5 Things That Don’t Mix Well with Your Diabetes Medications

Dietitian Kelly Ploughe, MS, RD reviewed by

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• Some foods and beverages interfere with the way some diabetes drugs work.

• High -fat dishes, alcohol and refined carbohydrates may affect the effectiveness of some diabetes drugs.

• When taking diabetes medications, make sure you are juicy and consider the time of food and portions.

When you have diabetes, the focus is usually A healthy diet To manage the disease better and to get your meals with your medication. However, it is also the key to understanding that certain foods and beverages interact with your drugs. “Diabetes drugs are designed to work very specially to help. Check your blood sugar“He says Elaina Rosario, Pharm.D., CPH, BCACP, CDCES. “When you eat certain foods, they can change how your medicine is absorbed, how it works on your body or how fast it is used. This can sometimes make the drug less effective or in some cases very strong.”

Rebecca Emch, Pharm.D.“From a pharmaceutical point of view, food interactions with diabetes drugs occur with various mechanisms.” The effects vary depending on the type of medicine you receive. “Some foods for drugs like Metformin can affect absorption rates and bioavailability, Em Emch says. However, such an interaction is not so common, because foods in the diet do not directly affect the absorption of drugs. Instead, EMCH says it is more common for food to work according to the aims of eating. “When you take the diabetes medication to lower blood sugar and then consume the causing food Fast glucose pointed endsEssentially, you create a war tugboat in your system. ”He says.

Because of these effects, Current Riker, RDN, LDN, CDCES It emphasizes the importance of watching a diet that helps you best. Manage your blood sugar It also prevents drug interactions. “Selection of foods that reduce these effects can help increase tolerance and efficiency, Riker says Riker. We share tips on which foods can interact with your diabetes medications and how you will be safe.

1. High Fat Foods

Some dietary oils, such as unsaturated fats, are useful for health, but excess saturated oils, Increased risk for type 2 diabetes. In addition, high -fat meals may affect the bioavailability of certain drugs. “High -fat foods are slow digestion that delays how quickly some drugs are absorbed and effective, or Daria Zajac, RD, LDN. “Examples of high -fat foods are full -fat dairy products, processed meats, fried foods and cooked products such as cookies and cakes.” According to Rosario, they do not only slow down how fast a drug works. Gastrointestinal side effects Glucagon-like peptide-1 receptor agonists (GLP-1 RA) such as nausea, vomiting and diarrhea.

2.

“Restrictive high sugar foods It can help prevent rapid increases and accidents in blood sugar, Riker says Riker. This can make it difficult for your diabetes to work as intended.

“They do not prevent drugs such as Metformin from working, but they significantly make it difficult. Protect stable blood sugar levelsEmem says Emch. This does not mean avoiding all foods with carbohydrates and sugary foods.

3. Highly processed and refined carbohydrates

Firstly, highly processed foods such as carbohydrates, such as white bread, high sugar cereals, chips, bagels, crackers and croissants, cookies and pies. Virgo to your blood sugar. “If you get a quick -effective insulin or dishes, Rosario says Rosario, Rosario, Rosario, Rosario, who can make it difficult for the drug to continue, or the drug can lead to a sudden decline.

“Although your diabetes is designed to manage blood sugar, your blood sugar levels are much easier to work effectively when they are kept more stable.” If you choose to add High -processed or refined carbohydrates In your diet, it can help you match them with protein or fat as part of a balanced meal. This combination can help slow digestion to prevent sudden increases in blood sugar.

However, most of the diet should not consist of high -processed carbohydrate sources. “The American Diabetes Association (ADA) recommends that people with diabetes preferably eat at least processed carbohydrate sources, or he says. Joshua J. Neumiller, Pharm.d., Cdces, Fadces, FasspAmerican Diabetes Association Head of Health and Education.

4. Caffeine

SGLT2 inhibitors such as Jardian, Steglatro and Farxiga work in the classroom, allowing excessive sugar to be removed by urine. The diuretic effect of these drugs can be combined with the diuretic effect of excessive caffeine. This does not mean that a cup of coffee or two coffee will be concerned, but it should consider adherence to the boundary of the 400mg caffeine (or about three to four cups of coffee) recommended per day.

5. Alcohol

“Alcohol should be limited when buying diabetes medications, Z Zajac says. It can worsen the effect of diabetes when drinking alcohol on an empty stomach or taking diabetes when skipping food. “Alcohol increases Low blood sugar riskEspecially for insulin or sulfonylura areas, Riker says that the liver interferes with the ability to release the glucose into the blood circulation. Riker says Riker.

Riker also says that alcohol can worsen side effects such as nausea and digestion when taking drugs such as Metformin. For those for those for “SGLT2 inhibitors (IE Jardian, Farxiga), thirsty effects of alcohol may increase the chances of rare but serious complications such as dehydration, low blood pressure and diabetic ketoacidosis (DKA).”

Recommendations are required to limit alcohol during diabetes treatment. “Ada, people with diabetes Consume alcohol on a scale By limiting the purchase to ≤2 drinks per day and for women with ≤1 drink per day, Neum Neumiller says. It is important that people with diabetes understand that hypoglycemia can be postponed after drinking alcohol and that blood sugar levels should be carefully monitored to prevent severe low blood glucose levels. ”For these reasons, it is recommended to discuss any alcohol intake with your doctor pharmacist.

How to stay safe

Today, with many diabetes medications, it is difficult to make suggestions that match one body when it comes to your diet and food options. Neumiller says, “Your pharmacist is a great resource to understand how to get your diabetic medicines best in relation to food and that a certain type of food should be avoided with your prescribed medications, Am says Neumiller. These tips can begin to make the most appropriate changes for you.

Think of the food timing: Since different drugs may have different effects, make sure that time dishes and snacks are appropriate depending on what is recommended for your medications. “While some drugs should be taken with the first bite of a meal, others are taken 30 minutes ago and some are taken with your dinner, Ros says Rosario. “Missing the right timing may affect how well the drug works.”

Stay juicy: “Hydration is necessary for SGLT2 inhibitors such as hydration, particularly for SGLT2 inhibitors such as Jardiance or Farxiga, which can increase fluid loss and increase the risk of dehydration or electrolyte imbalance, Ri says Riker. To promote optimal hydration primarily for water and other sugar -free drinks.

Think of the portion dimensions: Some drugs may require a more special attention to portion size than others. “For GLP-1 receptor agonists, large or high-sugary dishes can worsen nausea or cause dumping syndrome, Riker says Riker.

Watch your numbers: “A tool that can be used to monitor how foods affect your blood sugar Continuous glucose monitor”Says Rosario.“ They give a great idea of ​​how your food and diabetes medications affect your blood sugar levels. ”While watching your blood sugar, you can determine it according to the foods you eat and the timing of your medication. If you notice that they have good or unusual blood sugar reading after a certain meal, it is a good idea to talk to your doctor or a registered dietician, Ros says Rosario.

Think of all medicines and supplements: “Other drugs and supplements may affect blood sugar or interact with diabetes medications, so it is important to consider your full list of drugs when planning food, Z Zajac says. Pharmacists are an important source for patients while determining potential food-drug interactions.

Management of diabetes requires that when and what you eat and the timing of your medication. When limiting those who can cause such important interactions with your diabetes medications, you should adjust your diet to allow space for food you enjoy. High in terms of sugar addedSaturated fat, high -processed carbohydrates and caffeine.

Watching your blood sugar is the best way to ensure that your current plan works for you. However, it can help to seek care for the maintenance of a registered dietitian or another health care provider, especially if it has been newly diagnosed, to provide guidance and support. “As a result, it is important for you to better manage your blood sugar levels and prevent side effects with your healthcare professionals, Riker said Riker.

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