Top 10 Fruits You Should Be EATING If You Are Diabetic

Reverse Insulin Resistance Naturally
12 May 202326:24

Summary

TLDRThis video script addresses the best fruits for diabetics, highlighting the importance of understanding the differences between fruits and vegetables like avocado and olives, which have low glycemic indices and net carbs. It dispels myths about the glycemic index, emphasizing the need for a personalized approach based on metabolic health and insulin resistance. The script also discusses the impact of fructose on liver health and provides a guide to sweet fruits with low sugar content, such as cherries, blueberries, and raspberries, encouraging a balanced diet for diabetics.

Takeaways

  • 📊 Over 37 million people in the United States are diabetic, representing about 11% of the global population, with the highest increases now seen in India and China.
  • 🍏 Avocado, technically a fruit, is recommended for diabetics due to its low glycemic index and minimal net carbs.
  • 🫒 Olives, also technically a fruit, share similar benefits with avocados in terms of glycemic index and net carbs.
  • 🍅 Tomatoes are another good option for diabetics, with a low glycemic index and net carbs similar to avocados and olives.
  • 🍇 Dates, despite being high in sugar, have a surprisingly low glycemic index according to some studies, but this doesn't make them suitable for diabetics due to their high fructose content.
  • 📊 The glycemic index is measured relative to glucose, with low being less than 55, medium 55-70, and high over 70, but these ranges may not be suitable for everyone, especially those with insulin resistance.
  • 🔄 The glycemic load takes into account the amount of food consumed, suggesting a low glycemic load should be less than 10 units, medium 10-20, and high over 20 units per meal or snack.
  • 🍚 Comparing foods like rice and dates in terms of glycemic load can be misleading, as it doesn't account for the overall health impact of the food.
  • 🍉 Fructose in fruits, like in table sugar, can be harmful to the liver and contribute to insulin resistance, despite fruits being considered 'natural'.
  • 🚫 Total carbohydrate intake is crucial for managing diabetes, as it directly affects insulin levels, more so than the glycemic index.
  • 🍒 Among sweet fruits, cherries, blueberries, apricots, and grapefruit are relatively lower in sugar and glycemic load, making them more suitable for diabetics.
  • 🌱 Fiber content in fruits like raspberries and blackberries can significantly slow down sugar absorption, contributing to a lower glycemic load.

Q & A

  • What is the estimated number of diabetics in the United States according to the transcript?

    -Over 37 million people in the United States are diabetics.

  • How does the percentage of diabetics in the U.S. compare globally?

    -The U.S. has the highest percentage of diabetics, accounting for 11% of the population worldwide.

  • Which countries are experiencing the greatest increases in diabetes prevalence?

    -India and China are experiencing the greatest increases in diabetes prevalence and are quickly catching up with the U.S.

  • What is the significance of the term 'net carbs' in the context of the transcript?

    -Net carbs refer to the amount of carbohydrates that can be absorbed and converted into blood sugar, excluding fiber which does not affect blood sugar levels.

  • Why are avocados considered one of the best fruits for diabetics according to the script?

    -Avocados are considered one of the best fruits for diabetics because they have a very low glycemic index and a very low amount of net carbs.

  • What misconception does the script address regarding fruits and vegetables?

    -The script addresses the misconception that fruits and vegetables can be treated as the same thing nutritionally, emphasizing the differences in their impact on blood sugar levels.

  • What is the glycemic index and how is it used in the context of diabetes?

    -The glycemic index is a measure of how quickly a food raises blood sugar levels compared to glucose, with a scale where low is less than 55, medium is 55 to 70, and high is over 70. It's used to help diabetics choose foods that have a lesser impact on blood sugar.

  • Why might the glycemic index of avocado seem inconsistent according to the script?

    -The glycemic index of avocado might seem inconsistent because the measurement may not be based on consuming a realistic amount of avocado that would contain 50 grams of net carbs, which is the typical amount used for glycemic index testing.

  • What is the issue with using the glycemic index as the sole criterion for food choices for diabetics?

    -The issue with using the glycemic index alone is that it may not account for the total amount of carbs consumed, the type of carbs (glucose vs. fructose), and the individual's metabolic health, which are all important factors in managing diabetes.

  • What is the concept of 'glycemic load' and how does it differ from glycemic index?

    -Glycemic load is a measure that takes into account both the glycemic index of a food and the amount of carbs it contains, providing a more comprehensive view of how a food will impact blood sugar levels compared to the glycemic index alone.

  • Why does the script suggest that the total amount of carbohydrates is more important than the glycemic index when considering metabolic health?

    -The total amount of carbohydrates is more important because it determines the total amount of insulin required by the body, which is a key factor in managing diabetes and insulin resistance.

  • What role does fructose play in the development of insulin resistance and fatty liver according to the script?

    -Fructose acts similarly to alcohol in that it can only be processed by the liver. Excessive fructose intake can overwhelm the liver, leading to fat accumulation and contributing to insulin resistance and fatty liver.

  • How does the script differentiate between the impact of sugar and fruit on metabolic health?

    -The script differentiates by explaining that while both sugar and fruit contain glucose and fructose, the fiber content in fruit can slow down the absorption of sugar, making it less immediately impactful on blood sugar levels. However, it also emphasizes the importance of considering the total sugar and fructose content in fruit.

  • What are some examples of sweet fruits with low glycemic load that the script recommends for diabetics?

    -The script recommends fruits like cherries, blueberries, apricots, grapefruit, raspberries, and blackberries as they have a low glycemic load, indicating they have less impact on blood sugar levels.

  • Why does the script suggest that fiber is an important factor in the context of carbohydrates?

    -Fiber is important because it is not absorbed by the body and can slow down the digestion and absorption of carbohydrates, thereby reducing the impact on blood sugar levels and insulin response.

  • What is the script's stance on the common belief that 'an apple a day keeps the doctor away' for diabetics?

    -The script refutes this belief, stating that while apples may have some fiber that can slow down sugar absorption, they still contain a significant amount of sugar, mostly in the form of fructose, which can be harmful to diabetics.

Outlines

00:00

🍏 Diabetes and Fruit Choices

This paragraph introduces the topic of suitable fruits for diabetics, highlighting the prevalence of diabetes globally and in the United States. It emphasizes the importance of distinguishing between fruits and vegetables, particularly avocados, olives, and tomatoes, which are technically fruits with low glycemic indices and minimal net carbs. The paragraph also discusses the concept of glycemic index, its measurement, and its limitations, especially when comparing foods with vastly different carb content like avocados and bread.

05:05

📊 Glycemic Index and Metabolic Health

The speaker challenges the conventional glycemic index ranges, suggesting that they are based on high carbohydrate intakes not suitable for those with metabolic impairments or insulin resistance. They propose alternative ranges for low, medium, and high glycemic index foods, tailored to individuals' metabolic health. The paragraph also addresses the continuum of metabolic health and insulin resistance, advocating for a personalized approach to carbohydrate intake.

10:12

🍚 Glycemic Load and Its Pitfalls

This section delves into the concept of glycemic load, which accounts for both the glycemic index of a food and the amount of carbs consumed. The speaker criticizes the application of glycemic load to small, sugary foods like dates, which, despite a seemingly low glycemic load, are not suitable for diabetics due to their high sugar content. The comparison between dates and healthier options like avocados using glycemic load further illustrates the shortcomings of this metric.

15:19

🍞 The Complexities of Carbohydrates

The paragraph discusses the different types of carbohydrates, focusing on glucose and fructose, and their impact on the body. It explains how starches like bread are quickly converted to glucose, raising blood sugar levels, while sugars and fruits contain both glucose and fructose, which can stress the liver. The importance of considering total carb intake, fructose content, and glycemic index is emphasized for managing insulin levels and metabolic health.

20:24

🍏 Debunking Common Misconceptions

The speaker refutes the idea that fruits like apples are beneficial for diabetics, pointing out that their high sugar and fructose content can be detrimental. They clarify that the total amount of carbs and the fructose proportion are more critical than the glycemic index or fiber content in determining a food's impact on blood sugar and insulin levels. The paragraph calls for a reevaluation of dietary advice for diabetics, focusing on the metabolic effects of different foods.

25:26

🍒 Selecting the Right Fruits for Diabetics

This paragraph provides a guide for diabetics on choosing fruits based on sugar, fiber, glycemic index, and glycemic load. It highlights the importance of low sugar and high fiber content, using examples like cherries, blueberries, apricots, and grapefruit. The speaker recommends fruits with low glycemic loads, such as raspberries and blackberries, which can be consumed more frequently by diabetics. The paragraph concludes with a cautionary note on portion sizes and the importance of staying within the recommended dietary guidelines for optimal health.

🛑 Conclusion and Call to Action

The final paragraph summarizes the video's key points and encourages viewers to subscribe for more health-related content. It emphasizes the importance of understanding the body's metabolic processes to make informed dietary choices, especially for diabetics. The call to action includes enabling notifications to stay updated with life-saving health advice.

Mindmap

Keywords

💡Diabetes

Diabetes is a chronic condition that affects the body's ability to process blood sugar (glucose). In the video, it is mentioned that over 37 million people in the United States are diabetics, which represents 11% of the population worldwide. The condition is characterized by high blood sugar levels due to the body's inability to produce or effectively use insulin. The video discusses the importance of understanding dietary choices, particularly fruits, for individuals with diabetes.

💡Glycemic Index

The glycemic index (GI) is a measure of how quickly a food raises blood sugar levels. Foods with a low GI (below 55) are considered to have a slower impact on blood sugar, while those with a high GI (above 70) have a faster impact. The video explains the concept of glycemic index in the context of choosing fruits for diabetics, emphasizing that a low GI is preferable to minimize blood sugar spikes.

💡Net Carbs

Net carbs refer to the total amount of carbohydrates in a food that can be absorbed and converted into glucose in the bloodstream, excluding fiber. The video script mentions that avocado has a very low amount of net carbs, which is beneficial for diabetics as it means less impact on blood sugar levels.

💡Insulin Resistance

Insulin resistance is a condition in which the body's cells do not respond properly to the hormone insulin, leading to high blood sugar levels. The video states that 88% of the population has some degree of insulin resistance, which is a key concept in understanding the importance of dietary choices for metabolic health.

💡Fruits

Fruits are a category of food that typically contains natural sugars, fiber, and various vitamins and minerals. The video discusses the best fruits to eat for diabetics, distinguishing between those with low and high glycemic indices and sugar content. It emphasizes that not all fruits are created equal when it comes to their impact on blood sugar.

💡Fructose

Fructose is a natural sugar found in many fruits and is also used as a sweetener. The video explains that fructose can be processed only by the liver and in excess can lead to health problems such as fatty liver. It contrasts fructose with glucose, highlighting the importance of understanding the types of sugar in fruits for diabetics.

💡Glycemic Load

Glycemic load is a measure that combines the glycemic index of a food with the amount of carbohydrates it contains. It provides a more practical assessment of how a serving of food will impact blood sugar levels. The video uses glycemic load to compare the impact of different fruits, such as dates and avocado, on blood sugar.

💡Metabolic Health

Metabolic health refers to the body's ability to process nutrients effectively and maintain normal metabolic functions. The video discusses the continuum of metabolic health, from those who are very insulin sensitive to those with type 2 diabetes, and how dietary choices can influence one's position on this spectrum.

💡Fiber

Fiber is a type of carbohydrate that the body cannot digest, which can slow down the absorption of sugar and help regulate blood sugar levels. The video mentions fiber in the context of fruits like raspberries, explaining that high fiber content can mitigate the impact of sugar on blood sugar levels.

💡Avocado

Avocado is a fruit that is technically a berry and is known for its creamy texture and high nutrient content, including healthy fats. The video highlights avocado as an example of a fruit with a low glycemic index and very low net carbs, making it a suitable choice for diabetics.

💡Cherries

Cherries are a type of fruit that are mentioned in the video as having a relatively low glycemic load due to their sugar, fiber, and glycemic index values. They are presented as an example of a sweet fruit that can be consumed in moderation by diabetics.

Highlights

Over 37 million people in the United States are diabetic, representing 11% of the population worldwide.

India and China are experiencing the greatest increases in diabetes rates.

Approximately 290 million people have some degree of insulin resistance.

Fruits and vegetables should not be considered the same due to their differing effects on blood sugar levels.

Avocado is technically a fruit with a low glycemic index and low net carbs, making it a good choice for diabetics.

Olives and tomatoes are also low in net carbs and glycemic index, but are not typically considered fruits.

The glycemic index measures how quickly a food raises blood sugar levels relative to glucose.

Glycemic index values can be misleading due to inconsistent measurement methods.

Dates, despite being high in sugar, have a low glycemic index, challenging common dietary advice for diabetics.

The concept of glycemic load takes into account the amount of food consumed, providing a more accurate measure.

Fructose in fruits and sugars can be harmful to the liver and contribute to insulin resistance.

The total amount of carbohydrates is more critical for insulin levels than the glycemic index.

Fiber slows down digestion and absorption, affecting the impact of carbohydrates on blood sugar levels.

Misinformation about the benefits of certain fruits for diabetics, such as apples, is widespread.

Raspberries are a better fruit option for diabetics due to their high fiber content and low sugar.

Cherries, blueberries, apricots, and grapefruit are among the sweet fruits with lower glycemic loads suitable for diabetics.

Lemons and limes have negligible glycemic impact and can be freely used by diabetics.

Transcripts

play00:00

Hello Health Champions today we're going to  talk about the best fruits to eat if you're a  

play00:05

diabetic did you know that over 37 million people  in the United States are diabetics today and that  

play00:13

represents 11 of the population worldwide there's  over half a billion people with diabetes today and  

play00:22

even though 11 is the highest percentage of any  country the greatest increases are now seen in  

play00:29

India and China and they're very quickly catching  up with that percentage in addition to that there  

play00:37

are 290 million people who have some degree of  insulin resistance that's the vast majority or  

play00:43

88 of the population so even if you don't have  diabetes that's a very good chance that this  

play00:50

still concerns you very often we hear fruits and  vegetables mentioned in the same sentence as in  

play00:57

you should eat more fruits and vegetables as if  they were the same thing and we need to understand  

play01:03

how they are different and the absolute best  fruits to eat would be called Avocado now most  

play01:13

people think of that as a vegetable because  it doesn't taste sweet but technically it is  

play01:18

a fruit and it has a very low glycemic index and  we'll talk more about that but that just means  

play01:25

how quickly something that you eat raises your  blood sugar it also has a very very low amount  

play01:32

of net carbs so net carbs are the amount of carbs  that you can absorb to become blood sugar the next  

play01:40

best would be olives and again people don't really  think of that as a fruit but it happens to be same  

play01:48

glycemic index and three grams of net carbs and  the next fruit is called tomato also 15 and three  

play01:57

so these three would be the absolute best fruits  to eat but they don't really fit the criteria for  

play02:05

fruit in most people's mind because when people  think of fruit they're looking for that sweet  

play02:11

taste they're talking about nature's candy they're  looking for a sweet treat but they don't want to  

play02:17

eat something artificial or Laden with added sugar  so we're going to talk about some of those sweet  

play02:23

fruits also but first we need to understand  a few things and dispel a few myths because  

play02:29

otherwise it doesn't make sense to talk about  them most of the time we hear about something  

play02:34

called glycemic index in terms of carbohydrates  and fruit and when they measure that they give  

play02:41

people a certain amount of food enough to contain  50 grams of net carbs so 50 grams of carbohydrates  

play02:49

that can be absorbed into the bloodstream so  fiber is subtracted because fiber does not get  

play02:55

into the bloodstream and then they compare that  food to glucose which is given the number 100 as  

play03:02

a reference or index and then they create a scale  where low glycemic index is anything less than 55  

play03:10

compared to glucose at 100 medium would be 55  to 70 and high glycemic index would be anything  

play03:18

over 70. but there's a few problems that we need  to understand the first problem is if we look at  

play03:24

something like bread it has 50 percent of the  weight being net carbs so if you eat a hundred  

play03:31

grams of bread which is basically two large slices  of toast you're gonna get 50 grams of carbs that's  

play03:38

pretty typical someone could do that in a sitting  and bread being basically pure starch has a very  

play03:44

high glycemic index of 75. but if we compare  that to something like avocado avocado has two  

play03:54

grams of net carbs so how do you eat 50 grams of  net carbs from avocado you basically have to eat  

play04:02

2 500 grams or five pounds of avocado to do that  which is way over a dozen avocados so I don't know  

play04:12

exactly how they come about with the number  15 which often is a sign I don't think that  

play04:18

they feed people five pounds of avocado so they  probably have some other measurement which means  

play04:24

that they're not really consistent in measuring  this but what it also means is that virtually all  

play04:31

the foods that you ever see on a list of glycemic  indices are going to be starch and sweet fruits  

play04:39

and then they tell you to select foods with a  low glycemic index and now you think that you're  

play04:45

limited to the foods that are on the list test  of glycemic index but all the good foods don't  

play04:52

really make it on there but let's talk about  a food that often makes it onto the list and  

play04:57

that's dates and even though this is pure sugar  medical news today says that according to various  

play05:05

research the typical glycemic index turns up at  42 which classifies it as low glycemic index food  

play05:14

and therefore safe and suitable for diabetics so  if you watch some of my videos and you understand  

play05:20

what sugar is that's totally absurd notion and  that has a lot to do with problem number two  

play05:27

so when we look at these numbers these ranges of  low under 55 High over 70. that is all relative to  

play05:36

something what are they comparing it to and it's  all based on the belief that we should eat three  

play05:43

to four hundred grams of carbohydrate per day  mostly from starches because that's the primary  

play05:50

way that you can get up to those numbers so the  ranges the numbers of glycemic index are going  

play05:57

to be based on foods that are basically pure  starch and some of these numbers might work  

play06:03

for people if you are relatively young if you're  very metabolically healthy or insulin sensitive  

play06:10

and you're quite active but we just realized that  88 of the population has some degree of metabolic  

play06:19

impairment some degree of insulin resistance  and then these numbers don't apply at all so  

play06:27

instead if you have some metabolic impairment  if you have some weight to lose if you have  

play06:32

some blood sugars that you like to drop I would  suggest the following ranges that low would be  

play06:38

things under 20. and medium would be 20 to 40  and high would be over 40. so I'm not claiming  

play06:47

that these are any exact numbers I just want to  get you into the idea that if you're trying to  

play06:52

change something about your metabolic Health then  you want to adopt a completely different range  

play06:58

than the ones they usually tell you so in that  note we need to realize that metabolic health  

play07:04

and insulin resistance is a Continuum it's not  black or white it's not like you have diabetes  

play07:10

or you don't on the red end that's the 10 percent  that have type 2 diabetes on the green end of the  

play07:17

spectrum that's another 10 percent roughly that  are very metabolically healthy and then in between  

play07:23

we have about 80 percent of the population who  are relatively insulin resistant so if you're  

play07:30

very insulin sensitive then you can be less strict  with these ranges and with the amount of carbs but  

play07:38

if you are closer to the type 2 diabetes then  you need to be much more strict and if you want  

play07:44

to figure out more about where you are on the  Spectrum I've developed a the blood work course  

play07:49

where you learn everything that you need to know  about understanding your metabolic health and then  

play07:55

some so I'll put some information down below if  you're interested but a lot of people realize that  

play07:59

the glycemic index method has some limitations so  a lot of people now are talking about a glycemic  

play08:07

load which is just another way of looking at it  because now they take into account how much you  

play08:13

eat of that food so they take the glycemic  index of the food times the amount of carbs  

play08:20

in grams and they divide by a hundred so now for  each meal for each snack they recommend that low  

play08:29

should be less than 10 units of glycemic load  medium should be 10 to 20 and high is over 20.  

play08:37

and based on that idea now medical news today  says that therefore two dry dates which weigh  

play08:43

48 grams contain 36 grams of carbs which again  is virtually pure sugar and then you multiply  

play08:52

that by the glycemic index and you end up with  17 so that would put it in the medium range but  

play08:59

remember these are supposed to be meals and two  dates hardly constitutes a meal and yet you're  

play09:05

kind of in the high end of medium and still they  call that a good idea for diabetics but remember  

play09:11

these ranges are based on the idea that we should  eat three to four hundred grams of carbs per day  

play09:17

and also that people typically can't reverse  insulin resistance they're not talking about  

play09:24

reversing a condition they're just talking about  maintaining it with medication and not having it  

play09:29

get worse so we need to put that in perspective  and compare it to a few things so if we take rice  

play09:35

for example we eat a hundred grams of rice that's  31 grams of carbohydrates of net carbs that has a  

play09:43

glycemic index of 98 so we multiply that divide  by 100 so we get a glycemic load of a hundred so  

play09:50

that would be a meal that puts us in the high  range but then if we compare that now to dates  

play09:57

we eat 48 grams which I think is very questionable  if that would be a meal and we have certain amount  

play10:04

of carbs and glycemic index we end up with 17. so  now people say oh dates are great because they're  

play10:11

better than rice but why would we compare it to  the worst food just because something is a little  

play10:18

bit better doesn't make it good so let's compare  it to a good food which would be avocado so now  

play10:25

we eat a hundred grams of avocado we get two grams  of net carbs multiplied by 15 divide by a hundred  

play10:33

and now we have a glycemic load of 0.3 so now we  see that even though dates are slightly better in  

play10:40

the rice it's not really a good food compared to  avocado the glycemic load is astronomical but when  

play10:47

it comes to fruit there is a third problem that we  really need to address and that's the question of  

play10:53

what is a carbohydrate because they're not all the  same even though a lot of people treat them the  

play10:59

same way so virtually all the carbohydrates we eat  are going to come from glucose and fructose and if  

play11:09

we eat something like bread that's going to be 100  percent glucose and no fructose and these glucose  

play11:18

molecules they're strung together like pearls on  a string and there's hundreds or thousands of them  

play11:24

and that's called starch but as soon as we start  chewing we have something called salivary amylase  

play11:31

that starts chopping these off the glucose gets in  the bloodstream very quickly and that's why bread  

play11:36

has a high glycemic index of 75 but bread has  no fructose but almost everyone today recognizes  

play11:46

that sugar sugar is different than bread even if  they don't understand exactly why and the reason  

play11:53

is that sugar is different it's 50 percent glucose  and 50 fructose so when we eat table sugar we have  

play12:02

these two molecules linked together side by side  in a disaccharide meaning two different molecules  

play12:10

and now we're getting the glucose that can raise  blood sugar but we're also getting fructose that  

play12:18

can only be processed by the liver so it's kind  of like alcohol in that if we have a significant  

play12:24

amount then it can only be processed by the liver  and it very quickly overwhelms the liver it turns  

play12:32

into fat and it starts infiltrating the liver so  it used to be only alcoholics got a fatty liver  

play12:38

but now the vast majority of fatty liver is due  to fructose but here's the next huge disconnect  

play12:46

that all these people who say that sugar is  bad and bread is good there's still going to  

play12:53

promote fruit because they say it's natural it's  completely different than the added sugar and yet  

play13:01

fruit has 50 glucose and 50 fructose just like the  table sugar does and in many cases it's going to  

play13:11

fluctuate a little bit and it's usually going to  be in the direction of having more fructose it'll  

play13:18

be even more devastating for the liver so here's  what really matters the first thing to understand  

play13:23

is that the total amount of carb relates to  the total amount of insulin and this is why  

play13:29

virtually all type 1 diabetes doctors will tell  you that you just count the carbs and you take a  

play13:37

corresponding amount of insulin to handle those  carbs I don't agree with that statement because  

play13:43

I still think that you need to limit the carbs  so that you don't have to take so much insulin  

play13:48

but that relationship still holds the second most  important factor is the amount of fructose like we  

play13:56

said fructose act sort of like alcohol it is the  strongest factor in developing fatty liver and  

play14:03

insulin resistance and then the third factor is  the glycemic index so if you have a high glycemic  

play14:09

index that creates more blood sugar swing larger  blood sugar swing so that's just kind of adding  

play14:15

insult to injury it's not the primary thing but  it's worth keeping in mind and a fourth Factor  

play14:22

that's often mentioned is fiber because fiber  is not absorbed and it will tend to slow down  

play14:26

the digestion and absorption so let's do a little  example here if we take a normal blood sugar range  

play14:33

and let's say that that's here and let's call the  middle of that 90. and then we eat something and  

play14:42

we bring the blood sugar up to about a hundred  and fifty what does that actually mean in terms  

play14:48

of how much blood sugar we have so 90 milligrams  per deciliter if we multiply that out by how much  

play14:56

blood is in the average person that means that you  have about three grams about half a teaspoon it's  

play15:04

like that much blood sugar in your bloodstream  at any given time and if you eat something and  

play15:10

it gets up to 150 then that represents five grams  of blood sugar so now let's say that you eat 100  

play15:19

grams you have a meal of 100 grams of carbohydrate  that's equivalent to 400 calories and your blood  

play15:30

sugar is going to go like this because your  body controls it and it brings it down with  

play15:38

insulin every time it rises so it always goes  fluctuating between three and five grams and  

play15:46

yet you just ate 100 grams of carbohydrate it's  in your digestive tract it has to be absorbed  

play15:52

into the bloodstream in the next hour or two and  then get out of the bloodstream very quickly so  

play15:59

it doesn't get above 150 so at any given time  we don't have more than five grams of sugar so  

play16:07

that means most of this 100 grams is going to go  very very quickly through the bloodstream and it  

play16:15

requires a certain amount of insulin to do that  and this is why the most important factor is the  

play16:23

total amount of carbs because that's going to  determine the total amount of insulin required  

play16:29

and as a diabetic your insulin is too high so  you can't keep eating foods that have a hundred  

play16:36

grams of carbohydrate or significant amounts of  carbohydrate because that's going to trigger large  

play16:42

amounts of insulin and perpetuate and aggravate  your insulin resistance we need to go way way down  

play16:49

on the carbohydrates to allow that insulin to drop  so that we can become more insulin sensitive so  

play16:57

why does glycemic index matter well it matters  a tiny little bit because in the next hour  

play17:04

you're going to be using approximately we'll just  pick some nice round numbers about 100 calories  

play17:11

per hour and we never burn pure glucose we burn  some glucose and some fat so let's just keep it  

play17:19

simple and keep it 50 50. that means you're  going to burn in the next hour you're going  

play17:25

to burn 50 calories from carbohydrate but you just  ate 400 and that means this insulin has now stored  

play17:34

350 of those calories so basically the higher the  glycemic index the quicker the blood sugar swings  

play17:44

the greater the stress the greater the shock on  the system because it has to produce way more  

play17:51

insulin quicker but in the end of the day it's  not going to matter all that much if you need to  

play17:58

store 340 maybe or 360. it's a little bit better  if they're slower but it's not a huge difference  

play18:10

it's the key factor is going to be the total  amount of carbohydrates because that's going to  

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affect your insulin levels short term in the next  few hours and the second most important factor  

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is the fructose because that's going to determine  your metabolic Health long term based on the liver  

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and then the glycemic index and the fiber are the  little nuances that just make it a little worse or  

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a little better so what we need to understand  is that carbohydrates are more of a metabolic  

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challenge to the body than fat or protein because  with fat and protein the body has several hours it  

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doesn't affect blood sugar it's never an emergency  but with carbohydrates we need to get a hundred  

play18:58

grams through the bloodstream but we can't have  more than five grams at any given time so we need  

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to process that that through very very quickly  and that's why it's kind of an emergency that's  

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why it's a metabolic challenge now this doesn't  affect everyone the same so if you're an athlete  

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if you're metabolically healthy then this is not  going to be a problem not for many many years at  

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least but you also want to understand how this  works so that you never move in that direction  

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so let's clear up some more very widespread  misinformation and this is an example from a  

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video with 5 million views that promoted a bunch  of fruits that no diabetic should eat a bunch of  

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and one example was Apples they say apples are  great for diabetics because even though they may  

play19:48

have 12.4 grams of sugar which incidentally is  mostly fructose as much as 75 percent they say  

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that it has a lot of fiber and the fiber will  slow down the release now it turns out honey  

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crisp apples which I'm going to show you some  numbers has 1.7 grams of fiber per 100 grams of  

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Apple which is not a whole lot actually and then  they go on to say that because of this apples  

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actually help diabetics regulate blood glucose  and I saw this in print in many many different  

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places but again they're falling into the Trap  apples don't help diabetics regulate apples are  

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less dysregulating than jelly beans or white toast  and jam or sugary breakfast cereal with skim milk  

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but it doesn't help regulate anything so let's  illustrate with a few examples here honeycrisp  

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apples has about 15 grams of total carbs per 100  grams of Apple but almost all of that is sugar  

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and most of that is fructose the vast majority  of that is fructose so it tastes very sweet it  

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has a slightly lower glycemic index because of the  fructose because fructose is absorbed slowly but  

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again it is very stressful for the liver and then  the rest of the carbohydrates are made up of fiber  

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which is not absorbed and then other carbohydrates  but now let's compare that to raspberries and if  

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we just look at the total carbs it doesn't seem  that different but if we look at the sugar we see  

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that there's a huge difference there's like five  times more sugar in apples than in raspberries and  

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that's because there is so much fiber most of the  carbs in the raspberry is actually fiber so if you  

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compare the small amount of fiber in apples to the  large amount in raspberries then apples don't seem  

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so impressive anymore and then to really get some  contrast here let's also look at avocado which on  

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the surface seem to have a large amount of carbs  total carbs but the sugar is that tiny little  

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sliver down at the bottom there and almost all the  carbs in the avocado is fiber so the net carbs is  

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just this little white thing but it's not sugar so  again it's absorbed very very slowly so we can't  

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just look at the total carbs because it's the  net carbs that determine the insulin and it's the  

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fructose that determines the stress on the liver  so now that we understand all those mechanisms  

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let's look at the top sweet fruits and remember  that the sugar in these are 50 fructose fifty  

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percent glucose more or less so that's why we  still want to keep the numbers quite low and the  

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first example is cherries we're going to look at  Sugar fiber glycemic index and glycemic load like  

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we said the sugar the carbs is the most important  factor and cherries have 13 sugar 2 grams of fiber  

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a low glycemic index so the glycemic load is  three and again compare that to Rice which was  

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30 or dates which were 17. so now we're getting  into low single digits and that's where you want  

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to keep it even so as a diabetic you probably  want to limit cherries quite a bit because of  

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the sugar content there'll be some better ones  here soon blueberries have a little bit less sugar  

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a little bit more fiber a much higher glycemic  index so the glycemic load is a little bit higher  

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but again we said that the sugar is more important  it's a heavier Factor next one is apricot and we  

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have nine grams of sugar little fiber low glycemic  index so it's about the same in terms of glycemic  

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load as cherries but I would recommend apricot  because the total carbs are less the sugar is  

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less grapefruit comes in next at seven two grams  of fiber low glycemic index and a quite low  

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glycemic load and remember though that this is  per 100 grams so if you'd get a huge grapefruit  

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and you eat the whole thing then you probably need  to Triple these numbers and now we're getting into  

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the really good stuff that even a diabetic can  eat frequently even if not in unlimited amounts  

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but you could have handfuls of these on a regular  basis if you're on a ketogenic diet these are low  

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enough that you can have a handful here and there  and stay in ketosis for most people so raspberries  

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are going to have 4 grams of sugar seven grams of  fiber again that fiber is more than the sugar so  

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it's going to really slow this down which is why  we have a low glycemic index and now we're getting  

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in under two on the glycemic load blackberries  very similar numbers even a little bit lower on  

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the glycemic index and the glycemic load and just  for comparison so you understand that you can use  

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lemon freely even if it's not something that  you use for a sweet treat but you could use it  

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in cooking you can use it in water you can use it  very freely and lemon and lime are very similar  

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so they're pretty interchangeable you have very  very low numbers and the glycemic load would be  

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a 1.2 but that's per 100 grams of edible lemon so  you're obviously not going to eat that much on a  

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regular basis you're going to have a fraction  of that and if you're at your ideal weight if  

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you're insulin sensitive the then you could have  these pretty freely and you could even have some  

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fruits maybe with higher numbers than this but  if you are a diabetic which this video is about  

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then you want to stick primarily to the ones in  green here and use the other ones occasionally  

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and sparingly if you enjoyed this video you're  going to love that one and if you truly want  

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to master Health by understanding how the body  really works make sure you subscribe hit that  

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Related Tags
Diabetes DietFruit SelectionGlycemic IndexInsulin ResistanceHealthy EatingNutritional AdviceBlood Sugar ControlFructose ImpactDiabetic FriendlyCarb Counting