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Can You Eat Ice Cream if You Have Diabetes? A Dietitian Weighs In

by Alice

Ice cream is a beloved treat for many, enjoyed year-round in a variety of flavors from French vanilla to mint chocolate chip. However, for those living with diabetes, the question arises—can they indulge in ice cream without compromising their health? While it’s important for people with diabetes to limit sweets like ice cream to maintain healthy blood sugar levels, avoiding them entirely isn’t always necessary.

With over 38 million Americans living with diabetes and nearly 100 million more with prediabetes, the need to manage sugar and carbohydrate intake is critical. Fortunately, desserts like ice cream can still be part of a balanced diet, when enjoyed in moderation and with mindful choices.

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How Ice Cream Affects Blood Sugar Levels

Ice cream is made of simple carbohydrates, which the body breaks down into glucose (sugar). Insulin helps move this glucose into cells for energy, but in those with type 2 diabetes, the body becomes resistant to insulin, making it harder to manage blood sugar levels. This can lead to spikes in blood sugar, which can cause symptoms like fatigue and thirst. Over time, these spikes can lead to more severe health issues such as kidney and heart disease.

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Can People with Diabetes Eat Ice Cream?

Yes, ice cream can be part of a diabetes-friendly eating plan, as long as it is included thoughtfully. According to the National Institutes of Health, individuals with diabetes should prioritize whole foods rich in complex carbohydrates, like beans, vegetables, and whole grains. Added sugars, such as those found in ice cream, can still be enjoyed in moderation. The key is to manage portion sizes, sugar content, and meal timing.

“Ice cream can be included in a healthy diet for someone with diabetes if portion control is practiced and smart choices are made regarding the type of ice cream consumed,” says Josten Fish, RD, a registered dietitian who specializes in diabetes care.

Choosing the Best Ice Cream for Diabetes

When shopping for ice cream, individuals with diabetes should keep the following tips in mind:

What to Look For:

Lower carbohydrate and added sugar content: Look for ice cream options with no more than 30 grams of carbohydrates and less than 13 grams of added sugar per serving. Many brands now use alternative sweeteners such as stevia or monk fruit, which don’t cause the same blood sugar spikes as traditional sugar.

Calorie content: Maintaining a healthy weight is important for managing diabetes, so it’s crucial to consider calorie intake. A good rule of thumb is to choose ice cream with 250 calories or less per serving.

Nutritious mix-ins: Ingredients like nuts and seeds provide protein, fiber, and healthy fats, which can help slow digestion and prevent blood sugar spikes.

What to Limit:

Avoid ice creams with sugary mix-ins like caramel, hot fudge, or marshmallows, as they can significantly increase the sugar content.

Limit ice cream that contains more than 2 grams of saturated fat per serving, as this can negatively impact heart health and insulin sensitivity.

How to Enjoy Ice Cream in a Diabetes-Friendly Diet

Here are four strategies, recommended by dietitians, for including ice cream in a balanced diet:

Pair Ice Cream with Protein: “It’s beneficial for someone with diabetes to consume ice cream with a good source of protein,” says Fish. This helps slow digestion and sugar absorption, reducing the impact on blood sugar levels.

Stick to One Serving: A typical serving of ice cream is ½ cup. Rather than eating directly from the container, scoop out a single serving to avoid overindulgence. If dining out, opt for a single scoop and skip sugary toppings.

Consider Fewer Carbs at Dinner: If you plan to enjoy ice cream after a meal, consider reducing the carbohydrate content of the main dish to balance your overall intake. This doesn’t mean skipping dinner; just choose a lower-carb option to leave room for the treat.

Make Homemade Ice Cream: If you enjoy cooking, consider making your own ice cream. Homemade versions allow you to control the ingredients and make healthier choices, like reducing sugar and adding nutritious mix-ins.

The Bottom Line

Ice cream can certainly fit into a healthy eating pattern for people with diabetes. A balanced approach is key—cutting out all desserts might lead to cravings and potential bingeing. By paying attention to nutrition labels, managing portion sizes, and pairing ice cream with protein-rich foods, you can enjoy this sweet treat without compromising blood sugar control.

As always, maintaining an overall balanced diet, along with regular physical activity and proper sleep, is essential for managing diabetes.

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