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Understanding Fruit, Fruit Juices, and Smoothies in Diabetes Management

For individuals managing diabetes, navigating the world of fruits, fruit juices, and smoothies can be a complex task. Questions often arise regarding their impact on blood sugar levels and overall health. In this article, we aim to clarify the differences between consuming whole fruit and its liquid counterparts and how these choices can influence diabetes management and well-being.



Demystifying Fructose

All fruits, fruit juices, and smoothies contain a natural sugar called fructose. When consumed in its whole fruit form, fructose does not contribute to your intake of free (added) sugars. However, in fruit juice or a smoothie, it does.


Free (added) sugar encompasses sugars added to foods by manufacturers, such as those found in sweets, chocolates, jams, certain pasta sauces, fizzy drinks, and breakfast cereals. It also includes the sugar present in fruit juices, smoothies, and honey. A recent report by the Scientific Advisory Committee on Nutrition (SACN) has emphasized the need to reduce free (added) sugar intake by half.

The recommended maximum daily intake of free (added) sugar is as follows:

  • 19g for children (aged 4 to 7)

  • 24g for children aged (7 to 10)

  • 30g for children (over 11) and adults

Excessive free (added) sugar consumption is linked to obesity, tooth decay, and an increased risk of Type 2 diabetes.

It is important to note that the report emphasizes that there is no need to reduce whole fruit intake; in fact, it recommends consuming more.


Whole Fruit vs. Juices and Smoothies

Whole fruit is distinct from fruit juice and smoothies due to the presence of fiber, vitamins, and minerals. These components contribute positively to overall health. Fiber helps slow down the absorption of fructose into the bloodstream and promotes a feeling of fullness. Consequently, opting for whole fruit over its liquid counterparts is the preferable choice.


Fruit juices and smoothies, on the other hand, often have most of their fiber removed during processing. Their liquid form makes it easy to consume large quantities rapidly, resulting in increased calorie, carbohydrate, and sugar intake.


While juices and smoothies are a source of concern due to their contribution to sugar intake, it's important to highlight that we tend to under-consume whole fruits. However, mindful portion control is essential to prevent overconsumption of carbohydrates, especially when dealing with dried fruits, grapes, and tropical fruits.


Making Informed Choices

To manage blood glucose levels effectively, it is advisable to spread fruit consumption throughout the day, preventing large carbohydrate intake at once.

While it's better to favor whole fruit over juices and smoothies, if you choose to include them in your diet:

  • Limit the quantity to the recommended portion of one small glass a day (150ml).

  • Dilute the juice with water to make it go further.

  • Be aware of the carbohydrate, sugar, and calorie content and their potential impact on blood sugar levels.

  • Adjust other components of your meal to accommodate the additional carbs from the fruit juice.

For instance, if you typically have two slices of bread for breakfast, consider having just one on the day you decide to enjoy a small glass of juice. This adjustment helps maintain stable blood sugar levels.

Homemade smoothies are a healthier option as you can include whole fruits, preserving the fiber, and ensure no additional sugars are added, which can sometimes be present in store-bought versions.


The Role of Sugar in Diabetes Management

There is no need to completely avoid sugar when managing diabetes. Instead, aim to reduce free (added) sugar intake while meeting the recommended five-a-day target for whole fruits. Doing so not only supports diabetes management but also offers protection against stroke, heart disease, and certain cancers.


In conclusion, understanding the nuances of fruit, fruit juices, and smoothies is vital for effective diabetes management. While whole fruit stands as a superior choice, careful consideration and portion control can allow for the occasional inclusion of juices and smoothies without compromising blood sugar control. Balancing your sugar intake and embracing whole fruits can contribute to a healthier and more manageable life with diabetes.


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Source: Association of Diabetes UK

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