Hoeveel fruit mag je eten met diabetes?

How much fruit can you eat with diabetes?

, by TheLifestyleDocs Admin, 8 min reading time

The answer may surprise you: as much as you want!

The advice to eat no more than 2-3 pieces of fruit per day seems out of the blue, because science does not support this. Fruit is packed with essential vitamins, minerals, antioxidants and fiber. Research shows that regular fruit consumption reduces the risk of several diseases, including cardiovascular disease, diabetes, cancer and high blood pressure.

Don't worry about the sugars in fruit; the fiber and polyphenols help keep your blood sugar levels stable, even in people with diabetes. There are even studies that show that eating 20 pieces of fruit per day does not cause increased blood sugar levels.

An extensive analysis of studies showed that consuming up to 800 grams of fruits and vegetables daily significantly reduces the risk of cardiovascular disease and cancer. Red, blue-purple fruits such as berries, cherries and grapes in particular have beneficial effects due to their low-glycemic properties and the fact that they are rich in anthocyanins, powerful antioxidants that have anti-inflammatory properties and promote heart health.

A comprehensive meta-analysis of 142 published studies from 2017 revealed that consuming up to 800 grams of fruits and vegetables daily significantly reduced the risk of death from cardiovascular disease and other causes. An intake of 600 grams also appeared to provide clear protection against death from cancer. These amounts are considerably higher than the recommendations that are usually made and are not even achieved by many people in the Netherlands! In particular, fruits such as apples, pears, citrus fruits, cruciferous vegetables, yellow/orange vegetables and green leafy vegetables showed a powerful protective effect.

It is crucial to consume a wide range of fruits, as diversity in plant-based diets is the best guarantee of getting all the necessary nutrients.

Of course, it is important not to rely solely on fruit as your main source of nutrition. By basing your diet primarily on fruit, you risk missing out on essential nutrients found in other food groups. A balanced diet should therefore consist of a combination of vegetables, legumes, whole grains, nuts and seeds, in addition to the consumption of fruit.

However, if you have the ambition to consume five portions of fruit every day, and at the same time provide sufficient variation in your other diet, then this can definitely contribute to a healthy lifestyle!

So, if you want to eat 5 pieces of fruit every day in addition to other foods like vegetables, legumes, whole grains, nuts and seeds, then go for it!

Remember: variety is key. Try eating different types of fruits to get all the nutrients you need. And remember, fruit shouldn't be your only food source; a balanced diet includes a variety of food groups.

References

Schroder K.E. Effects of fruit consumption on body mass index and weight loss in a sample of overweight and obese dieters enrolled in a weight-loss intervention trial. Nutrition. 2010 Jul-Aug;26(7-8):727-34.

Sartorelli DS, Franco LJ, Cardoso MA. High intake of fruits and vegetables predicts weight loss in Brazilian overweight adults. Nutr Res. 2008 Apr;28(4):233-8.

Dreher ML, Ford NA. A Comprehensive Critical Assessment of Increased Fruit and Vegetable Intake on Weight Loss in Women. Nutrients. 2020 Jun 29;12(7):1919.

Dauchet L, Amouyel P, Hercberg S, Dallongeville J. Fruit and vegetable consumption and risk of coronary heart disease: a meta-analysis of cohort studies. J Nutr. 2006 Oct;136(10):2588-93.

Muraki I, Imamura F, Manson JE, Hu FB, Willett WC, van Dam RM, Sun Q. Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies. BMJ. 2013 Aug 28;347:f5001.

Riccardi G, Rivellese AA. Effects of dietary fiber and carbohydrate on glucose and lipoprotein metabolism in diabetic patients. Diabetes Care. 1991 Dec;14(12):1115-25.

Hanhineva K, Törrönen R, Bondia-Pons I, Pekkinen J, Kolehmainen M, Mykkänen H, Poutanen K. Impact of dietary polyphenols on carbohydrate metabolism. Int J Mol Sci. 2010 Mar 31;11(4):1365-402.

Manzano M, Giron MD, Vilchez JD, Sevillano N, El-Azem N, Rueda R, Salto R, Lopez-Pedrosa JM. Apple polyphenol extract improves insulin sensitivity in vitro and in vivo in animal models of insulin resistance. Nutr Metab (London). 2016 Apr 30;13:32.

Jenkins DJ, Kendall CW, Popovich DG, Vidgen E, Mehling CC, Vuksan V, Ransom TP, Rao AV, Rosenberg-Zand R, Tariq N, Corey P, Jones PJ, Raeini M, Story JA, Furumoto EJ, Illingworth DR, Pappu AS, Connelly PW. Effect of a very-high-fiber vegetable, fruit, and nut diet on serum lipids and colonic function. Metabolism. 2001 Apr;50(4):494-503.

Sharma SP, Chung HJ, Kim HJ, Hong ST. Paradoxical Effects of Fruit on Obesity. Nutrients. 2016 Oct 14;8(10):633.

Carter P, Gray LJ, Talbot D, Morris DH, Khunti K, Davies MJ. Fruit and vegetable intake and the association with glucose parameters: a cross-sectional analysis of the Let's Prevent Diabetes Study. Eur J Clin Nutr. 2013 Jan;67(1):12-7.

Thondre PS. Food-based ingredients to modulate blood glucose. Adv Food Nutr Res. 2013;70:181-227.

Christensen AS, Viggers L, Hasselström K, Gregersen S. Effect of fruit restriction on glycemic control in patients with type 2 diabetes–a randomized trial. Nutr J. 2013 Mar 5;12:29.

Meyer BJ, de Bruin EJ, Du Plessis DG, van der Merwe M, Meyer AC. Some biochemical effects of a mainly fruit diet in man. S Afr Med J 1971 Mar 6;45(10):253-61.

Aune D, Giovannucci E, Boffetta P, Fadnes LT, Keum N, Norat T, Greenwood DC, Riboli E, Vatten LJ, Tonstad S. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality-a systematic review and dose-response meta-analysis of prospective studies. Int J Epidemiol. 2017 Jun 1;46(3):1029-1056.

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