Do’s and Don’ts
CHAPTER 8: BEVERAGE DO’S AND DON’TS
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DOCTOR’S GUIDE TO DIABETIC DIET
Print out the Grocery Shopping List for easy meal planning…
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As a leading endocrinologist, Dr. Ahmet Ergin is more
than just a medical professional who prescribes
medications to his diabetic patients. With a passion
for diabetes care and a belief in holistic medical care,
he understands that there is more to the solution than
just a simple prescription. Having treated thousands
of patients over the years, Dr. Ergin prioritizes patient
education as an essential component of diabetes
care. However, he also considers the science behind
ancient herbs, which have been undervalued in
today’s “pharma-focused” world. Dr. Ergin believes in
the concept of food as medicine, and his perspective
is strikingly different from that of traditional medicine.
His conviction in the power of natural remedies makes
him a trailblazer in the medical community and a
beacon of hope for those struggling with diabetes.
SUGARMDS LLC
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