The Mediterranean Diet and Diabetes - The Johns Hopkins Patient Guide to Diabetes (2024)

The Mediterranean diet is inspired by the eating habits of people living near the Mediterranean Sea. It has been of interest since the 1950’s when Dr. Ancel Keys found that people living in these regions had lower instances of heart disease, reduction in cardiovascular events, survival from coronary heart disease and improvements in glycemic control with subsequent reduction in incidence of type 2 diabetes.

Mediterranean diet is not considered a “DIET”, but a way of eating. It is not something that people can do for a year and be done but is a change in lifestyle. While there is no single diet that fits everybody, it definitely is widely acclaimed for its health benefits. This diet was recognized as a number one diet by US news and World report as one of the best diets for weight loss, heart and brain health, cancer prevention and diabetes control and prevention. It is also important to understand that there are many Mediterranean -style eating patterns that are practiced in the eighteen countries that border the Mediterranean Sea. Their main focus is to eat high quality foods and very little to almost none processed foods. This diet along with a Mediterranean lifestyle program which included low-saturated fat diet, stress management, exercise and smoking cessation improved glycemic control, BMI and quality of life. These diets when followed for long periods of time ie 2 years and 4 years have shown to have higher rates of diabetes remission and delayed need for medication. It not only helps people with diabetes but it also has a protective effect against the development of type 2 diabetes.

Mediterranean diet is not complicated or it does not require one to move to southern Europe to adopt this region’s style of eating. Like many healthy diets, it focuses on fresh fruits and vegetables, lean protein, legumes, seeds and nuts, low fat dairy and herbs and spices and a liberal use of olive oil instead of butter and margarine.

Some of the main characteristics of the Mediterranean diets are the following:

  • Plant based: These diets are abundant in fruits, vegetables, whole grains, beans and lentils, nuts and seeds. These foods contain varying amounts of carbohydrates and it is important to pair high and low carbohydrate foods. Beans and lentils when eaten with white rice would be considered high carb foods but when combined with non-starchy vegetables, nuts and seeds become low carb meal. Use foods that are in season that are grown outdoors and not in green houses with added pesticides. Whole grains are also important as they have more fiber, B vitamins and phytonutrients which help with improving satiety, glycemic control and reduce the risk of heart disease.
  • Protein: Avoid eating red meat and eat fish at least 2-3 x week to lower the risk of heart disease. Fish such as salmon, mackerel, sardines, trout and albacore tuna are high in omega -3 fatty acids alleviate triglyceride levels and blood pressure. Make sure to grill and bake fish and not deep fry. Eggs are usually consumed in small amounts.
  • Fats: This diet is high in unsaturated fats and low in saturated fats such as butter, ghee and margarine. Olive oil is abundantly used as it is monounsaturated fat that contains polyphenol which is a type of antioxidant. These polyphenols are anti-inflammatory, protect against heart disease and certain types of cancer. Olive oil should be used for cooking, baking and as a salad dressing.
  • Limit Sweets: This diet includes fruits and should be used to satisfy one’s sweet tooth instead of desserts and sweets that raise blood sugar. Fruits are high in fiber and antioxidants and should be counted as your good carbs. Fruits eaten along side nuts and cheese will not raise your blood sugars.
  • Alcohol: Red wine is consumed in small amounts with meals and avoid beer and mixed drinks that are high in carbohydrates.
  • Herbs and Spices: These help to enhance the flavors in food and should be used instead of salt.

Mediterranean diets have many health benefits and one can adopt at least one healthy tip to make your diet healthier.

Pantescan Salad:

Serves 4

Ingredients:

  • Potatoes: 2
  • Tomatoes 3
  • Red onion: ½
  • Black Olives:5
  • Capers: 1 oz
  • Extra virgin olive oil: 1 tbsp
  • Dried Oregano to taste

Method:

  • Boil Potatoes, peel and slice them
  • Add sliced tomatoes, onion, olives and capers
  • Season with extra virgin olive oil and sprinkle with oregano.

Nutrient Analysis: Calories: 80 kcal, Total Fat: 2 gm, Carbohydrate: 15gm, Dietary Fiber: 1 gm, Protein: 2 gm

The Mediterranean Diet and Diabetes - The Johns Hopkins Patient Guide to Diabetes (2024)

FAQs

Does the Mediterranean diet work for diabetics? ›

Because Mediterranean-style eating is rich in plant-based foods and limits processed ones, it can help reduce insulin resistance. This leads to better blood sugar management and lower A1C levels. Mediterranean-style eating can also help: Improve heart health.

What do doctors say about the Mediterranean diet? ›

The Mediterranean diet is a healthy-eating plan. It's focused on plants and includes the traditional flavors and cooking methods of the region. If you're looking for a heart-healthy eating plan, the Mediterranean diet might be right for you. It's less of a diet, meaning a restricted way to eat, and more of a lifestyle.

What is not allowed on the Mediterranean diet? ›

The Mediterranean diet prohibits the consumption of processed foods, refined sugars, refined grains, and trans fats. Additionally, the diet limits the intake of red meat and high-fat dairy products. In addition, the consumption of alcohol is restricted, with the exception of red wine, which you can have in moderation.

Is the Mediterranean diet good for lowering your A1C? ›

Study participants following Mediterranean, low-glycemic index, low-carbohydrate, and high-protein diets all experienced better blood sugar control, as was indicated by their lower A1C scores. ( A1C is a measure of average blood sugar levels over a three-month period.)

Can you eat eggs on Mediterranean diet? ›

Based on their high cholesterol content, the Mediterranean Diet Foundation recommends to consume up to 4 eggs per week, as a healthy alternative to fish or meat [7], and the same amount (2–4 eggs per week) was indicated in the latest Italian dietary guidelines [8].

What is the number 1 healthiest diet? ›

“It's not surprising that the Mediterranean diet ranked number one,” says Jackie Newgent , a registered dietitian, Forbes Health Advisory Board member and panelist for our best diets ranking. “First, it's not a 'diet' as we have come to think of diets; it's a lifestyle.

Is oatmeal on the Mediterranean diet? ›

Grains and grain products common to the traditional Mediterranean Diet include: barley, buckwheat, bulgur, farro, millet, oats, polenta, rice, wheatberries, breads, couscous, and pastas.

Is peanut butter allowed on the Mediterranean diet? ›

And as plant-based protein sources that are high in good and unsaturated fats, peanuts and peanut butter are a natural fit within Mediterranean and Flexitarian ways of eating. Unfamiliar with the Mediterranean and Flexitarian diets?

What is a typical Mediterranean breakfast? ›

Spain and Italy: toasted bread + soft cheese + fresh fruit or freshly squeezed fruit juice. Greece: paximadia (bread made from whole wheat, chickpea, and barley flour) + olives + cheese. Syria: tahini yogurt with chickpeas + pickles + sliced radishes. Morocco: fried egg in olive oil + soft cheese + olives + flatbread.

What drink lowers blood sugar? ›

Summary. No single drink can lower your blood sugar. But drinks with little or no sugar are good replacements for sugary drinks like sodas, energy drinks, and flavored coffees. Also, research suggests that green tea, milk, and kefir may help you control your blood sugar in the longer term.

What are the three meals for diabetics? ›

Eating a carbohydrate-rich breakfast followed by a substantial lunch and a small dinner — the so-called "three-meal diet" (3Mdiet) — promotes weight loss and significantly improves glucose control in type 2 diabetes, a randomized, controlled trial suggests.

How can I flush sugar out of my system fast? ›

Drinking plenty of water helps your kidneys flush out excess sugar. One study found that people who drink more water lower their risk for developing high blood sugar levels. And remember, water is the best. Sugary drinks elevate blood sugar by raising it even more.

Which is better for diabetes keto or Mediterranean diet? ›

Low-carb diets for diabetes

To manage or prevent diabetes, the American Diabetes Association recommends the Mediterranean diet and other low-carb diets, as long as they minimize added sugars and refined grains and include non-starchy vegetables. The ultra-low-carb ketogenic diet fulfills these criteria.

Can Mediterranean diet reverse insulin resistance? ›

Whole-food, plant-based diets like the Mediterranean diet may help reverse insulin resistance. This diet emphasizes pulses, vegetables, fruits, whole grains, nuts and seeds, and olive oil as the fat of choice.

Does the Mediterranean diet work for insulin resistance? ›

Can the Mediterranean Diet Help Improve Insulin Resistance? Yes! According to 2020 research published in Nutrients, people who follow the Mediterranean diet are less likely to develop insulin resistance and its associated conditions, like type 2 diabetes and heart disease.

What is the best diet for type 2 diabetes to lose weight? ›

The Mediterranean diet

Mediterranean-type food choices may be successful in lowering fasting glucose levels, reducing body weight, and reducing the risk of metabolic disorder, according to a 2020 review of studies . Foods you eat on this plan may include: Protein: poultry, salmon, other fatty fish, eggs.

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