What is the best diet for diabetes? Ask ChatGPT!

In past weeks, I have written extensively about my experience, experiments and lifestyle choices as a type 1 diabetic. It is not always easy to control everything: plant-based diet, running, strength training, sleep, work, stress…everything blends in a potentially explosive mix!

But our small daily choices can make a huge difference, and since I committed to foods that are rich in whole, plant based carbohydrates and low in fats, I have experienced that drastic change for the better.
Not only my time in range has drastically increased (above 90%!), but my workouts, my recovery and my overall energy levels at work and outside of it have just followed suit.

But that is only a Curious Diabetic’s experience! Why not ask someone (or something) that is constantly learning from all the information, knowledge and experience of the whole human species? Is my 90% time in range the result of mere luck?

In this interview with Artificial Intelligence, I have asked questions about the following topics:

  • The most important lifestyle and dietary factors a diabetic should consider to improve their A1C and the stability of their blood glucose;

  • Whether a diet rich in whole, plant based carbohydrates is preferable to a diet high in protein and fats to achieve more “time in range”, and why;

  • Three easy, cheap and nutrient dense recipes anyone can make to improve insulin sensitivity and the blood glucose levels. I also asked recipes that are ideal for diabetics who are long distance runners;

  • To get some motivation and show that sports with diabetes is totally possible, some examples of accomplished endurance athletes with type 1 diabetes.

Let’s dive in!

Note:
For the sake of space, I have edited part of the answers which were redundant.
I have in no way modified the content of any of the answers. However, I have highlighted some points I considered important.
ChatCPT always advised to consult a healthier provided or a registered dietician
.


My conversation with Chat GPT:
How can diabetics improve their blood sugar levels?

Q1: I am a type 1 diabetic, and I struggle with very unstable blood sugar levels. What are the most important lifestyle and dietary factors I should consider to improve my A1C?

As a type 1 diabetic, managing your blood sugar levels is crucial for your overall health and well-being. Here are some lifestyle and dietary factors that can help you improve your A1C:

  1. Consistent and regular physical activity: Regular exercise can help lower blood sugar levels and improve insulin sensitivity. Aim for at least 30 minutes of moderate-intensity activity most days of the week.

  2. A balanced and healthy diet: Eating a balanced diet that is rich in whole grains, fruits, vegetables, and lean protein can help stabilize your blood sugar levels. It's important to limit your intake of processed foods, sugary drinks, and foods high in saturated and trans fats.

  3. Monitoring your carbohydrate intake: Carbohydrates have the most significant impact on blood sugar levels, so monitoring your carbohydrate intake is critical.

  4. Consistent meal times: Eating meals and snacks at consistent times each day can help regulate blood sugar levels.

  5. Medication management: Taking your insulin as prescribed and monitoring your blood sugar levels regularly is essential to managing your diabetes.

  6. Stress management: Stress can cause blood sugar levels to rise, so finding healthy ways to manage stress, such as practicing yoga, meditation, or deep breathing exercises, can be helpful.

  7. Adequate sleep: Lack of sleep can also cause blood sugar levels to rise, so getting enough quality sleep each night is important.


What is the best diet for a type 1 diabetic?

Q2: Is a diet high in protein and fats good for a type 1 diabetic?

A diet that is high in protein and fats may not be the best choice for a type 1 diabetic. While protein and fat can be a healthy part of a balanced diet, too much of these macronutrients can have negative effects on blood sugar levels and overall health.

  • Protein, when consumed in excess, can be converted into glucose in the body through a process called gluconeogenesis, which can cause blood sugar levels to rise. Additionally, high levels of protein intake can be taxing on the kidneys, which may already be compromised in people with diabetes.

  • Fats are an important part of a healthy diet, but it's important to choose healthy fats such as monounsaturated and polyunsaturated fats, and limit intake of saturated and trans fats, which can contribute to cardiovascular disease.

A balanced diet for a type 1 diabetic should include a moderate amount of protein, healthy fats, and complex carbohydrates, with a focus on whole, nutrient-dense foods such as fruits, vegetables, whole grains, and lean protein sources.

Q3: So, for a type 1 diabetic aiming at maximising insulin sensitivity and time in range, would you say that a diet with a macronutrient's split of 80% whole, plant based carbohydrates, and 20% proteins and fats is ideal?

A diet with a macronutrient split of 80% whole, plant-based carbohydrates, and 20% proteins and fats can be a good option for a type 1 diabetic looking to maximize insulin sensitivity and time in range.

Whole, plant-based carbohydrates are generally low glycemic, meaning they have a slower and more sustained impact on blood sugar levels compared to processed and refined carbohydrates.
This can help stabilize blood sugar levels and reduce the need for large doses of insulin.

In addition, plant-based diets are high in fiber and phytonutrients, which have been shown to have numerous health benefits, including improved insulin sensitivity and reduced risk of cardiovascular disease.

However, it's important to note that every individual's nutritional needs and goals are different, and there isn't a one-size-fits-all approach to nutrition for people with type 1 diabetes.

Q4: Can you summarise the 'Mastering Diabetes' method, described in the book that goes by the same title?

The "Mastering Diabetes" method is a plant-based diet and lifestyle approach for managing diabetes (both type 1 and type 2). The approach emphasizes a low-fat, whole-foods, plant-based diet that is high in carbohydrates, especially from fruits, vegetables, and whole grains. The diet is also low in saturated fat and avoids processed foods, animal products, and added oils.

The authors of the book argue that this approach can improve insulin sensitivity, lower blood glucose levels, and reduce the risk of diabetes complications. They also emphasize regular physical activity, stress reduction, and getting adequate sleep as important factors in diabetes management.


3 cheap, quick and nutritious plant based meals for type-1 diabetes

Q5: Can you suggest me three recipes (one breakfast, one lunch, one dinner) ideal for a type 1 diabetic?
They should be plant based, high in carbohydrates, nutrient rich, and provide good energy.
I don't have much money nor time to cook, so they should be cheap, based on three ingredients and quick to prepare.

Sure, here are three plant-based recipes that are ideal for a type 1 diabetic and meet your criteria of being nutrient-rich, high in carbohydrates, and easy and affordable to make:

Breakfast: Oatmeal with Banana and Almond Butter

  • Cook 1/2 cup of rolled oats according to package instructions

  • Slice 1/2 banana and stir into the oatmeal

  • Top with 1 tbsp of almond butter

This recipe is a good source of fiber and complex carbohydrates, which can help stabilize blood sugar levels throughout the morning.

Lunch: Chickpea Salad Wrap

  • Drain and rinse 1 can of chickpeas

  • Mash the chickpeas in a bowl with a fork or potato masher

  • Add in 2 tbsp of hummus and mix well

  • Spread the chickpea mixture onto a whole wheat tortilla

  • Top with shredded carrots, chopped cucumbers, and baby spinach

  • Roll up the tortilla and enjoy

This recipe is high in fiber, plant-based protein, and healthy fats from the hummus.

Dinner: Lentil Soup with Sweet Potato and Kale

  • Dice 1 large sweet potato and chop 2 cups of kale

  • Rinse 1 cup of green or brown lentils and add to a large pot with 4 cups of vegetable broth

  • Bring to a boil, then reduce heat and simmer for 20-25 minutes, until lentils are tender

  • Add in the diced sweet potato and chopped kale, and simmer for another 10-15 minutes, until sweet potato is tender

  • Serve hot

This recipe is high in fiber, complex carbohydrates, and plant-based protein from the lentils and vegetables.

All of these recipes can be prepared quickly and with only a few ingredients, making them both affordable and convenient.

Q6: I asked ChatGPT to provide three more recipes, adding the condition that they should be ideal for a long distance runner.

Sure, here are three recipe ideas for a type 1 diabetic who is a long distance runner, based on the "green light foods" described in the "Mastering Diabetes" book:

Breakfast: Banana Oatmeal Bowl

  • 1 cup rolled oats

  • 1 banana, sliced

  • 1 tbsp chia seeds

Directions: Cook the oats according to package instructions. Top with sliced banana and chia seeds.

Lunch: Chickpea Salad

  • 1 can chickpeas, drained and rinsed

  • 1 bell pepper, chopped

  • 1/4 red onion, diced

Dressing:

  • 1 tbsp dijon mustard

  • 1 tbsp red wine vinegar

  • 1 tbsp maple syrup

  • Salt and pepper to taste

Directions: In a bowl, combine the chickpeas, bell pepper, and red onion. In a small bowl, whisk together the dressing ingredients. Pour the dressing over the salad and stir to combine.

Dinner: Lentil and Vegetable Stir Fry

  • 1 cup cooked lentils

  • 1 cup mixed vegetables (such as broccoli, carrots, and bell peppers)

  • 1 tbsp soy sauce

Directions: In a large skillet, stir fry the vegetables until tender. Add the cooked lentils and soy sauce, and stir to combine.

These recipes are quick, easy, and affordable, and they are all based on "green light foods" that are recommended in the "Mastering Diabetes" book.


Can a diabetic do sports?

Q7: For inspiration, can you name some popular type 1 diabetic endurance athletes?

Sure, here are some well-known endurance athletes who have type 1 diabetes:

  1. Kris Freeman - Cross-country skier who competed in four Winter Olympics

  2. Jay Hewitt - Triathlete who has completed the Ironman World Championship multiple times

  3. Sebastien Sasseville - Ultra-endurance athlete who has completed races such as the Ironman and Marathon des Sables

  4. Cliff Scherb - Ultramarathoner who has completed races such as the Western States 100 and Badwater 135

  5. Missy Foy - Runner who has won multiple national championships and competed in the Boston Marathon

These athletes have shown that having type 1 diabetes doesn't have to hold you back from achieving your athletic goals. With proper diabetes management and support from healthcare professionals, it's possible to lead an active and successful athletic lifestyle.


So, what are ChatGPT’s suggestions for a diabetic?

I was surprised to see how much in ChatGPT’s answers adhere to what I’ve been doing lately. In particular, it highlighted:

  • the importance of whole plant-based carbohydrates as a key factor for better blood glucose;

  • the risks of a diet high in protein and fats (like a Keto diet)

  • the importance of being physically active;

  • the importance of stress management;

  • the importance of sleep (which in my case has been enhanced by intermittent fasting).

I am happy with what I’ve heard in this interview. This AI is quite a reasonable dude, and it provides very tasty recipes apparently!

There would be plenty more to ask, but I don’t want to make this post as long as the Nile!
What would you ask next time? Let me know in the comments…and thanks for reading!

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Injury free running and mastering diabetes: my journey

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5 staples: high carb green light foods I eat every day