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Carbohydrates & Diabetes

- Summary
- About carbohydrates
- Types and differences
- Dietary exchanges
- Questions for your doctor

Reviewed By:
Nikheel Kolatkar, M.D.

Types and differences of carbohydrates

Carbohydrates are an essential part of the human diet. They provide most of the energy for the body, as well as many vitamins and nutrients. The American Diabetes Association (ADA) recommends that carbohydrates make up 50 percent to 60 percent of daily calorie consumption for most people, though instruction from an individual’s physician, registered dietitian or certified diabetes educator may vary.

The majority of those calories should be from complex carbohydrates. Increased dietary fiber benefits most people, though this may cause problems for patients with gastroparesis, a form of autonomic neuropathy that affects digestion.

diabetic neuropathy

There are two major types of carbohydrates: complex (also known as starches) and simple (also known as sugars). Simple sugars can be naturally occurring or added. Sources of carbohydrates include:

Sources of Complex Carbohydrates

Vegetables Legumes Grains* Fruits

Beets
Carrots
Corn
Peas
Potatoes
Turnips

Black-eyed peas
Kidney beans
Lentils
Lima beans
Pinto beans
Split peas
Barley
Oats
Rice
Rye
Wheat
Skins
Edible seeds

*Also in grain products such as whole–wheat bread, crackers or pasta.

Sources of Simple Carbohydrates (Natural)

Fructose (fruit sugar) Lactose (milk sugar)
Fruit juice and fruits such as apples, oranges, pineapples, etc. Dairy products such as milk and yogurt

 

Sources of Simple Carbohydrate (Added)

Beet sugar
Brown sugar
Cane sugar
Confectioner’s sugar
High-fructose corn syrup
Honey
Maple syrup

Molasses
Powdered sugar
Raw sugar
Sugar cane syrup
Table sugar (sucrose)
Turbinado (a sugar cane extract)


Simple sugars are also found in:

  • Candy
  • Cookies
  • Pastries
  • Carbonated beverages
  • Many processed foods, such as ketchup, salad dressings, canned chili and frozen dinners

Carbohydrates are scientifically classified into the following categories:

  • Monosaccharides. The simplest sugars, of which glucose is the primary example.

  • Disaccharides. Sugar made of two monosaccharides. Examples include lactose and sucrose.

  • Trisaccharides. Sugar made of three monosaccharides.

  • Polysaccharides. Sugar composed of a number of monosaccharides joined together by glycosidic bonds (the dehydration reaction between the hydroxide on the right edge of one sugar to the hydroxide on the left edge of the other sugar). Examples include starch and cellulose.

  • Heterosaccharides. A glycoside in which a sugar group is attached to a nonsugar group.

Certain foods contain few or no carbohydrates. They include proteins and fats such as:

  • Meat, poultry and fish
  • Eggs
  • Cheese
  • Butter
  • Oils

Nuts such as almonds, seeds such as sunflower seeds and nut-like foods such as cashews and peanuts provide fats, carbohydrates and proteins in varying amounts.

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Review Date: 04-05-2007
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