The New York Times asks Dr. Maggie Powers, president-elect of health care and education for the American Diabetes Association (ADA). Here’s what she replies:
“It’s a matter of give-and-take,” Dr. Powers said. “If somebody wants [sugar-sweetened] soda, we don’t encourage that, because a little bit gives you a lot of carbohydrates.” But, she said, -“If you say that you have to have a brownie every Sunday before you go to bed, I’d say, ‘You typically have a snack of 30 grams of carbohydrates, such as a large apple or banana; you can have a brownie instead.’ ”
You have diabetes and you want a brownie before bed? Sure, have a brownie!
Time to get real
People can eat whatever they want, obviously. But they deserve professional advice that works. They deserve the truth. And the truth is that snacking on brownies before bed is an absolute disaster in type 2 diabetes.
The person with type 2 diabetes was asking if he/she would ever get to eat a decent meal again. The answer is YES. Eat delicious food every single day, like these meals or these breakfasts. No weighing, no counting. Eat all you need to feel satisfied at your meals.
But the truth is that every brownie moves the needle in the other direction. Towards weight gain, higher blood sugar, more drugs, more disease. The ADA should know that, and the ADA should tell people with diabetes the truth.