February 29, 2016

Measure and weigh food to control portion sizes.(ISTOCKPHOTO)When you have type 2 diabetes, it's not only the type of food that's important, it's also how much is consumed and when. You need to gauge the portion size correctly, so you can know how many calories and carbohydrates you're taking in and how they will affect your blood sugar.

Learning what a portion size actually is and consuming that amount, however, is tricky. People are notoriously bad at estimating what, say, a cup of breakfast cereal looks like—particularly in a world where cereal bowls are now as big as serving platters.

"Portion control is a continuing battle for me, but I am so much better at this than I was a few years ago, and I hope to be even better a few years from now," says Donna Kay, 40, of Prairie Village, Kan., who was diagnosed with type 2 diabetes five years ago.

It's a battle worth fighting. Limiting portion sizes can help control blood sugar, promote weight loss, and ultimately prevent diabetes complications.

In a 2004 study of 329 overweight patients, researchers at Summa Health System in Akron, Ohio, found that 38% of those who practiced portion control for two years lost 5% or more of body weight, while 33% of participants who did not practice portion control gained 5% or more of body weight.

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There are several things you can do to get started.

  • Eat in a consistent manner. If you're starving, you're more likely to eat an extra-large portion. For most people the best meal plan is probably three well-designed meals and one snack. "People need to eat a minimum of three times a day, avoiding going longer than five hours without eating. You don't need to get up in the middle of the night, but don't skip meals," says Nadine Uplinger, a spokesperson for the American Dietetic Association and director of the Gutman Diabetes Institute at the Albert Einstein Healthcare Network in Philadelphia.

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  • Measure and weigh food. "Measuring and weighing are so critical," says LuAnn Berry, RD, a certified diabetes educator at the University of Pittsburgh Medical Center at Passavant. "We're such poor judges. We don't know what 3/4 ounce of pretzels looks like." (It's about 15 mini pretzels, she says.)
  • Use "rule of thumb" measures. Knowing that 3 ounces of lean meat is equivalent to a deck of cards and 1 cup of breakfast cereal is about the size of a fist is crucial, particularly when you need to choose quickly. You can print out a serving size card from the National Heart, Lung, and Blood Institute for handy reference.
  • Know the difference between a serving size and a portion size. Serving sizes are listed on nutritional content labels. For example, a small bag of pretzels may indicate that it contains two serving sizes, so if your portion size is the whole bag, you'd have to double the calorie, fat, and carbohydrate information per serving to know how much you've taken in.
  • Eat desserts in moderation. Try to eat three bites, not the entire thing. Splitting dessert with a friend is ideal.
  • Use portion-control dishes. For example, you can use a plate with painted lines to help measure carbohydrates, proteins, cheese, and sauces. In a June 2007 study, researchers at the University of Calgary randomly assigned 130 people with type 2 diabetes to use those plates or regular ones. Overall, 17% of those who used the plate lost 5% or more of their body weight, while only 4.6% of the control group did; 26% of those who used the plate were able to cut back on diabetes medication (because they lost more weight), compared with 11% of people who did not use the plate.
  • Develop good "eating out" habits. Fill up your plate with green veggies, and get full on those before eating other food. When ordering a meal, ask the server to only put half the meal on your plate and to pack the other half to go. Keep in mind that restaurants specialize in mega-portions; a 12-ounce steak can contain three to four servings of meat (two to three servings a day are recommended).
  • Have a plan for what you want to eat, including snacks. Write down what you eat, think before you eat, and eat slowly. Snacks should typically contain no more than 100 calories and 15 grams of carbohydrate. Some good choices include three cups of plain popcorn, 17 small grapes, a 6-ounce container of artificially-sweetened yogurt, 15 mini pretzels, or a tennis-ball size piece of fruit, according to Berry.