
A healthy type 2 diabetes diet includes healthy carbohydrates like fruits, vegetables, and whole grains; low-fat dairy; heart-healthy fish; and good fats like nuts, avocados, and olive oil. But feeling your best when you have diabetes isn’t just about choosing the right foods. It’s also about limiting or avoiding foods that can spike your blood sugar and increase your risk of complications.
“It’s all about moderation and making careful food choices for overall balanced blood sugar control,” says Amy Kimberlain, RD, CDCES, a spokesperson for the Academy of Nutrition and Dietetics and a wellness dietitian at Baptist Health South Florida.
Sugary Foods

One caveat: Even though fruit is healthy, it does raise blood sugar, says Kimberlain. “I always tell patients that timing is everything. If you just had a meal two hours ago (which is when your blood sugar is at its peak), and now you have a piece of fruit, you will only raise your blood sugar even more,” she says. It’s better to give your body time to return to a normal range, or opt for a hard-boiled egg or a handful of nuts (protein foods that won’t directly affect your blood sugar), she suggests.
Fruit Juice

If you want a refreshing drink, reach for zero-calorie plain or naturally flavored seltzer with a spritz of lemon or lime. Infusing water with cucumber and mint is nice, too, says Kimberlain.
Diabetes Diet Tips for The Carb Lover

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Dried Fruit

White Carbohydrates

“The first ingredient [on the label] should [be] a whole grain,” says Kimberlain. “Whether it’s whole grain or whole rye, it should say ‘whole.’”
Full-Fat Dairy

Do your best to avoid full-fat dairy products made with whole milk, such as cream, full-fat yogurt, ice cream, cream cheese, and other full-fat cheeses, says Kimberlain. Look for reduced-fat or fat-free dairy products instead.
Fatty Cuts of Meat

Packaged Snacks and Baked Goods

Fried Foods

You may have a weakness for fried foods like french fries, fried chicken, and potato chips, but satisfying this craving another way will better serve your health in the long run. Fried foods typically soak up lots of oil, which equates to lots of extra calories, and many are breaded, further increasing their caloric content.
For the same flavor without the added fat and calories, Kimberlain suggests finding new ways to prepare the ‘fried’ foods you like, such as baking, roasting, or grilling. “You can even make baked ‘fried’ chicken,” she says. “Air fryers are popular now as well, so there’s that option, too. And if you don’t have an air fryer, I have a little convection oven that works just the same. I make baked fries in there that taste so crispy, you’d think they were fried.”
Alcohol

“Diabetes medication is processed through the liver, and so is alcohol,” says Kimberlain. “This double whammy can be too much for your liver. If you’re taking medication to lower your blood sugar, it can cause low blood sugar, especially if you’re drinking and not eating.”
As for best and worst choices at the bar when you have type 2 diabetes, Kimberlain recommends mixed drinks like diet soda with rum (hard liquor has no carbs), or hard liquor with ice or calorie-free mixers. Avoid sweet wines, drinks with added sugar or honey, juicy drinks, and umbrella drinks with lots of sugar.
Sweeteners That Spike Your Blood Sugar

People tend to think that “natural” sweeteners like honey or maple syrup are okay, but when it comes to blood sugar management, the body doesn’t distinguish between different types, says Kimberlain. These natural sugars still cause a spike in blood sugar. Instead of searching for a healthier sugar swap, the goal is to learn to enjoy food for its natural flavor and start cutting back on added sugar, she says.
The Takeaway
- A type 2 diabetes–friendly diet not only prioritizes nutrient-dense, fiber-rich, plant-forward foods, but also minimizes choices that are high in sugar and saturated fat, which can be detrimental for blood sugar management and cardiovascular health.
- When it comes to sugar, it’s best to limit your consumption of sweets, soda, fruit juice, dried fruit, and packaged baked goods.
- On the savory side, try to swap “white” carbohydrates for more complex options, trade fatty cuts of meat for leaner ones, reach for low-fat dairy instead of full-fat dairy, and avoid fried foods.
Resources We Trust
- Mayo Clinic: Diabetes Diet: Create Your Healthy Eating Plan
- Harvard Health Publishing: Healthy Eating for Blood Sugar Control
- Cleveland Clinic: The Worst and Best Foods if You Have Diabetes
- American Diabetes Association: How to Eat Healthy
- Centers for Disease Control and Prevention: Diabetes Meal Planning