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Prediabetes Low Carbohydrate Diet: A Guide & Meal Plan In 2024

Mitchelle Morgan

Updated on - Written by
Medically reviewed by Kathy Shattler, MS, RDN

prediabetes low carbohydrate diet
Following a low-carb diet can potentially prevent the onset of type 2 diabetes. Photo: one photo/Shutterstock

When dealing with diabetes, you must watch what you eat by analyzing every ingredient. So, are you seeking an easy and effective way to manage prediabetes through diet?[1] Look no further than the prediabetes low-carbohydrate diet!

With its focus on reducing carbohydrate intake, this diet may help people with prediabetes lose weight and regulate blood glucose. By eating these low-carb foods for diabetes, you can potentially prevent the onset of type 2 diabetes.

The prediabetes diet emphasizes reducing carbs, especially those with a high glycemic index. A glycemic index[2] is the effect a food has on your glucose blood levels after consumption.

This piece will highlight how a deliberate carb reduction stabilizes blood sugar levels and enhances weight management. We’ll also look at two lists of the best and worst foods and sample food menus for a prediabetes low-carb diet.

Low-Carb Diet For Prediabetes: A Sample Prediabetic Meal Plan

Example Meal Plan For A Prediabetes Low-Carbohydrate Diet

With many foods to eat and those to avoid on a low-carb diet, the next challenge is typically the menu. Here is a sample meal plan to slot your favorite low-carbohydrate food into your usual diet groups.

Prediabetes Low-Carb Wellness Plan (approx. 1400 calories)

Breakfast
Spinach and mushroom omelet cooked in olive oilTwo large eggs
Sliced avocadoHalf a fruit
Unsweetened herbal tea or black coffeeOne cup
Lunch
Grilled chicken breastFour ounces
Steamed broccoliOne cup
Mixed green salad with cherry tomatoes, cucumber, and a drizzle of olive oil and vinegar dressing.One cup
Dinner
Baked salmon with lemon and herbsFour ounces
Roasted asparagus spearsOne cup
Cauliflower rice cooked in coconut oilOne cup
Snacks
Hard-boiled eggOne egg
AlmondsOne ounce

Nutritional Value

This low-carb meal plan balances macronutrients and includes low-carb, nutrient-dense foods. It offers protein from chicken, eggs, and salmon, healthy fats from avocado, olive oil, almonds, and fiber from vegetables. The plan is low in carbohydrates and rich in vitamins, minerals, and omega-3 fatty acids.[3]

Remember to adjust portion sizes and ingredients based on your needs. Also, please consult a registered dietitian if you are on any medications or protein powders.

What Is The Prediabetes Low-Carbohydrate Diet?

The prediabetes low-carbohydrate diet is a strategic dietary meal plan to manage prediabetes. By reducing carbohydrate intake and focusing on low-carb foods, this diet helps control blood glucose levels, promotes weight loss, and improves insulin sensitivity. It involves minimizing the consumption of refined carbohydrates, sugar-sweetened beverages, and starchy vegetables while emphasizing healthy fats, non-starchy vegetables, and lean proteins.

Following a structured meal plan and incorporating physical activity can optimize your metabolic health, lower blood sugar levels, and achieve your health goals. This diet offers a sustainable and effective way to reverse prediabetes and enhance overall health.

How Do Carbohydrates Affect Diabetes?

Carbohydrates are significant in managing diabetes, as they directly impact blood sugar levels. Here’s a breakdown of how carbohydrates affect diabetes:

Carbohydrate Intake And Blood Sugar Control

Consuming carbohydrates leads to the breakdown of complex sugars into glucose, which enters the bloodstream. This consumption of carbohydrates causes blood sugar levels to rise, triggering the release of insulin[4] to facilitate glucose uptake by cells.

Carbohydrates And Insulin Resistance

If you live with insulin resistance,[5] cells become less responsive to insulin, leading to higher blood sugar levels. A high carbohydrate intake can exacerbate insulin resistance, making blood glucose control more challenging.

Glycemic Index And Carbohydrates

Glycemic Index And Carbohydrates
The GI measures how quickly foods with carbohydrates raise blood sugar levels. Photo: New Africa/Shutterstock

The glycemic index, i.e., GI, measures how quickly carbohydrates raise blood sugar levels. Foods with a high GI cause a rapid spike in blood sugar, while low GI foods result in a slower, more gradual increase.

If you live with diabetes, you must monitor your carbohydrate intake and distribute it evenly throughout the day. This even distribution helps prevent blood sugar spikes and supports better glucose management.

Why We Need A Low-Carb Diet

This and other low-carb diets offer numerous health benefits and are particularly beneficial if you live with prediabetes[6] or diabetes. Now, look into why a low-carb diet helps people with prediabetes keep their sugar healthy.

Blood Sugar Control And Insulin Resistance

A low-carb diet helps to increase insulin sensitivity[7] by reducing carb intake and may help reduce fasting blood glucose levels.

Studies have shown that low-carb diets can significantly lower fasting blood glucose levels,[8] hemoglobin A1c levels,[9] and insulin resistance.

Fasting plasma glucose refers to the measurement of glucose levels in the blood after a period of fasting, typically overnight. For long-term testing, hemoglobin A1c levels measure average blood sugar levels over approximately three months.

Weight Loss And Body Fat Reduction

Low-carb diets effectively help you shed some body weight[10] and burn body fat. Restricting carbohydrates leads to decreased insulin levels, which promotes fat-burning[11] and prevents excessive calorie intake. Studies suggest that low-carb diets reduce insulin secretion resulting in weight loss more than low-fat diets.

Managing Prediabetes And Diabetes

If you live with prediabetes or diabetes, a low-carb diet can be a powerful tool. It may reduce the need for diabetes medication[12] and can even lead to the reversing of prediabetes.[13]

Improved Heart Health and Metabolic Markers

A drastic reduction in carb intake may improve[14] triglyceride levels, HDL cholesterol levels, and blood pressure. A Low-carb diet can also reduce heart disease risk factors[15] and improve overall heart health.

Satiety And Appetite Control

Satiety And Appetite Control
Low-carb diets promote fullness and reduce cravings. Photo: Dulin/Shutterstock

Very low-carb diets can help you keep your weight down by promoting feelings of fullness[16] and reducing cravings. If you focus on nutrient-dense, low-carb foods to satisfy your hunger, you will consume fewer calories.

Healthier Food Choices And Reduced Intake Of Processed Foods

A low-carb diet encourages the consumption of whole, unprocessed foods such as lean proteins, non-starchy vegetables, and healthy fats. 

Low-Carbohydrate Food Groups To Eat

Now that you know how low-carb meal plans work, you should eat some food groups with fewer carbs. Here are the examples:

  • Non-Starchy Vegetables: Include leafy greens, broccoli, cauliflower, zucchini, peppers, and cucumbers. These vegetables are low in carbs and rich in diabetes vitamins, fiber, and minerals.
  • Lean Proteins: Opt for lean sources such as skinless chicken, turkey, fish, tofu, and eggs. These provide essential amino acids without adding significant net carbs.
  • Healthy Fats: Incorporate foods like avocados, nuts, seeds, olive oil, and coconut oil. These fats provide satiety and essential nutrients.
  • Low-Sugar Fruits: Enjoy berries, such as strawberries, blueberries, and raspberries, as they are lower in sugar than other fresh fruits.
  • Dairy Products: Choose full-fat options like Greek yogurt, cottage cheese, and hard cheeses. 
  • Whole Grains: If including grains, opt for whole grains like quinoa, brown rice, and oats. Control portions to manage carbohydrate intake.
  • Hydration: Drink water, unsweetened teas, and herbal infusions. Avoid sugary drinks, hydrate with fresh fruit and beverages, and limit alcohol consumption.

Remember, everyone’s carbohydrate tolerance varies. So consult a healthcare professional or registered dietitian for personalized guidance on carb intake and food choices.

Foods To Avoid

When following a low-carb diet, limiting or avoiding certain foods high in carbohydrates is important. Here are some key categories of foods to be mindful of

Refined Grains And Sugary Foods

Avoid foods made with refined grains, like white bread, pasta, and pastries. Also, avoid sugary foods such as candies, cakes, cookies, and sugar-sweetened beverages.

Starchy Vegetables

Limit or avoid starchy vegetables like potatoes, corn, peas, and butternut squash. These vegetables are higher in carbohydrates than non-starchy options, such as string beans, broccoli, and cauliflower.

High-Sugar Fruits

Minimize consumption of high-sugar fruits like bananas, grapes, and pineapples. Instead, choose lower-sugar options such as berries.

Processed And Packaged Snacks

Avoid processed snacks like potato chips, pretzels, and crackers, which are often high in refined carbohydrates. Opt for healthier alternatives like nuts or seeds.

Sugary Condiments And Sauces

Watch out for condiments and sauces that contain added sugars, such as ketchup, barbecue sauce, and sweet dressings. Choose sugar-free or low-carb options instead.

Sweetened Beverages

Avoid sugary drinks like soda, fruit juices, sports drinks, energy drinks, and sweetened teas. These beverages can contribute to high carb intake and blood sugar spikes.

By being mindful of these food categories and by making healthier choices, you can successfully adhere to a low-carb diet and optimize your blood sugar control. Remember to read labels, plan meals, and focus on whole, unprocessed foods to support your low-carb lifestyle.

The Bottom Line

In managing untreated prediabetes, diabetes, and general health, switching to the ketogenic diet or other low-carbohydrate diets can be beneficial for avoiding unwanted body weight gain and lowering blood sugar levels. You can improve insulin sensitivity, stabilize high blood glucose levels to normal ranges, improve overall metabolism, and reverse prediabetes. Limiting your carbohydrate intake may eventually help you avoid developing diabetes.

A registered dietitian can tailor these low-carb diets to meet your needs. This lifestyle can be a sustainable and efficient way to achieve your health goals and experience long-term well-being. So, take control of your health, adopt physical activity, and embrace the benefits of a low-carb diet for prediabetes.


+ 16 sources

Health Canal avoids using tertiary references. We have strict sourcing guidelines and rely on peer-reviewed studies, academic researches from medical associations and institutions. To ensure the accuracy of articles in Health Canal, you can read more about the editorial process here

  1. Wheatley, S.D., Deakin, T., Arjomandkhah, N.C., Hollinrake, P.G. and Reeves, T.E. (2021). Low Carbohydrate Dietary Approaches for People With Type 2 Diabetes—A Narrative Review. [online] 8. doi:https://doi.org/10.3389/fnut.2021.687658.
  2. Vlachos, D., Malisova, S., Lindberg, F.A. and Karaniki, G. (2020). Glycemic Index (GI) or Glycemic Load (GL) and Dietary Interventions for Optimizing Postprandial Hyperglycemia in Patients with T2 Diabetes: A Review. [online] 12(6), pp.1561–1561. doi:https://doi.org/10.3390/nu12061561.
  3. Nih.gov. (2015). Office of Dietary Supplements – Omega-3 Fatty Acids. [online] Available at: https://ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/.
  4. Ludwig, D.S., Aronne, L.J., Astrup, A., Rafael de Cabo, Cantley, L.C., Friedman, M.I., Heymsfield, S.B., Johnson, J.R., King, J.C., Krauss, R.M., Lieberman, D.E., Taubes, G., Volek, J.S., Westman, E., Willett, W.C., Yancy, W.S. and Ebbeling, C.B. (2021). The carbohydrate-insulin model: a physiological perspective on the obesity pandemic. [online] 114(6), pp.1873–1885. doi:https://doi.org/10.1093/ajcn/nqab270.
  5. Physiological Reviews. (2020). Mechanisms of Insulin Action and Insulin Resistance | Physiological Reviews. [online] Available at: https://journals.physiology.org/doi/full/10.1152/physrev.00063.2017.
  6. Unwin, D.M. and Unwin, J. (2014). Low carbohydrate diet to achieve weight loss and improve HbA1cin type 2 diabetes and pre-diabetes: experience from one general practice. [online] 31(2), pp.76–79. doi:https://doi.org/10.1002/pdi.1835.
  7. Andrea Mario Bolla, Caretto, A., Laurenzi, A., Scavini, M. and Piemonti, L. (2019). Low-Carb and Ketogenic Diets in Type 1 and Type 2 Diabetes. [online] 11(5), pp.962–962. doi:https://doi.org/10.3390/nu11050962.
  8. Wang, L., Wang, Q., Yong Sang Hong, Ojo, O., Jiang, Q., Hou, Y., Huang, Y. and Wang, X. (2018). The Effect of Low-Carbohydrate Diet on Glycemic Control in Patients with Type 2 Diabetes Mellitus. [online] 10(6), pp.661–661. doi:https://doi.org/10.3390/nu10060661.
  9. Dorans, K.S., Bazzano, L.A., Qi, L., He, H., Chen, J., Appel, L.J., Chen, C.-S., Hsieh, M.-H., Hu, F.B., Mills, K.L., Nguyen, B.T., O’Brien, M.J., Samet, J.M., Uwaifo, G.I. and He, J. (2022). Effects of a Low-Carbohydrate Dietary Intervention on Hemoglobin A1c. [online] 5(10), pp.e2238645–e2238645. doi:https://doi.org/10.1001/jamanetworkopen.2022.38645.
  10. Kelly, T., Unwin, D.M. and Finucane, F.M. (2020). Low-Carbohydrate Diets in the Management of Obesity and Type 2 Diabetes: A Review from Clinicians Using the Approach in Practice. [online] 17(7), pp.2557–2557. doi:https://doi.org/10.3390/ijerph17072557.
  11. Huang, Z., Wang, W.-H., Huang, L., Guo, L. and Chen, C. (2020). Suppression of Insulin Secretion in the Treatment of Obesity: A Systematic Review and Meta‐Analysis. [online] 28(11), pp.2098–2106. doi:https://doi.org/10.1002/oby.22955.
  12. Cucuzzella, M., Riley, K. and Isaacs, D. (2021). Adapting Medication for Type 2 Diabetes to a Low Carbohydrate Diet. [online] 8. doi:https://doi.org/10.3389/fnut.2021.688540.
  13. Unwin, D.M., Delon, C., Unwin, J., Tobin, S. and Taylor, R. (2023). What predicts drug-free type 2 diabetes remission? Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss. [online] pp.e000544–e000544. doi:https://doi.org/10.1136/bmjnph-2022-000544.
  14. Li, W., Zhang, J., Xu, D., Zhou, Y., Qu, Z., Yang, Q. and Qiujv Lv (2022). Low carbohydrate ketogenic diets reduce cardiovascular risk factor levels in obese or overweight patients with T2DM: A meta-analysis of randomized controlled trials. [online] 9. doi:https://doi.org/10.3389/fnut.2022.1092031.
  15. Dong, Tingting, Guo, M., Zhang, P., Sun, G. and Chen, B. (2020). The effects of low-carbohydrate diets on cardiovascular risk factors: A meta-analysis. [online] 15(1), pp.e0225348–e0225348. doi:https://doi.org/10.1371/journal.pone.0225348.
  16. Hu, T., Yao, L., Reynolds, K., Niu, T., Li, S., Whelton, P.K., He, J. and Bazzano, L.A. (2016). The effects of a low-carbohydrate diet on appetite: A randomized controlled trial. [online] 26(6), pp.476–488. doi:https://doi.org/10.1016/j.numecd.2015.11.011.
Mitchelle Morgan

Medically reviewed by:

Kathy Shattler

Mitchelle Morgan is a health and wellness writer with over 10 years of experience. She holds a Master's in Communication. Her mission is to provide readers with information that helps them live a better lifestyle. All her work is backed by scientific evidence to ensure readers get valuable and actionable content.

Medically reviewed by:

Kathy Shattler

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