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Amgen Wins FDA Nod for Uplizna to Treat Rare Disease

Amgen Wins FDA Nod for Uplizna to Treat Rare Disease

Bloomberg03-04-2025
US regulators approved Amgen Inc. 's Uplizna as the first and only treatment for a rare inflammatory condition that causes tumor-like growths in organs.
Uplizna was first approved in 2020 to treat another rare disease that affects the optic nerve and spinal cord. On Thursday, the US Food and Drug Administration cleared it for immunoglobulin G4-related disease, or IgG4-RD, after the treatment received Breakthrough Therapy designation to expedite the approval process.
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Natera pursues ctDNA assay approval after Phase III victory
Natera pursues ctDNA assay approval after Phase III victory

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Natera pursues ctDNA assay approval after Phase III victory

Natera's Signatera assay has been found to accurately predict if a patient with muscle-invasive bladder cancer (MIBC) will benefit from adjuvant cancer immunotherapy, Tecentriq (atezolizumab) post-surgery in a Phase III trial. Top-line results of the IMvigor011 study (NCT04660344) revealed that patients given Roche's Tecentriq after testing positive through the in vitro companion diagnostic (IVD) experienced significant improvements in both disease-free survival (DFS) and overall survival (OS). Meanwhile, a preliminary analysis found that patients who remained Signatera-negative post-operation had positive outcomes without adjuvant treatment, with 88% of patients being disease-free 18 months after surgery. This is the first Phase III study in this indication to use a personalised approach to treatment guided by the presence of circulating tumour DNA (ctDNA), a key biomarker of molecular residual disease (MRD) – which is often associated with an increased risk of relapse. According to the study's principal investigator, Professor Thomas Powles, the results of the IMvigor011 trial could 'open the door for a new treatment paradigm' in MIBC, helping physicians to more accurately determine if adjuvant treatment is necessary by monitoring the presence of cancer on a molecular level. This contrast could mark a step up from the previous standard of care (SoC) disease-monitoring techniques such as imaging and bladder endoscopy, which can often at times miss early-stage recurrence events due to their inability to detect MRD in patients. Following the trial's positive outcome, Natera is finalising its premarket approval application to the US Food and Drug Administration (FDA) for Signatera's use as a companion diagnostic. If given the go-ahead, Signatera could prevent patients who have no detectable MRD from enduring potentially severe immune-related side effects commonly associated with PD-L1 blockers such as Tecentriq. It would also allow physicians to prescribe treatment in the early stages of relapse. This is welcome news for the company, as Signatera was previously turned down by the UK's National Institute for Health and Care Excellence (NICE) for use in the National Health Service (NHS) as a routine MRD test for solid tumours in 2022. This was due to the lack of clinical evidence to support its use when assessing its cost-benefit ratio. The development also follows Natera's involvement in one of the largest false advertising verdicts in history, which saw Guardant Health claim $292.5m – including $175.5m in punitive damages – from the company after it falsely advertised the benefits of Signatera over Guardant's MRD assay, Guardant Reveal. "Natera pursues ctDNA assay approval after Phase III victory " was originally created and published by Medical Device Network, a GlobalData owned brand. The information on this site has been included in good faith for general informational purposes only. It is not intended to amount to advice on which you should rely, and we give no representation, warranty or guarantee, whether express or implied as to its accuracy or completeness. You must obtain professional or specialist advice before taking, or refraining from, any action on the basis of the content on our site.

7-Day Colonoscopy-Prep Meal Plan, Created by a Dietitian
7-Day Colonoscopy-Prep Meal Plan, Created by a Dietitian

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7-Day Colonoscopy-Prep Meal Plan, Created by a Dietitian

Reviewed by Dietitian Jessica Ball, M.S., RD About This Plan This 7-day plan is set at 1,800 calories per day, with modifications for 1,500 and 2,000 calories. Each day provides at least 112 grams of protein while following general pre-colonoscopy nutrition guidelines. This plan limits fiber later in the week, which is recommended prior to a colonoscopy. If you're reading this, chances are your colonoscopy date is etched in your calendar and you're wondering what to do to prepare. While it's a standard and common screening tool, there are some nutrition changes required before having a colonoscopy. In this plan, we incorporate the typical pre-colonoscopy nutrition recommendations by avoiding nuts and seeds, as well as any foods that contain them, for seven days prior to a colonoscopy. We also include a low-fiber routine for four days prior to the fasting day. Doing this helps the prep go smoother and ensures the colon is clear for the colonoscopy. Day 7, or the day before your colonoscopy, is a fasting day where it's recommended to have clear liquids only. You'll find meal-prep tips and three different calorie levels to choose from. Follow along to get started. Day 1 Breakfast (447 calories) 1 serving Creamy Scrambled Eggs with Chives 1 cup ripe cantaloupe 1 slice sourdough bread, toasted, topped with 1 tsp. butter A.M. Snack (200 calories) 1 medium apple 1 Tbsp. unsalted smooth natural peanut butter Lunch (548 calories) 1 serving Green Goddess Tuna Salad 1 (8-inch) white tortilla 1 large pear P.M. Snack (62 calories) 1 medium seedless orange Dinner (536 calories) 1 serving Cheesy One-Pot Chicken-Broccoli Orzo Daily Totals: 1,792 calories, 60g fat, 112g protein, 210g carbohydrate, 28g fiber, 2,293mg sodium. Make it 1,500 calories: Reduce to ¾ cup cantaloupe at breakfast and omit A.M. and P.M. snacks. Make it 2,000 calories: Increase to 2 Tbsp. peanut butter at A.M. snack and add 1 cup low-fat plain kefir to P.M. snack. Day 2 Breakfast (371 calories) 1 cup low-fat plain strained (Greek-style) yogurt ¾ cup sliced ripe banana 1 Tbsp. unsalted smooth natural peanut butter A.M. Snack (186 calories) 1 cup seedless grapes ½ cup unsalted low-fat cottage cheese Lunch (548 calories) 1 serving Green Goddess Tuna Salad 1 (8-inch) white tortilla 1 large pear P.M. Snack (200 calories) 1 medium apple 1 Tbsp. unsalted smooth natural peanut butter Dinner (413 calories) 1 serving Sheet-Pan Mojo Chicken with Green Beans & Potatoes Evening Snack (62 calories) 1 medium seedless orange Daily Totals: 1,779 calories, 58g fat, 119g protein, 207g carbohydrate, 28g fiber, 1,341mg sodium. Make it 1,500 calories: Omit P.M. snack and evening snack. Make it 2,000 calories: Increase to 2 Tbsp. peanut butter at A.M. snack and add 1 cup low-fat plain kefir to evening snack. Day 3 Breakfast (447 calories) 1 serving Creamy Scrambled Eggs with Chives 1 cup ripe cantaloupe 1 slice sourdough bread, toasted, topped with 1 tsp. butter A.M. Snack (285 calories) 6 soda crackers (such as saltines) 2 Tbsp. unsalted smooth natural peanut butter Lunch (395 calories) 1 serving Low-Carb Chicken Soup ½ cup unsalted low-fat cottage cheese ½ cup canned pears (in juice) P.M. Snack (151 calories) ¾ cup low-fat plain strained (Greek-style) yogurt ¼ cup canned peaches (in juice) Dinner (524 calories) 1 serving Lemony-Garlic Pan-Seared Salmon 1 serving Sautéed Mushrooms with Balsamic & Parmesan 1 serving Crispy English Roasted Potatoes Daily Totals: 1,803 calories, 82g fat, 122g protein, 144g carbohydrate, 14g fiber, 2,274mg sodium. Make it 1,500 calories: Omit A.M. snack. Make it 2,000 calories: Add 1 medium banana with 1 cup low-fat plain kefir as an evening snack. Day 4 Breakfast (371 calories) 1 cup low-fat plain strained (Greek-style) yogurt ¾ cup sliced ripe banana 1 Tbsp. unsalted smooth natural peanut butter A.M. Snack (182 calories) 2 large hard-boiled eggs with a pinch of salt & pepper ½ cup ripe cantaloupe Lunch (388 calories) 1 serving Low-Carb Chicken Soup ½ cup unsalted low-fat cottage cheese ½ cup canned peaches (in juice) P.M. Snack (285 calories) 6 soda crackers (such as saltines) 2 Tbsp. unsalted smooth natural peanut butter Dinner (555 calories) 1 serving Creamy Garlic Skillet Chicken with Spinach 1½ cups cooked penne pasta (not whole-wheat) Daily Totals: 1,781 calories, 73g fat, 125g protein, 145g carbohydrate, 14g fiber, 1,548mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Increase to 2 cups pasta at dinner and add 1 cup mandarin oranges with ¾ cup low-fat plain kefir as an evening snack. Day 5 Breakfast (447 calories) 1 serving Creamy Scrambled Eggs with Chives 1 cup ripe cantaloupe 1 slice sourdough bread, toasted, topped with 1 tsp. butter A.M. Snack (315 calories) 1 medium banana 2 Tbsp. unsalted smooth natural peanut butter Lunch (388 calories) 1 serving Low-Carb Chicken Soup ½ cup unsalted low-fat cottage cheese ½ cup canned peaches (in juice) P.M. Snack (160 calories) ¾ cup low-fat plain strained (Greek-style) yogurt ¼ cup canned mandarin oranges (in juice) Dinner (508 calories) 1 serving Slow-Cooker Herb & Mushroom Braised Beef 1 serving Buttermilk Mashed Potatoes Daily Totals: 1,818 calories, 68g fat, 132g protein, 167g carbohydrate, 16g fiber, 2,078mg sodium. Make it 1,500 calories: Omit A.M. snack. Make it 2,000 calories: Add 1 slice sourdough or white bread, toasted, with 1 Tbsp. unsalted smooth natural peanut butter as an evening snack. Day 6 Breakfast (371 calories) 1 cup low-fat plain strained (Greek-style) yogurt ¾ cup sliced ripe banana 1 Tbsp. unsalted smooth natural peanut butter A.M. Snack (201 calories) 2 large hard-boiled eggs with a pinch of salt & pepper ½ cup canned mandarin oranges (in juice) Lunch (395 calories) 1 serving Low-Carb Chicken Soup ½ cup unsalted low-fat cottage cheese ½ cup canned pears (in juice) P.M. Snack (285 calories) 6 soda crackers (such as saltines) 2 Tbsp. unsalted smooth natural peanut butter Dinner (431 calories) 1 serving One-Pot Garlicky Shrimp & Spinach 1 cup cooked white rice Evening Snack (115 calories) 1 cup low-fat plain kefir Daily Totals: 1,799 calories, 69g fat, 129g protein, 163g carbohydrate, 15g fiber, 1,730mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 1 slice sourdough or white bread, toasted, with 1 Tbsp. unsalted smooth natural peanut butter to evening snack. Day 7 Tomorrow is your colonoscopy. Today is the day when most medical providers recommend you begin your prescribed bowel-prep routine to help clear the colon. Typically, it's recommended to follow a clear liquid diet on this day. Clear liquids are any liquids you can see through, which includes electrolyte drinks, broth, juice, black coffee and tea, fruit-flavored popsicles and smooth Jell-o. You should avoid anything that is red or purple, like cranberry juice or cherry popsicles, as they may look like blood in the colon and can lead to inaccurate results. Be sure to connect with a health care professional if you have any questions or concerns about your prep. Prep Ahead Tips Make Green Goddess Tuna Salad to have for lunch on Days 1 and 2. On Day 3, make Low-Carb Chicken Soup to have for lunch on Days 3 through 6. Frequently asked Questions ​​Is it OK to mix and match meals if there is one I do not like? You can mix and match dinners on days 1 and 2. These two days are essentially a normal routine, though we avoid nuts and seeds. You can mix and match dinners or opt to repeat the same meal twice on days 3 through 6. These days follow a low-fiber routine. Can I eat the same breakfast or lunch every day? Yes, you can eat the same breakfast and lunch every day if you prefer. The only exception would be to switch from a fresh pear to a canned pear, other canned fruit or applesauce if you're choosing to eat the lunch option from Days 1 and 2 later in the week. Fresh pears are a high-fiber fruit and should be limited about 4 days prior to a colonoscopy. Why is there not a modification for 1,200 calories? We no longer provide modifications for 1,200-calorie days in our meal plans. The 2020-2025 Dietary Guidelines for Americans suggests that limiting calories to 1,200 per day is too low for most people to meet their nutritional needs, plus it's unsustainable for long-term health and well-being. Nutrition Tips to Prep for a Colonoscopy When you're prepping for a colonoscopy, your medical provider will likely give you a list of guidelines to follow for the days leading up to the procedure. It's important to follow these guidelines carefully to ensure that your colonoscopy goes smoothly and the results are accurate. While guidelines may vary depending on the medical facility, it's generally recommended to avoid nuts and seeds, as well as any foods that may contain them, for about seven days prior. Foods with seeds or kernels include berries, cucumbers, tomato, zucchini, many whole-grain breads, bagels and popcorn. Smooth nut butters are typically considered OK to eat. Because high-fiber foods are more difficult to digest, it's often recommended to limit them for the three to five days leading up to a colonoscopy. This helps make sure your colon is clear for your procedure. Foods to limit on these days include oatmeal, whole grains, nuts, seeds, raw fruits and vegetables with skin, and crunchy nut butters. In this plan, the first two days are aligned with a standard healthy eating pattern. You'll find some lower-fiber options, like seedless fruits and sourdough bread, to ease into the rest of the week. Days 3 through 6 follow a lower-fiber routine, focus primarily on protein and include more tender, lower-fiber vegetables, such as well-cooked carrots, spinach and mushrooms. It's typically recommended to follow a low-fiber diet for three to five days prior to the fasting day. For this plan, we chose to incorporate a low-fiber routine for four days. On Day 7, the day before your colonoscopy, it's often recommended to follow a clear-liquid diet. Liquids typically allowed on a clear liquid diet include water, black coffee, broth and lemonade. You should avoid red or purple liquids, as these colors can mimic the look of blood and can impair the accuracy of the procedure. These are general recommendations. Please follow the guidelines outlined by your medical team because individual guidelines, including foods to eat and foods to avoid, may vary depending on the medical facility completing your colonoscopy. How We Create Meal Plans Registered dietitians thoughtfully create EatingWell's meal plans to be easy-to-follow and delicious. Each meal plan meets specific parameters depending on the health condition and/or lifestyle goal it is targeting and is analyzed for accuracy using the nutrition database, ESHA Food Processor. As nutritional needs differ from person to person, we encourage you to use these plans as inspiration and adjust as you see fit. Read the original article on EATINGWELL

30-Day No-Sugar, Diabetes-Friendly Meal Plan for Beginners, Created by a Dietitian
30-Day No-Sugar, Diabetes-Friendly Meal Plan for Beginners, Created by a Dietitian

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30-Day No-Sugar, Diabetes-Friendly Meal Plan for Beginners, Created by a Dietitian

Reviewed by Dietitian Jessica Ball, M.S., RD About This Plan This 30-day plan is set at 1,800 calories per day, with modifications for 1,500 and 2,000 calories. Each day provides at least 80 grams of protein and 32 grams of fiber, both of which can help promote healthier blood sugar. This diabetes-friendly plan has a reduced carbohydrate level and contains no added sugar. Whether you've had diabetes for years or are recently diagnosed, it's no secret that managing your blood sugar can sometimes feel overwhelming. There's so much nutrition information out there, and it's difficult to know what may actually help and what is just a trend that lacks any scientific backing. In this 30-day diabetes-friendly plan for beginners, we map out a month of no-sugar-added meals and snacks tailored to promote healthy blood sugar. To do this, we skip added sugar, focus on recipes that are high in fiber and protein, and set it at a moderately low level of carbohydrates, which we spread throughout the day's meals and snacks. All of these strategies may help promote healthier and more stable blood sugar levels for most people., , , To make it beginner-friendly, you'll find recipes with simple ingredient lists that come together in about 30 minutes or less of active cooking time. Plus, you'll find easy cooking methods, like sheet-pan meals and one-pot dishes. We include three different calorie levels to choose from and meal-prep tips at the beginning of each week so you can spend less time fretting over your dinner plan and more time doing the things you love. Week 1 Meal-Prep Tips: Make a double batch of Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach to have for breakfast throughout the month. Prepare Vegan Superfood Grain Bowls to have for lunch on Days 2 through 5. Day 1 Breakfast (436 calories, 34g carbs) 1 serving Avocado Toast with Jammy Eggs ½ cup sliced strawberries A.M. Snack (228 calories, 35g carbs) 1 serving Chocolate-Strawberry Protein Shake Lunch (436 calories, 38g carbs) 1 serving High-Protein Mason Jar Salad 1 medium orange P.M. Snack (290 calories, 13g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 3 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (427 calories, 32g carbs) 1 serving Lemon-Garlic Sheet-Pan Salmon with Potatoes & Green Beans Daily Totals: 1,815 calories, 88g fat, 17g saturated fat, 115g protein, 154g carbohydrate, 36g fiber, 2,032mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add ¼ cup unsalted dry-roasted almonds as an evening snack. Day 2 Breakfast (358 calories, 36g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach ¾ cup blueberries A.M. Snack (230 calories, 35g carbs) 1 serving White Bean & Avocado Toast Lunch (381 calories, 43g carbs) 1 serving Vegan Superfood Grain Bowls P.M. Snack (253 calories, 25g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 1 medium peach 1 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (458 calories, 37g carbs) 1 serving Creamy Lemon-Dill Chicken & Rice Casserole 1 serving Garlicky Green Beans Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,788 calories, 71g fat, 14g saturated fat, 114g protein, 193g carbohydrate, 43g fiber, 2,209mg sodium. Make it 1,500 calories: Omit A.M. snack and omit chopped nuts at P.M. snack. Make it 2,000 calories: Add 1 cup nonfat plain kefir to breakfast and increase to 3 Tbsp. chopped nuts at P.M. snack. Day 3 Breakfast (301 calories, 35g carbs) 1 serving Banana–Peanut Butter Yogurt Parfait A.M. Snack (230 calories, 35g carbs) 1 serving White Bean & Avocado Toast Lunch (381 calories, 43g carbs) 1 serving Vegan Superfood Grain Bowls P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (448 calories, 32g carbs) 1 serving High-Protein Ground Beef & Sweet Potato Skillet 1 serving Kale Salad with Balsamic & Parmesan Evening Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Daily Totals: 1,785 calories, 91g fat, 14g saturated fat, 90g protein, 175g carbohydrate, 43g fiber, 1,660mg sodium. Make it 1,500 calories: Omit A.M. snack and change P.M. snack to 1 serving Cottage Cheese-Berry Bowl. Make it 2,000 calories: Add ¼ cup hummus and 1 medium bell pepper to lunch. Day 4 Breakfast (358 calories, 36g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach ¾ cup blueberries A.M. Snack (301 calories, 35g carbs) 1 serving Banana–Peanut Butter Yogurt Parfait Lunch (381 calories, 43g carbs) 1 serving Vegan Superfood Grain Bowls P.M. Snack (291 calories, 31g carbs) 1 medium apple 2 Tbsp. unsweetened almond butter Dinner (385 calories, 59g carbs) 1 serving Brothy Lemon-Garlic Beans Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,824 calories, 76g fat, 14g saturated fat, 80g protein, 221g carbohydrate, 45g fiber, 1,520mg sodium. Make it 1,500 calories: Omit A.M. snack. Make it 2,000 calories: Add ¼ cup hummus and 1 medium bell pepper to lunch. Day 5 Breakfast (301 calories, 35g carbs) 1 serving Banana–Peanut Butter Yogurt Parfait A.M. Snack (230 calories, 35g carbs) 1 serving White Bean & Avocado Toast Lunch (381 calories, 43g carbs) 1 serving Vegan Superfood Grain Bowls P.M. Snack (242 calories, 30g carbs) 1 medium apple 1½ Tbsp. unsweetened almond butter Dinner (452 calories, 36g carbs) 1 serving Chipotle Chicken Quinoa Burrito Bowl Evening Snack (176 calories, 9g carbs) ¼ cup unsalted dry-roasted shelled pistachios Daily Totals: 1,782 calories, 88g fat, 14g saturated fat, 88g protein, 187g carbohydrate, 49g fiber, 1,297mg sodium. Make it 1,500 calories: Substitute 2 celery stalks for the apple at P.M. snack and omit evening snack. Make it 2,000 calories: Add 1 serving Guacamole Chopped Salad to dinner. Day 6 Breakfast (358 calories, 36g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach ¾ cup blueberries A.M. Snack (185 calories, 37g carbs) 1 cup nonfat plain kefir 1 medium apple Lunch (436 calories, 38g carbs) 1 serving High-Protein Mason Jar Salad 1 medium orange P.M. Snack (292 calories, 36g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 1 cup cherries 1 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (533 calories, 53g carbs) 1 serving Sheet-Pan Shrimp Fajitas 1 serving Pineapple & Avocado Salad Daily Totals: 1,801 calories, 69g fat, 14g saturated fat, 113g protein, 200g carbohydrate, 34g fiber, 2,178mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 2 Tbsp. unsweetened almond butter to A.M. snack. Day 7 Breakfast (385 calories, 33 carbs) 1 serving Spinach & Egg Scramble with Raspberries 1 cup nonfat plain kefir A.M. Snack (193 calories, 28g carbs) 1 medium apple 1 Tbsp. unsweetened almond butter Lunch (436 calories, 38g carbs) 1 serving High-Protein Mason Jar Salad 1 medium orange P.M. Snack (260 calories, 35g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 1 cup cherries 1 tsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (514 calories, 43g carbs) 1 serving Chicken & Vegetable Penne with Parsley-Walnut Pesto Daily Totals: 1,786 calories, 88g fat, 14g saturated fat, 88g protein, 187g carbohydrate, 49g fiber, 1,297mg sodium. Make it 1,500 calories: Omit P.M. snack, Make it 2,000 calories: Increase to 2 Tbsp. almond butter at A.M. snack and increase to 3 Tbsp. chopped walnuts at P.M. snack. Week 2 Meal-Prep Tips: Make a double batch (4 jars) of Basic Overnight Oats to have for breakfast on Days 9 through 12. Prepare Chickpea Chopped Salad with Pita Chips to have for lunch on Days 9 through 12. Day 8 Breakfast (358 calories, 36g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach ¾ cup blueberries A.M. Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Lunch (409 calories, 42g carbs) 1 serving White Bean & Veggie Salad ½ cup cherries P.M. Snack (125 calories) 1 cup nonfat plain kefir 1 clementine Dinner (681 calories, 46g carbs) 1 serving Ginger-Dill Salmon with Cucumber & Avocado Salad ¾ cup cooked quinoa Daily Totals: 1,778 calories, 100g fat, 16g saturated fat, 85g protein, 152g carbohydrate, 38g fiber, 1,568mg sodium. Make it 1,500 calories: Omit A.M. snack and omit the cherries at lunch. Make it 2,000 calories: Add 1 serving Apple with Cinnamon Almond Butter as an evening snack. Day 9 Breakfast (479 calories, 44g carbs) 1 serving Basic Overnight Oats ½ cup raspberries ¼ cup chopped nuts, such as pecans, walnuts or almonds A.M. Snack (90 calories, 12g carbs) 1 cup nonfat plain kefir Lunch (437 calories, 38g carbs) 1 serving Chickpea Chopped Salad with Pita Chips 3 oz. cooked chicken breast 1 clementine P.M. Snack (292 calories, 36g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 1 cup cherries 1 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (514 calories, 57g carbs) 1 serving Roasted Potato Tzatziki Bowls Daily Totals: 1,812 calories, 78g fat, 14g saturated fat, 106g protein, 187g carbohydrate, 35g fiber, 1,608mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 1 serving Apple with Cinnamon Almond Butter as an evening snack. Day 10 Breakfast (479 calories, 44g carbs) 1 serving Basic Overnight Oats ½ cup raspberries ¼ cup chopped nuts, such as pecans, walnuts or almonds A.M. Snack (230 calories, 35g carbs) 1 serving White Bean & Avocado Toast Lunch (437 calories, 38g carbs) 1 serving Chickpea Chopped Salad with Pita Chips 3 oz. cooked chicken breast 1 clementine P.M. Snack (152 calories, 27g carbs) 1 cup nonfat plain kefir 1 medium orange Dinner (504 calories, 37g carbs) 1 serving Grilled Steak Salad with Corn, Cucumbers & Sweet Onion Dressing 1 oz. slice whole-wheat baguette Daily Totals: 1,801 calories, 81g fat, 14g saturated fat, 106g protein, 181g carbohydrate, 40g fiber, 2,221mg sodium. Make it 1,500 calories: Omit A.M. snack and omit the orange at P.M. snack. Make it 2,000 calories: Add 1 serving Apple with Cinnamon Almond Butter as an evening snack. Day 11 Breakfast (479 calories, 44g carbs) 1 serving Basic Overnight Oats ½ cup raspberries ¼ cup chopped nuts, such as pecans, walnuts or almonds A.M. Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Lunch (437 calories, 38g carbs) 1 serving Chickpea Chopped Salad with Pita Chips 3 oz. cooked chicken breast 1 clementine P.M. Snack (292 calories, 36g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 1 cup cherries 1 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (401 calories, 41g carbs) 1 serving Hearty Chickpea & Spinach Stew Daily Totals: 1,815 calories, 83g fat, 13g saturated fat, 117g protein, 166g carbohydrate, 42g fiber, 1,557mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 1 serving Apple with Cinnamon Almond Butter as an evening snack. Day 12 Breakfast (479 calories, 44g carbs) 1 serving Basic Overnight Oats ½ cup raspberries ¼ cup chopped nuts, such as pecans, walnuts or almonds A.M. Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Lunch (437 calories, 38g carbs) 1 serving Chickpea Chopped Salad with Pita Chips 3 oz. cooked chicken breast 1 clementine P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (456 calories, 54g carbs) 1 serving Chicken & Sun-Dried Tomato Orzo Daily Totals: 1,798 calories, 80g fat, 13g saturated fat, 116g protein, 166g carbohydrate, 40g fiber, 1,426mg sodium. Make it 1,500 calories: Change A.M. snack to 1 serving Cottage Cheese Snack Jar with Tomatoes, Cucumbers & Bell Peppers and omit P.M. snack. Make it 2,000 calories: Add 1 serving Massaged Kale Salad to dinner. Day 13 Breakfast (358 calories, 36g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach ¾ cup blueberries A.M. Snack (291 calories, 31g carbs) 1 medium apple 2 Tbsp. almond butter Lunch (390 calories, 42g carbs) 1 serving Tuna Salad Lettuce Wraps 1 large pear P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (541 calories, 55g carbs) 1 serving Cilantro-Lime Shrimp Bowl Daily Totals: 1,792 calories, 73g fat, 13g saturated fat, 102g protein, 188g carbohydrate, 36g fiber, 1,905mg sodium. Make it 1,500 calories: Omit A.M. snack. Make it 2,000 calories: Add ¼ cup unsalted dry-roasted almonds as an evening snack. Day 14 Breakfast (446 calories, 32g carbs) 1 serving High-Protein Cottage Cheese Bowl 1 medium orange A.M. Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Lunch (390 calories, 42g carbs) 1 serving Tuna Salad Lettuce Wraps 1 large pear P.M. Snack (211 calories, 18g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup raspberries 2 tsp. chopped walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (434 calories, 49g carbs) 1 serving Balsamic Chicken with Roasted Tomatoes & Zucchini ¾ cup cooked brown rice Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,796 calories, 72g fat, 11g saturated fat, 123g protein, 166g carbohydrate, 32g fiber, 1,734mg sodium. Make it 1,500 calories: Omit A.M. snack and evening snack. Make it 2,000 calories: Add 1 medium apple to A.M. snack and increase to 3 Tbsp. chopped walnuts at P.M. snack. Week 3 Meal-Prep Tips: Make Chicken Fajita Soup to have for lunch on Days 16 through 19. On Day 19, reserve 2 servings Za'atar-Roasted Chicken with Chickpeas to have for lunch on Days 20 and 21. Day 15 Breakfast (358 calories, 36g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach ¾ cup blueberries A.M. Snack (242 calories, 30g carbs) 1 medium apple 1½ Tbsp. unsweetened almond butter Lunch (382 calories, 37g carbs) 1 serving Avocado, Tomato & Chicken Sandwich 1 clementine P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (585 calories, 33g carbs) 1 serving Lemony-Garlic Pan-Seared Salmon 1 serving Herb-Marinated Veggie & Chickpea Salad Daily Totals: 1,786 calories, 82g fat, 17g saturated fat, 117g protein, 159g carbohydrate, 37g fiber, 1,705mg sodium. Make it 1,500 calories: Reduce to 1 Tbsp. almond butter at A.M. snack and omit P.M. snack. Make it 2,000 calories: Add ¼ cup unsalted dry-roasted almonds as an evening snack. Day 16 Breakfast (385 calories, 33 carbs) 1 serving Spinach & Egg Scramble with Raspberries 1 cup nonfat plain kefir A.M. Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Lunch (396 calories, 41g carbs) 1 serving Chicken Fajita Soup 6 whole-grain tortilla chips P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (608 calories, 48g carbs) 1 serving Skillet Lemon Chicken & Potatoes with Kale 1 serving Brussels Sprouts Caesar Salad Daily Totals: 1,815 calories, 87g fat, 14g saturated fat, 124g protein, 152g carbohydrate, 39g fiber, 2,264mg sodium. Make it 1,500 calories: Omit kefir at breakfast and omit A.M. snack. Make it 2,000 calories: Add 1 serving Apple with Cinnamon Almond Butter as an evening snack. Day 17 Breakfast (356 calories, 35g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach 1 medium orange A.M. Snack (291 calories, 31g carbs) 1 medium apple 2 Tbsp. unsweetened almond butter Lunch (396 calories, 41g carbs) 1 serving Chicken Fajita Soup 6 whole-grain tortilla chips P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (419 calories, 44g carbs) 1 serving Tofu Tacos 1 serving Spicy Cabbage Slaw Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,790 calories, 73g fat, 13g saturated fat, 99g protein, 192g carbohydrate, 44g fiber, 1,935mg sodium. Make it 1,500 calories: Omit A.M. snack. Make it 2,000 calories: Add 1 cup nonfat plain kefir to breakfast and add ¼ cup guacamole to dinner. Day 18 Breakfast (385 calories, 33 carbs) 1 serving Spinach & Egg Scramble with Raspberries 1 cup nonfat plain kefir A.M. Snack (228 calories, 35g carbs) 1 serving Chocolate-Strawberry Protein Shake Lunch (396 calories, 41g carbs) 1 serving Chicken Fajita Soup 6 whole-grain tortilla chips P.M. Snack (285 calories, 23g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 2 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (406 calories, 36g carbs) 1 serving Baked Halibut with Brussels Sprouts & Quinoa Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,809 calories, 65g fat, 14g saturated fat, 132g protein, 186g carbohydrate, 40g fiber, 1,899mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 1 serving Traditional Greek Salad to dinner. Day 19 Breakfast (385 calories, 33 carbs) 1 serving Spinach & Egg Scramble with Raspberries 1 cup nonfat plain kefir A.M. Snack (291 calories, 31g carbs) 1 medium apple 2 Tbsp. unsweetened almond butter Lunch (396 calories, 41g carbs) 1 serving Chicken Fajita Soup 6 whole-grain tortilla chips P.M. Snack (237 calories, 22g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 1 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (417 calories, 32g carbs) 1 serving Za'atar-Roasted Chicken with Chickpeas Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,805 calories, 75g fat, 14g saturated fat, 112g protein, 179g carbohydrate, 38g fiber, 1,928mg sodium. Make it 1,500 calories: Omit A.M. snack. Make it 2,000 calories: Increase to 3 Tbsp. chopped nuts at P.M. snack and change evening snack to ¼ cup unsalted dry-roasted almonds. Day 20 Breakfast (385 calories, 33 carbs) 1 serving Spinach & Egg Scramble with Raspberries 1 cup nonfat plain kefir A.M. Snack (228 calories, 35g carbs) 1 serving Chocolate-Strawberry Protein Shake Lunch (417 calories, 32g carbs) 1 serving Za'atar-Roasted Chicken with Chickpeas P.M. Snack (101 calories, 7g carbs) 1 serving Cottage Cheese Snack Jar with Tomatoes, Cucumbers & Bell Peppers Dinner (452 calories, 42g carbs) 1 serving Green Veggie Bowl with Chicken & Lemon-Tahini Dressing Evening Snack (193 calories, 28g carbs) 1 serving Apple with Cinnamon Almond Butter Daily Totals: 1,777 calories, 67g fat, 14g saturated fat, 128g protein, 177g carbohydrate, 33g fiber, 1,738mg sodium. Make it 1,500 calories: Omit P.M. snack and evening snack. Make it 2,000 calories: Add 1 medium apple to lunch and change evening snack to 1 serving Banana–Peanut Butter Yogurt Parfait. Day 21 Breakfast (385 calories, 33 carbs) 1 serving Spinach & Egg Scramble with Raspberries 1 cup nonfat plain kefir A.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Lunch (417 calories, 32g carbs) 1 serving Za'atar-Roasted Chicken with Chickpeas P.M. Snack (332 calories, 24g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 3 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (431 calories, 51g carbs) 1 serving Sheet-Pan Chickpeas & Spring Veggies Daily Totals: 1,785 calories, 73g fat, 14g saturated fat, 126g protein, 163g carbohydrate, 38g fiber, 1,889mg sodium. Make it 1,500 calories: Omit kefir at breakfast and omit A.M. snack. Week 4 Meal-Prep Tips: Make Spicy Slaw Bowls with Shrimp & Edamame to have for lunch on Days 23 through 26. On Day 23, reserve dinner leftovers to have for dinner again on Day 24. Day 22 Breakfast (356 calories, 35g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach 1 medium orange A.M. Snack (228 calories, 35g carbs) 1 serving Chocolate-Strawberry Protein Shake Lunch (410 calories, 44g carbs) 1 serving Avocado, Tomato & Chicken Sandwich ¾ cup blueberries P.M. Snack (332 calories, 24g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 3 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (463 calories, 53g carbs) 1 serving One-Skillet Garlicky Salmon & Broccoli ¾ cup cooked brown rice Daily Totals: 1,789 calories, 62g fat, 13g saturated fat, 126g protein, 192g carbohydrate, 31g fiber, 1,584mg sodium. Make it 1,500 calories: Omit orange at breakfast and omit A.M. snack. Make it 2,000 calories: Add ¼ cup unsalted dry-roasted almonds as an evening snack. Day 23 Breakfast (301 calories, 35g carbs) 1 serving Banana–Peanut Butter Yogurt Parfait A.M. Snack (200 calories, 16g carbs) 1 cup edamame, in pods (thawed from frozen) Lunch (422 calories, 33g carbs) 1 serving Spicy Slaw Bowls with Shrimp & Edamame 1 medium peach P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (484 calories, 57g carbs) 1 serving Spaghetti with Quick Meat Sauce 2 cups mixed greens 1 serving Easy Homemade Italian Dressing Evening Snack (193 calories, 28g carbs) 1 serving Apple with Cinnamon Almond Butter Daily Totals: 1,820 calories, 75g fat, 14g saturated fat, 113g protein, 192g carbohydrate, 52g fiber, 1,228mg sodium. Make it 1,500 calories: Omit A.M. snack and change P.M. snack to 1 serving Cottage Cheese Snack Jar with Tomatoes, Cucumbers & Bell Peppers. Make it 2,000 calories: Add ½ avocado, sliced, to the salad at dinner. Day 24 Breakfast (438 calories, 30g carbs) 1 serving High-Protein Cottage Cheese Bowl 1 cup sliced strawberries A.M. Snack (200 calories, 16g carbs) 1 cup edamame, in pods (thawed from frozen) Lunch (459 calories, 44g carbs) 1 serving Spicy Slaw Bowls with Shrimp & Edamame 1 medium apple P.M. Snack (209 calories, 24g carbs) 1 cup nonfat plain strained (Greek-style) yogurt 1 cup blackberries 1 serving No-Sugar-Added Chia Seed Jam Dinner (484 calories, 57g carbs) 1 serving Spaghetti with Quick Meat Sauce 2 cups mixed greens 1 serving Easy Homemade Italian Dressing Daily Totals: 1,790 calories, 74g fat, 14g saturated fat, 124g protein, 170g carbohydrate, 53g fiber, 1,664mg sodium. Make it 1,500 calories: Omit A.M. snack and omit apple at lunch. Make it 2,000 calories: Add 1 clementine to A.M. snack and add ½ avocado, sliced, to the salad at dinner. Day 25 Breakfast (356 calories, 35g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach 1 medium orange A.M. Snack (206 calories, 7g carbs) ¼ cup unsalted dry-roasted almonds Lunch (422 calories, 33g carbs) 1 serving Spicy Slaw Bowls with Shrimp & Edamame 1 medium peach P.M. Snack (332 calories, 24g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 3 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (392 calories, 35g carbs) 1 serving Spicy Chicken & Cabbage Stir Fry Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,818 calories, 82g fat, 14g saturated fat, 128g protein, 152g carbohydrate, 36g fiber, 1,476mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 1 serving Citrus-Arugula Salad to dinner. Day 26 Breakfast (301 calories, 35g carbs) 1 serving Banana–Peanut Butter Yogurt Parfait A.M. Snack (228 calories, 35g carbs) 1 serving Chocolate-Strawberry Protein Shake Lunch (422 calories, 33g carbs) 1 serving Spicy Slaw Bowls with Shrimp & Edamame 1 medium peach P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (473 calories, 50g carbs) 1 serving Grilled Blackened Shrimp Tacos 1 serving Pineapple & Cucumber Salad Evening Snack (176 calories, 9g carbs) ¼ cup unsalted dry-roasted shelled pistachios Daily Totals: 1,819 calories, 79g fat, 14g saturated fat, 113g protein, 185g carbohydrate, 45g fiber, 1,213mg sodium. Make it 1,500 calories: Change P.M. snack to 1 serving Cottage Cheese Snack Jar with Tomatoes, Cucumbers & Bell Peppers and omit evening snack. Make it 2,000 calories: Add ¼ cup guacamole to dinner and add 1 medium apple to evening snack. Day 27 Breakfast (438 calories, 30g carbs) 1 serving High-Protein Cottage Cheese Bowl 1 cup sliced strawberries A.M. Snack (208 calories, 16g carbs) ¼ cup unsalted dry-roasted shelled pistachios ½ cup raspberries Lunch (418 calories, 36g carbs) 1 serving Green Salad with Edamame & Beets 1 medium orange P.M. Snack (332 calories, 24g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 3 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (415 calories, 45g carbs) 1 serving Chickpea Pasta with Mushrooms & Kale 1 serving Roasted Broccoli Daily Totals: 1,810 calories, 105g fat, 14g saturated fat, 97g protein, 151g carbohydrate, 43g fiber, 1,541mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Add 1 serving Apple with Cinnamon Almond Butter as an evening snack. Day 28 Breakfast (356 calories, 35g carbs) 1 serving Make-Ahead Freezer Breakfast Burritos with Eggs, Cheese & Spinach 1 medium orange A.M. Snack (266 calories, 21g carbs) 1⅓ cups edamame, in pods (thawed from frozen) Lunch (415 calories, 35g carbs) 1 serving Green Salad with Edamame & Beets 1 medium peach P.M. Snack (237 calories, 22g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ½ cup blueberries 1 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (443 calories, 41g carbs) 1 serving Chicken Parmesan Soup 1 serving Massaged Kale Salad Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,825 calories, 80g fat, 14g saturated fat, 125g protein, 172g carbohydrate, 50g fiber, 1,820mg sodium. Make it 1,500 calories: Omit orange at breakfast and omit A.M. snack. Week 5 Day 29 Breakfast (351 calories, 36g carbs) 1 serving Feta, Egg & Spinach Breakfast Taco 1 cup nonfat plain kefir ½ cup blueberries A.M. Snack (242 calories, 30g carbs) 1 medium apple 1½ Tbsp. unsweetened almond butter Lunch (364 calories, 34g carbs) 1 serving Tuna Salad Lettuce Wraps 1 medium banana P.M. Snack (290 calories, 23g carbs) 1 cup nonfat plain strained (Greek-style) yogurt ¾ cup raspberries 2 Tbsp. chopped nuts, such as walnuts 1 serving No-Sugar-Added Chia Seed Jam Dinner (435 calories, 45g carbs) 1 serving Sheet-Pan Lemon-Garlic Cod with Roasted Vegetables 1-oz. slice whole-wheat baguette Evening Snack (109 calories, 18g carbs) 1 serving Roasted Buffalo Chickpeas Daily Totals: 1,791 calories, 66g fat, 14g saturated fat, 129g protein, 185g carbohydrate, 32g fiber, 2,054mg sodium. Make it 1,500 calories: Omit P.M. snack. Make it 2,000 calories: Increase to 2 Tbsp. almond butter at A.M. snack and increase to 5 Tbsp. chopped walnuts at P.M. snack. Day 30 Breakfast (351 calories, 36g carbs) 1 serving Feta, Egg & Spinach Breakfast Taco 1 cup nonfat plain kefir ½ cup blueberries A.M. Snack (240 calories, 23g carbs) 1 cup raspberries ¼ cup unsalted dry-roasted shelled pistachios Lunch (364 calories, 34g carbs) 1 serving Tuna Salad Lettuce Wraps 1 medium banana P.M. Snack (219 calories, 23g carbs) 1 serving Cottage Cheese Snack Jar Dinner (436 calories, 44g carbs) 1 serving Za'atar-Roasted Chicken Tenders & Vegetables with Couscous Evening Snack (179 calories, 17g carbs) 1 medium bell pepper, sliced ¼ cup hummus Daily Totals: 1,787 calories, 74g fat, 13g saturated fat, 118g protein, 176g carbohydrate, 39g fiber, 1,929mg sodium. Make it 1,500 calories: Omit kefir at breakfast and omit evening snack. Frequently asked Questions ​​Is it OK to mix and match meals if there is one I do not like? You can mix and match meals if there's one you don't like. You could repeat a meal in this plan or browse some of our other diabetes-friendly recipes for additional inspiration. For this plan, we aimed for 1,800 calories a day, at least 80 grams of protein and 30 grams of fiber and about 40% of total calories from carbs. If you're making a swap, you may want to choose a recipe with a similar nutrition profile, particularly when it comes to the total carbohydrate level. Can I eat the same breakfast or lunch every day? Yes, you can eat the same breakfast and lunch every day, if you prefer. The breakfast and lunch options are fairly similar in calories and generally between about 30 and 40 grams of carbs, so a simple swap should work for most people. Why is there not a modification for 1,200 calories? We no longer provide modifications for 1,200-calorie days in our meal plans. The 2020-2025 Dietary Guidelines for Americans suggests that limiting calories to 1,200 per day is too low for most people to meet their nutritional needs, plus it's unsustainable for long-term health and well-being. What's the difference between added and natural sugars? Added sugars are added during processing to sweeten foods. They include sugar, maple syrup, corn syrup, glucose, brown sugar and more. Natural sugars are naturally occurring sugar found in foods like fruits, vegetables and unsweetened dairy. Healthy Blood Sugar Benefits of This Plan Moderately Low in Carbohydrates: About 40% of total calories each day are from carbohydrates, which is considered a moderately low carbohydrate level,,, as it's below the 45% to 65% of calories from carbs recommended by the 2020-2025 Dietary Guidelines for Americans., To promote stable blood sugar levels, we spread the total carbohydrates out fairly evenly between the day's meals and snacks. When you're diagnosed with type 2 diabetes, it may be tempting to drastically reduce your carb intake, but that's often not necessary or sustainable. Following a very low-carbohydrate routine makes it difficult to eat enough fiber, which is an important nutrient with many health benefits. That said, individual nutrient needs vary. If you're having trouble managing your blood sugar levels, reach out to your medical provider for assistance. High-Fiber: Each day provides an average of 32 grams of fiber. Fiber is a type of indigestible carbohydrate found in whole grains, legumes, fruits and vegetables that can help improve blood sugar. Eating a high-fiber diet can can also help regulate appetite, improve gut health, promote weight loss and improve heart health. Heart-Healthy: Because people with type 2 diabetes are more likely to get heart disease than people without diabetes, we created this plan with heart health in mind. We capped saturated fat at 14 grams per day, with an upper limit of 20 grams on days we include fatty fish, like salmon. Though there's some debate on saturated fat and its impact on health, the American Heart Association recommends limiting it to protect your heart. We also capped sodium at 2,300 milligrams per day, as recommended by the Dietary Guidelines for Americans. Protein-Packed: Each day provides at least 80 grams of protein, though most days come in higher than that. Protein is a nutrient that can help support more regular blood sugar levels by reducing blood sugar spikes and slowing down digestion. Each carbohydrate food in this plan is paired with a protein source to help promote a healthy blood sugar response. No Added Sugar: Because a high intake of added sugars can increase the risk of developing type 2 diabetes, we chose to skip them for this plan. While added sugars don't have to be completely off the table, many of us are consuming more than we realize, so it's worth double-checking the nutrition label when grocery shopping. The American Heart Association recommends limiting added sugar to 9 teaspoons (36 grams) a day for men and 6 teaspoons (25 grams) for women. How We Create Meal Plans Registered dietitians thoughtfully create EatingWell's meal plans to be easy-to-follow and delicious. Each meal plan meets specific parameters depending on the health condition and/or lifestyle goal it is targeting and is analyzed for accuracy using the nutrition database, ESHA Food Processor. As nutritional needs differ from person to person, we encourage you to use these plans as inspiration and adjust as you see fit. Read the original article on EATINGWELL

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