“Diabetes¹ is all about carbs,” Deborah Malkoff-Cohen, registered dietitian² and certified³ diabetes educator, says. No medical prescription⁴ can fix a bad diet. The condition requires daily maintenance – monitoring blood sugar levels, eating healthy and exercising are crucial. Managing your weight is a lot more serious than simply looking and feeling good. Watching your diet can be a matter of life and death.

“糖尿病就是关于糖的问题，”注册营养师和持证糖尿病教育者德博拉•麦考夫•科恩说道。任何药物处方都不能治疗不好的饮食习惯。糖尿病患者需要日常维护——检测血糖、吃的健康和锻炼都很重要。管控体重比看上去好、感觉好要重要得多。管好自己的饮食有关生死。

“Some may be sugar-free but they are not carbs-free,” Malkoff-Cohen says. They are still made with flour and have processed carbs that will increase your blood sugar levels. White or wheat flours are basically the same as far as diabetics are concerned, she adds. They will still raise your blood sugar levels. “Almond flour is better because it has more protein and is made of almond, not grain,” she says.

“有些可能不含糖，但却都含有碳水化合物，” 麦考夫•科恩说道。这些食物仍然是由面粉制成的，含有加工过的碳水化合物，会使血糖升高。对于糖尿病患者而言，白面粉和小麦面粉都是一样不可食用的，她补充说道。这些面粉也会使血糖升高。“杏仁面粉会好一些，因为蛋白质含量更高，而且这是由杏仁不是谷物制成的，”她说道。

They usually have too much salt. “This is bad for your kidneys,” Malkoff-Cohen says. “In diabetic patients, the walls of the blood vessels⁵ in the kidneys are damaged and salt only makes things worse.” It leads to high blood pressure, which will kill the kidneys slowly, she adds. Their function is reduced and they cannot clean the body properly. “One the kidneys go, and then it’s dialysis,” she says.

通常这些食物含有太多的盐分。“这对肾不好，” 麦考夫•科恩说道。“对于糖尿病患者而言，他们肾脏的血管壁本身就已损坏，而盐的摄入只会使情况更糟。”这会导致高血压，慢慢的会使肾脏坏死，她补充说道。肾功能会削减，从而不能有效的清理身体内部。“如果一个肾坏死，那就需要做渗析了，”她说道。

“Simple carbs are sugar,” Malkoff-Cohen says. These low-quality carbs are broken down quickly and turn into sugar in the body right away. Avoid processed and refined sugars such as candy, table sugar, syrups⁶, and soft drinks because they provide no vitamins, minerals or fiber⁷.

“简单的碳水化合物就是糖，” 麦考夫•科恩说道。这些低质量的碳水化合物会很快分解，然后立马在体内转为糖分。不要吃加工精制的糖，例如糖果、蔗糖、糖浆和软饮料，因为这些糖不含维他命、矿物质和纤维素。

These sugary starchy vegetables should be avoided, Malkoff-Cohen says. They contain more carbohydrates⁸. “Even though they have complex carbs, which are better for you, they don’t have enough protein to balance out the carbs,” Malkoff-Cohen says. “You can always have more protein, but never more carbs.”

应该避免摄入这些含糖的淀粉蔬菜，麦考夫•科恩说道。这些蔬菜含有更多的碳水化合物。“尽管这些蔬菜含有对人体好的复杂碳水化合物，但是却不含有足够的蛋白质来均衡碳水化合物，” 麦考夫•科恩说道。“摄入多一点的蛋白质没什么问题，但可千万别摄入太多的碳水化合物。”

Granola is not recommended because it’s processed; it has carbs and a lot of sugar – triple bomb. You are better off eating oatmeal, high-fiber cereal or a protein bar, Malkoff-Cohen says. Just be careful that they don’t have a lot of sugar either. Read the label carefully.

由于格兰诺拉燕麦卷是加工过的，所以也不推荐；它还含有碳水化合物和大量的糖——这可是三重危害啊。最好还是吃燕麦、高纤维的谷物或者蛋白棒，麦考夫•科恩说道。但要仔细阅读标签哦，不要选那些糖分多的就行了。