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Enjoy Sweet Treats While Managing Blood Sugar: T1D Dietitian Guide

Jan 05, 2025

Living with diabetes, whether it’s type 1 or type 2, doesn’t mean giving up on favorite treats.

A certified diabetes educator and registered dietitian living with Type 1 diabetes (T1D) for over 25 years offers guidance on how to enjoy a milkshake without blood sugar levels spiking. Many individuals with diabetes are told to avoid desserts like cakes, cookies, and milkshakes, but it’s time to rethink that advice.

Myths Around Sweets and Diabetes

For years, individuals with diabetes have been warned to avoid sugary foods. Milkshakes, in particular, are often seen as a no-go because of their high sugar content. However, it’s important to break it down: while milkshakes are high in sugar and fat, causing an immediate spike in blood sugar, this doesn’t mean they must be entirely off-limits. A T1D dietitian emphasizes the importance of understanding how the body responds to such foods and making the right adjustments.

The issue with sugary foods is their potential to cause a sharp rise in glucose levels. High fat content, such as that found in milkshakes, can delay glucose absorption, leading to higher blood sugar levels for hours. This can be problematic for individuals with diabetes, as prolonged high blood sugar can lead to health complications. However, this doesn’t mean favorite foods need to be avoided.

Boost Insulin Sensitivity

One effective way to manage desserts like milkshakes is by improving insulin sensitivity. Regular physical activity, like weightlifting or walking, can increase insulin efficiency. After being active, insulin works better to control blood sugar spikes caused by sugary foods, such as milkshakes.

Protein is Key

Before indulging in a sugary treat, consider eating a protein-rich meal. Protein helps slow down the absorption of glucose, preventing a massive spike in blood sugar after consuming a high-carb dessert. For example, consuming 60-70 grams of protein before a milkshake can help balance out the sugar surge.

Carb Counting 

For individuals with Type 1 or Type 2 diabetes, counting carbs is essential. When consuming a treat like a milkshake, breaking it down into manageable parts is important. For example, the milkshake may include cookie dough and chocolate syrup, all contributing to the carb count. A T1D dietitian can break it down: just the cookie dough and chocolate syrup may add up to over 100 grams of carbs, so it’s crucial to account for this when calculating insulin needs.

Don’t Overeat

While it can be tempting to indulge, portion control is important. Even though a milkshake may seem irresistible, sharing it with a friend or family member can help prevent overeating. A diabetes dietitian often recommends enjoying treats in moderation to keep blood sugar levels in check.

Diabetes Education is Key

Managing blood sugar while enjoying sweet treats doesn’t have to be stressful. With the right education, it’s possible to enjoy food without sacrificing control. Diabetes educators provide guidance on planning meals, managing carb intake, and balancing insulin or medication effectively.

For those overwhelmed by carb counting and insulin management, there’s no need to worry. Many resources and support systems are available. A diabetes dietitian can help navigate challenges, enabling individuals to find a balance between enjoying favorite foods and managing diabetes effectively.

In conclusion, giving up sweets entirely isn’t necessary. With proper planning, some exercise, and the right education, it’s possible to enjoy treats like milkshakes while keeping blood sugars in check.

Happy eating!

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