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Healthy Living & Eating with Diabetes

Better Blood Sugar Control: TOP 3 Label reading tips

4/30/2023

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Author: Chantelle van der Merwe

​Registered Dietician (SA) PG Dip Diabetes Management (UK) . All about simplifying and individualizing nutritional therapy for diabetes management

Label reading can be an overwhelming task, especially if you're trying to make healthier food choices. But fear not, with a few tips and tricks, you can easily navigate food labels and make informed decisions about what you eat. By understanding what to look for on a food label, you can make informed choices that support your health goals.

Here are the TOP 3 label reading tips to keep in mind:
  1. Check the sugar content per 100g: When looking at the nutrition label, start by checking the 100g column for sugar content. Make sure that the sugar content is below 15g per 100g. Even better if it's below 10g! This will give you an idea of the percentage of sugar in the product. The lower the sugar, the less likely it is to cause a spike in blood sugar levels.
  2. Look for the fiber content per serving: Next, move over to the serving size column and choose foods with 5g or more of fiber per serving. High fiber content helps to slow down the absorption of sugar into the bloodstream and can prevent blood sugar spikes. Plus, fiber is great for digestive and heart health.
  3. Limit the carbs per serving: Finally, make sure that the carbs per serving are not excessive. It's recommended to limit carb intake to 30g per serving, but this can vary depending on individual needs and goals. ​If the carb content is higher than this, consider reducing the serving size or choosing a lower carb option. Remember, the amount of carbs you consume is just as important as the quality of carbs (low sugar, high fiber) you consume.

It's important to note that these guidelines are a starting point and that a registered dietitian can help to personalize them for your individual needs. Everyone's body responds differently to different foods and nutrient intake, so working with a professional can help you optimize your blood glucose control and overall health.


By following these three tips, you can make healthier choices and keep your blood sugar levels in check. Don't be afraid to ask questions or seek help if you need it. With a little bit of practice, label reading can become a valuable tool in maintaining a healthy diet.
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The Power of Veggies: Low-Carb Vegetables supporting better blood sugar control

4/26/2023

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Author: Chantelle van der Merwe

Registered Dietician (SA) PG Dip Diabetes Management (UK) . All about simplifying and individualizing nutritional therapy for diabetes management

Vegetables are an essential part of a healthy diet, including diets managing diabetes. They are loaded with nutrients, can be low in calories (lower carbohydrate vegetables), and high in fiber, which can help control blood sugar levels. However, not all vegetables are created equal when it comes to their impact on blood sugar.

Lower carbohydrate vegetables have the least effect on blood sugar levels. These include artichokes, asparagus, broccoli, baby marrow, bean sprouts, Brussels sprouts, cabbage, cauliflower, celery, cucumber, eggplant, green beans, lettuce, leeks, morogo, mushrooms, onions, patty pans, peppers, radishes, snap peas, spinach, turnips, and tomatoes. These vegetables are low in carbohydrates and high in fiber, which makes them an ideal food for people with diabetes.

But how much of these vegetables should you eat? Try to fill half of your plate with non-starchy vegetables. This not only helps increase fiber intake but also provides a variety of nutrients that are essential for maintaining good health.

Fiber is a crucial nutrient for people with diabetes, as it helps control blood sugar levels by slowing down your digestion rate and thus the absorption of sugar in the bloodstream, thereby limiting blood glucose spikes. It also plays a vital role in heart and digestive health. Unfortunately, having diabetes increases your risk for several other chronic diseases. A diet rich in vegetables can help reduce your risk for developing additional chronic diseases.

Eating a diet rich in vegetables can lower blood pressure, reduce the risk of heart disease and stroke, prevent some types of cancer, enhance cognitive function, improve immune function, lower the risk of eye and digestive problems, and have a positive effect upon blood sugar, which can help keep appetite in check. Eating non-starchy vegetables such as green leafy vegetables may even promote weight loss.
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So get those veggies in! Incorporating more lower carbohydrate vegetables into your diet can have a significant impact on your health, especially if you have diabetes. These vegetables are high in fiber, low in calories, and loaded with nutrients that can help control blood sugar levels, reduce the risk of chronic diseases, and promote overall health and wellbeing. Remember to fill up half of your plate with non-starchy vegetables and enjoy the many benefits that they offer.
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Brown Bread VS White Bread - Which is better?

4/26/2023

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Author: Chantelle van der Merwe 

Registered Dietician (SA) PG Dip Diabetes Management (UK) . Saving those with diabetes one post at a time, from fake diabetes treatment quacks! 

We all know that brown bread is considered a healthier choice than white bread, thanks to its high fiber content. However, there is a common misconception that just because brown bread is healthier, we can eat more of it in a single sitting. This is simply not true, as the quantity of carbohydrates is just as important as their quality.
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While brown bread is indeed healthier, the carbohydrate content between a slice of white bread and brown bread can be quite similar. The key difference is that white bread can cause a rapid spike in blood sugar levels due to its lower fiber content. Therefore, it's often recommended to limit your bread portions to no more than two slices per meal, regardless of whether it's brown or white bread.

It's essential to monitor your blood sugar levels after eating, as everyone responds differently. If your levels are too high after two hours, try reducing your starch portion the next time and opt for one slice instead of two. Pay attention to your body and how it reacts to different types and amounts of carbohydrates.  

To build a healthy meal, pair protein, heart healthy fats and other high fiber options such as vegetables with your toast. Pair it with eggs and side veggies such as tomatoes and spinach or other low-carb vegetables. Adding healthy fats like avocado or peanut butter on your toast can also make it more nutritious and satisfying.

By being mindful of the quantity and quality of carbohydrates you consume and incorporating other nutrient-dense foods into your meals, you can maintain healthy blood sugar levels and achieve a balanced diet. Don't fall for the myth that brown bread means you can eat more of it – moderation is key. Continue to monitor your blood sugars, this may require some trial and error to find your "perfect match". And, yes, of course your registered dietitian can guide on this if you feel you're just not getting your blood sugar levels optimized. ​
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Fiber - a secret weapon for better blood sugar control

4/26/2023

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Author: Chantelle van der Merwe 

Registered Dietician (SA) PG Dip Diabetes Management (UK) . Passionate about practical nutrition therapy solutions. ​

Fiber, glorious fiber! It's a vital dietary component that can benefit so many aspects of our health. From cardiovascular health to digestive health, fiber has so many benefits that it's no wonder why I spend a good couple of minutes reiterating the importance of fiber to all of my clients. It's one of my secret weapons in helping people achieve their health goals, but sharing is caring, so let's dive into why fiber is so important!

One of the biggest benefits of fiber is its ability to regulate blood sugar and insulin levels. When we eat carbohydrates, they are broken down into glucose (sugar) and absorbed into the bloodstream. Naturally blood sugar levels will rise, which triggers the release of insulin from the pancreas. Insulin is a hormone that helps our cells absorb glucose from the bloodstream and use it for energy. However, when we eat too many carbohydrates (especially refined carbohydrates), our bodies can become resistant to insulin. Insulin resistance means that the cells in your body are not responding to insulin (the key to opening your cells) and thus not absorbing glucose out of the blood as effectively, this can lead to high blood sugar levels and eventually type 2 diabetes over the long run.

This is where fiber comes in. When we eat fiber-rich foods, they slow down the absorption of glucose into the bloodstream. This means that our blood sugar levels don't spike as high, and subsequently, our insulin levels don't spike as high either. Over time, this can help improve insulin sensitivity, reduce inflammation, and prevent chronic diseases like type 2 diabetes.

So, how can you incorporate more fiber into your diet? The first step is to include a fiber source with each meal. This will help regulate blood sugar levels and keep you feeling fuller for longer. Some high-fiber foods to consider include:
  • Vegetables: Make the majority of your vegetables lower-starch options like salads, stir-fries, and green vegetables. Fill up at least half of your plate with non-starchy veggies!
  • Fruits: While fruit is a healthy source of fiber, it's also important to keep in mind that it contains natural sugars. Consider limiting yourself to one portion of fruit or starch per meal.
  • Whole grains: Opt for whole grains like brown rice, quinoa, and whole-wheat bread instead of refined grains like white rice and white bread.
  • Nuts and seeds: These are great sources of fiber and healthy fats. Add them to your meals or snack on them throughout the day.
  • Legumes: These include foods like beans, lentils, and chickpeas, which are all excellent sources of fiber.

It is still important to control your carbohydrate portions, regardless of how high in fiber the food is. Your registered dietitian can  guide you on appropriate carbohydrate portions for you to ensure optimal blood glucose regulation. Remember individualization with nutrition recommendations is key! 

​Incorporating more fiber into your diet may take some getting used to, but it's well worth the effort. Not only will it help regulate blood sugar and insulin levels, but it can also improve digestive health, reduce inflammation, and support overall health and wellness. Remember, the goal is to make small, sustainable changes that will help you achieve your health goals in the long run. So start small, and gradually increase your fiber intake over time. Your body will thank you for it!
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The carbs you should be avoiding - for better blood sugar control

4/24/2023

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Author: Chantelle van der Merwe

Registered Dietitian (SA) PG Dip Diabetes Management (UK) . Saving those with diabetes one post at a time, from fake diabetes treatment quacks! ​

Are you struggling to keep your blood sugar levels in check? One of the most effective ways to manage diabetes is to watch what you eat. While carbohydrates  are part of a healthy diet, it's important to choose wisely and avoid those that can sabotage your efforts. 

In this blog post, we'll focus on the worst offenders - refined and processed carbohydrates. These culprits are often found in pre-packaged foods, foods come in "pakkies" , "sakkies" and "boksies" :) These are the foods that are typically low in fiber and high in hidden sugars.  This is why it's crucial to read labels and be aware of what you're buying. Don't rely on gimmicky words like "vegan," "gluten-free," or "organic" to determine if a food is healthy or sugar-free.

Chips, crisps, and "simbas" are just some of the common culprits. They may be tempting, but they are loaded with unhealthy fats and high in calories. Similarly, sugary drinks like soda and fruit juice can quickly raise your blood sugar levels and contribute to unhealthy weight gain. Other processed foods to watch out for include sugary snacks, white bread, shop-bought sauces, and flavored yogurts. 
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Be mindful of what you're consuming and to opt for whole, unprocessed foods as often as possible. By doing so, you can help regulate your blood sugar levels and improve your overall health. It's easy to be tricked by marketing buzzwords, but remember that you have the power to make informed choices about what you eat. By minimizing your intake of refined, processed carbohydrates, you'll be well on your way to better managing your diabetes and living a healthier life. 

TOP TIP: 
Make sure most of your shopping cart is filled with less processed foods, such as vegetables, fruits, dairy products (including eggs), lean meats and whole grain breads. The less processed foods are typically found on the outer perimeter of the  grocery store. Reduce your shopping cart content from being filled with convenience, processed foods generally found in the isles in the middle of the store.  


Have you ever been surprised by the amount of added sugars in a food? Let us know in the comments below. And don't forget to share this post with anyone who could benefit from these tips!
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Smart Snacking: Blood sugar friendly snacks

4/22/2023

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Author: Chantelle van der Merwe

Registered Dietitian (SA) PG Dip Diabetes Management (UK) . Passionate about practical and individualized nutrition therapy solutions

Are your snacks possibly causing havoc and making it difficult to manage your blood sugar levels? You're not alone! Finding the right snacks can be a challenge, but it's important to remember that not all snacks are created equal. In fact, some snacks can actually help regulate your blood sugar levels and keep you feeling full and satisfied.

So, what are the best snacks for blood sugar regulation? The answer is simple: foods high in fiber, protein, and heart-healthy fats. These nutrients work together to slow down the digestion and absorption of carbohydrates, leading to a more stable blood sugar response.

Let's break it down further. When it comes to protein-rich snacks, there are plenty of options to choose from. Lean biltong, boiled eggs, nuts, and cottage cheese with low-carb veggies like cucumber are all great choices. These snacks not only provide protein, but they also offer additional nutrients like vitamins and minerals that can help keep your body functioning at its best.

In addition to protein, heart-healthy fats are also important for regulating blood sugar levels. Snacks like guacamole with baby carrots or nut butter (or a small handful of mixed nuts) with apple slices are great examples of snacks that contain healthy fats. These fats not only help slow down digestion and absorption, but they also provide other health benefits like reducing inflammation and improving heart health.

It's important to remember that managing blood sugar levels isn't just about what you eat, but also how much you eat. Portion control is key when it comes to carbohydrate-containing snacks. By combining a small amount of carbs with a protein or healthy fat, you can help slow down the rise in blood glucose levels.

TOP TIP: 
Choosing low carbohydrate containing snacks between meals will makes blood sugar regulation much easier. If you're on an insulin regimen to help control your blood sugar levels, it means that you most likely need to use short acting insulin for carbohydrate containing snacks as well, to prevent blood sugars from rising above desired target values. I get it, you don't want to test your blood sugar and inject insulin a million times a day, therefore if you are craving a snack opt for protein based options such as a small hand full nuts, a boiled egg, biltong, some cold meat such as beef silver side slices or pastrami, a small piece of cheese. Better yet! , combine these protein snacks with a lower carb veggie such as some cherry tomatoes, cucumber slices or bell pepper slices. 


So, the next time you're looking for a snack, remember to choose foods high in fiber, protein, and heart-healthy fats. And don't forget to manage your portions! What are your favorite blood sugar-friendly snacks? Let us know in the comments below!
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Sweet Truth: How Proper Portions and Pairings Make All Fruits Diabetes-Friendly

4/20/2023

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Author: Chantelle van der Merwe

Registered Dietician (SA) PG Dip Diabetes Management (UK) . Saving those with diabetes one post at a time, from fake diabetes treatment quacks! ​

Are you someone living with diabetes or insulin resistance who's been told to avoid fruit at all costs? If so, we have some good news for you: that advice is outdated and just plain wrong. In fact, fruit is an essential part of a healthy diet, providing the body with vital vitamins and minerals that can help you maintain overall health and wellbeing.

But here's the catch: it's not about avoiding fruit altogether. It's about controlling your portions and frequency of consumption. And these factors can vary from person to person, so it's important to monitor your blood sugar levels and work with your registered dietitian to develop a plan that's right for you.

When it comes to portion sizes, a general rule of thumb is to aim for a cup-sized (250ml) portion of fruit per serving. And if you pair your fruit with a protein and/or a healthy fat, it can help reduce sugar spikes and keep your blood sugar levels steady. For example, try apple slices with a dollop of peanut butter, or whip up a smoothie with one fruit portion, some yogurt, and 2-3 tablespoons of mixed nuts and seeds. You can even enjoy a small cup portion of fruit after a meal that contained protein and fiber-rich veggies like broccoli or cabbage.

But it's not just about portion sizes. Frequency of consumption is important too. Be mindful of not "double-dipping" on carbohydrate containing foods at meals. For instance, pairing a healthy seeded bread sandwich (carbohydrate source) with an additional fruit (also a carbohydrate source) may be too much. Instead, opt for a protein-based salad with lots of green veggies (high fiber source), drizzled with heart-healthy oil and a small portion of fruit such apple or pineapple in chicken salad. Or have the sandwich with a side of cherry tomatoes and cucumber slices (a lower-carb , high fiber option).

When it comes to fruit juice, it's best to eat your fruit rather than drink it. And be wary of tinned fruits in sugary syrup and dried fruits, which can be easy to overdo.
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In conclusion, fruit is an important part of a healthy diet, even if you have diabetes or insulin resistance. By controlling your portions and frequency of consumption, and pairing your fruit with protein and/or healthy fats, you can enjoy the many health benefits that fruit has to offer without compromising your blood sugar levels.
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Sweet Tricks: Simple Ways to Regulate Your Blood Sugar

4/18/2023

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Author: Chantelle van der Merwe

Registered Dietician (SA) PG Dip Diabetes Management (UK) . All about making diabetes management more practical. 

 Are you struggling with keeping your blood sugar levels under control? Do you find yourself constantly battling spikes and crashes throughout the day? Don't worry, you're not alone. 

One effective way to manage blood sugar levels is through your diet. And one powerful strategy is to combine your carbohydrates with high-fiber, high-protein, and heart-healthy fat-containing foods. Why? Because these foods slow down the rate at which food moves through your digestive tract, which in turn slows down the absorption of carbs and sugar from your food.

So, what are some examples of these blood-sugar balancing meals?
  • How about a hearty bowl of oats with a dollop of peanut butter on top? The oats provide fiber, while the peanut butter offers protein and healthy fats.
  • Or try a seeded bread sandwich with a lean protein like tuna or chicken, plus a green salad on the side with a drizzle of olive oil or some sliced avocado.
  • Even pasta can be on the menu! Just make sure to keep your portion size small and pair it with a protein like mince and a large side of green salad with some olive oil.
  • Or go for a traditional South African meal of pap with some lean meat, and a side of spinach and cauliflower for extra fiber.
Remember, while these meal combinations can help reduce blood sugar spikes, it's still important to control your carbohydrate portion size. Speak to your registered dietitian to guide you on these portions if you find that your blood glucose are still not optimally controlled. 

But don't worry, there are plenty of high-fiber foods to choose from, including vegetables, fruits, legumes, and whole grains. And when it comes to protein, you have options like meat, fish, chicken, eggs, soy, and legumes. Heart-healthy fats are also a must, so try incorporating foods like avocado, nuts and seeds, and olive oil into your meals.
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Incorporating these blood-sugar balancing meals into your diet can help you manage your blood sugar levels and keep you feeling energized and healthy throughout the day. So why not give it a try? Your body will thank you!
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    Chantelle vd Merwe RD (SA)
    Post Grad. Diabetes Management (UK)

    Dietitian dedicated to making diabetes management simple,
    ​realistic, and sustainable.

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