Prevent, and even Reverse, Diabetes with Medical Nutrition Therapy – NYC Dietitian

November is American Diabetes Month® — a month designated to advocate for diabetes care, research, and education. According to CDC Statistics, over 38 million people (11.6% of the US population) had diabetes in 2021, yet only 29.7 million were diagnosed. Diabetes, when untreated, can cause irreparable damage to someone’s body. Health complications related to diabetes include eye problems, foot problems, heart attack, stroke, kidney problems, nerve damage, gum disease, and more.

 

With more research and education, and with comprehensive treatment from your medical team, including a diabetes dietitian nutritionist, you can manage your blood glucose levels. And you might even experience remission from Type 2 diabetes.

 

Can a nutritionist treat diabetes? Medical Nutrition Therapy to Treat Diabetes

A registered dietitian nutritionist can provide online and in-person medical nutrition therapy to help people with diabetes manage their blood glucose levels, improve their eating habits, and provide individualized dietary interventions.

Medical Nutrition Therapy (MNT) for type 2 diabetes is a personalized dietary approach designed to help manage blood sugar levels, improve overall health, and prevent complications. It focuses on balanced eating, controlling carbohydrate intake, and promoting weight management. MNT is provided by a registered dietitian on our team — both online and in-person — and is tailored to each patient’s individual needs, preferences, and medical conditions.

The stages of Medical Nutrition Therapy (MNT) for type 2 diabetes typically include:

  1. Initial Assessment: A dietitian on our team will evaluate your medical history, current diet, lifestyle, and blood sugar levels.
  2. Goal Setting: Individualized goals are set, based on the assessment, focusing on blood glucose management, weight control, and nutrition-related health issues.
  3. Nutrition Intervention: A personalized meal plan is developed, addressing macronutrient distribution (carbohydrates, proteins, and fats), portion control, and food choices.
  4. Education and Counseling: The patient is educated on managing diabetes through diet, including understanding food labels, meal timing, and portion sizes.
  5. Monitoring and Evaluation: Regular follow-ups to track progress, adjust the plan, and ensure goals are being met.
  6. Long-term Maintenance: Ongoing support to maintain dietary changes and adapt to any new health or lifestyle changes.

 

It is possible to experience remission from type 2 diabetes

 

Can intermittent fasting reverse diabetes?

Diet fads abound, and over the last few years, people have been excited about intermittent fasting for weight loss and diabetes management. Often, the hype is just that — hype. Some studies suggest intermittent fasting (or time-restricted eating) can have positive medical outcomes in patients who struggle to reach weight loss goals and manage blood glucose levels. There is no one-size-fits-all program for disease management. Together, with your dietitian, you can create a diet plan that best suits your needs.

We don’t recommend you begin any time-restricted eating without consulting with your primary physician, as some medications to treat diabetes might need to be adjusted.

 

5 Nutrition Tips for Blood Glucose Management from a Diabetes Nutritionist

Focus on high-fiber, nutrient-rich foods like fruits, vegetables, lean proteins, and whole grains. Limit saturated fats, refined carbs, and sugary treats. Following a balanced diet helps stabilize blood sugar levels.

  • Leafy Greens: Spinach, kale, and other leafy greens are low in carbohydrates and rich in fiber, which helps slow the absorption of sugar into the bloodstream.
  • Whole Grains: Foods like oats, quinoa, and barley are high in fiber, which helps regulate blood sugar levels by slowing digestion and preventing spikes.
  • Fatty Fish: Salmon, mackerel, and sardines are rich in omega-3 fatty acids, which reduce inflammation and improve insulin resistence.
  • Nuts and Seeds: Almonds, chia seeds, and flaxseeds provide healthy fats, fiber, and protein, which help stabilize blood sugar levels.
  • Berries: Blueberries, strawberries, and raspberries have a low glycemic index and are packed with fiber and antioxidants, which support better blood glucose control.

 

Diabetes management goes beyond just nutrition interventions. We recommend you exercise regularly, as physical activity can lower blood sugar by increasing insulin sensitivity. Aim for at least 150 minutes of moderate exercise per week, like walking, swimming, or biking. Be sure to monitor your blood sugar, especially if you’re on insulin. Continue to monitor your blood sugar levels to stay within your target range. And, manage stress. Stress hormones can raise blood sugar levels.

 

Homemade Snack Bars for Diabetics:

A good snack bar for diabetics should be low in sugar and carbohydrates, high in fiber, and provide a good balance of protein and healthy fats.

 

Ingredients:

  • 1 cup mixed nuts (almonds, walnuts, pecans)
  • 1/2 cup seeds (pumpkin seeds, sunflower seeds, or chia seeds)
  • 1/2 cup rolled oats
  • 1/4 cup unsweetened almond butter (or any nut butter)
  • 1/4 cup unsweetened coconut flakes (optional)
  • 2 tablespoons of sugar-free sweetener (adjust to taste)
  • 1 teaspoon vanilla extract
  • A pinch of salt
  • Optional: dark chocolate chips or dried fruit (in moderation)

 

Instructions:

  1. Preheat your oven to 350°F (175°C) and line a baking dish with parchment paper.
  2. In a bowl, combine the nuts, seeds, oats, and coconut flakes.
  3. In a separate bowl, mix the almond butter, honey or sweetener, vanilla extract, and salt until smooth.
  4. Pour the wet mixture over the dry ingredients and mix well until everything is evenly coated.
  5. Press the mixture firmly into the lined baking dish.
  6. Bake for about 15-20 minutes, or until the edges are golden brown. Let it cool completely before cutting into bars.

 

These bars are high in fiber, healthy fats, and protein, making them a great option for stabilizing blood sugar levels​. For more recipe ideas, go to the American Diabetes Association Food Hub.

 



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