Diabetes dietary taboo fruits

Written by Luo Han Ying

Endocrinology

Updated on March 27, 2025

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Many patients have a misconception after being diagnosed with diabetes; they think that fruits are sweet and they should avoid all fruits. This statement is half right—fruits are indeed sweet, but not all fruits are off-limits. Diabetes patients can still consume fruits, provided that they pay attention to the quantity and type of fruit they eat. First, let’s discuss the fruits that should not be eaten by diabetic patients, which are those high in simple sugars. Consuming these fruits can cause a rapid spike in blood sugar levels. Examples include dates, whether dry or fresh, longans, whether dry or fresh, lychees, whether dry or fresh, and bananas, which all have very high sugar content. These fruits are not recommended for diabetic patients; on the other hand, fruits like kiwis, cherries, kumquats, and grapefruits are generally suggested as suitable for diabetic patients.

Other Voices

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How to treat diabetic foot?

Diabetic foot is one of the most severe complications of diabetes. It is caused by a combination of factors including peripheral vascular disease and diabetic peripheral neuropathy associated with diabetes. In such cases, treatment can involve internal medicine, interventional vascular treatment, and surgical treatment cooperatively managed by multiple vascular departments. Early treatment focuses on controlling blood sugar, improving circulation, and nourishing nerves. If ulcerations and skin breakdown have already occurred in the foot, further debridement and anti-infection treatments are necessary. It is essential to conduct an ultrasound of the lower limb vessels to assess for any vascular narrowing. If severe vascular occlusion occurs, vascular surgery may be needed to restore blood flow. In cases of severe diabetic foot with infection, surgical debridement or even amputation may be necessary. Thus, it is crucial to control blood sugar well in the early stages of diabetes to prevent these complications and potentially avoid the onset of diabetic foot.

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Endocrinology

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How to determine if you have diabetes

If a patient experiences significant symptoms of dry mouth, excessive thirst, increased urination with more foamy urine, increased appetite, but an unexplained weight loss, known as the "three polys and one low" symptoms, it is necessary to monitor fasting blood glucose. If the fasting blood glucose exceeds 7.0 mmol/L or the blood glucose two hours after a meal exceeds 11.1 mmol/L, or if there are no clear "three polys and one low" symptoms but random blood glucose levels exceed 11.1 mmol/L on two occasions, a diagnosis of diabetes can be confirmed. At the same time, it is essential to rule out secondary effects on blood sugar levels caused by infections, trauma, or the use of steroid medications. It is also recommended that the patient undergo tests for glycated hemoglobin, as well as insulin and C-peptide release tests, to further clarify the diagnosis.

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Written by Chen Li Ping

Endocrinology

47sec

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incidence of gestational diabetes

Gestational diabetes refers to diabetes that appears or is diagnosed during pregnancy, or any degree of glucose tolerance abnormality, which is classified as an independent type of diabetes. Diabetes combined with pregnancy or gestational diabetes can pose serious risks to the health of both mother and child. Before national screening of blood sugar levels during pregnancy was initiated, the detection rate of gestational diabetes was not very high, only 0.24%. However, with the widespread implementation of blood sugar screening during pregnancy, the current incidence rate of gestational diabetes is approximately 1% to 5%.

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Written by Zhao Dan

Orthopedics

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Gestational diabetes standards

Before addressing this question, let's first clarify another concept: if diabetes is diagnosed before pregnancy, this is referred to as pre-existing diabetes in pregnancy, which is different from gestational diabetes. Gestational diabetes refers to cases where there is no pre-existing diabetes diagnosis before pregnancy, but abnormal blood glucose levels are detected after becoming pregnant. Generally, a glucose screening test is conducted between the 24th and 28th weeks of pregnancy. Currently in China, there are two approaches: the one-step and the two-step methods. The one-step method involves a direct 75-gram oral glucose tolerance test. However, most of China uses the two-step method, which starts with a 50-gram glucose challenge test. If the blood glucose level one hour after eating is greater than or equal to 7.8 mmol/L, a 75-gram oral glucose tolerance test is recommended. For the 75-gram glucose test, the fasting blood glucose level should generally be less than or equal to 5.6 mmol/L, one hour post-glucose intake should be 10.3 mmol/L, two hours post-glucose should be 8.6 mmol/L, and three hours post-glucose should be 6.7 mmol/L. If two or more of these values exceed the diagnostic criteria, gestational diabetes can be diagnosed. If only one value is abnormal, impaired glucose tolerance can be diagnosed. It is recommended that anyone who experiences abnormal blood glucose levels during pregnancy undergo another 75-gram oral glucose tolerance test six months post-pregnancy to determine if blood glucose levels are still abnormal and whether treatment should continue.

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Written by Lin Xiang Dong

Endocrinology

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How to reduce sugar in a diabetic diet?

Dietary control is the most important method of treatment for diabetes. If dietary control is improper, all hypoglycemic drugs, including insulin, will not be very effective, and the focus of dietary management in diabetes is to control the intake of carbohydrates. Our Chinese diet is primarily based on carbohydrates like rice. Mainly, we control the amount of rice consumed, with each meal (lunch and dinner) consisting of about 100 to 200 grams of rice. This is complemented by plenty of vegetables and a certain amount of lean meat to enhance satiety. By controlling the intake of carbohydrates in our daily lives, blood sugar levels can drop significantly.