1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Citrus fruits

Discussion in 'Ask A Question' started by Reemap, Aug 14, 2021.

  1. Reemap

    Reemap · Well-Known Member

    Messages:
    258
    Likes Received:
    356
    Trophy Points:
    103
    Can we eat Citrus food in diabetes..
    Like oranges and grape fruits
     
  2. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

    Messages:
    3,504
    Likes Received:
    1,441
    Trophy Points:
    198
    If you want to control or even reverse your diabetes by eating low carb, these fruits probably won't fit in to your diet. There are fruits that are much lower carb, or some of us have given up on fruit altogether in favour of leafy vegetables. If you follow this link to Diet Doctor's visual guides you will see exactly how much each fruit will "cost" you:
    https://www.dietdoctor.com/low-carb/fruits
    Frozen berries are especially convenient as they can be stored almost indefinitely and are delicious partly defrosted with eg Low carb hight fat Greek yoghurt.
     
  3. In Response

    In Response Type 1 · Well-Known Member

    Messages:
    1,066
    Likes Received:
    567
    Trophy Points:
    173
    If you are treating your diabetes with metformin, grapefruit is not a good idea.

    “Some of the chemicals found in grapefruit can bind to and inactivate an enzyme in your body that’s found in your intestines and liver. This enzyme helps break down the medication you take.

    Normally when you take a drug orally, it’s broken down slightly by enzymes before it reaches your bloodstream. This means that you receive a little less of the drug in your bloodstream than the amount you initially consumed.

    But when the enzyme is inhibited — as it is when it interacts with the chemicals in grapefruit — there’s a dramatically larger amount of the drug that makes its way into your bloodstream. This leads to a higher risk of overdose.”

    This has nothing to do with the carbs in grapefruit and is not the same for oranges.
     
    • Optimistic Optimistic x 1
  4. Andydragon

    Andydragon Type 2 (in remission!) · Moderator
    Staff Member

    Messages:
    2,728
    Likes Received:
    3,606
    Trophy Points:
    198
    Can you please cite the research that discusses this. Whilst some drugs do have negative interaction with grapefeuit juice I have never seen it mentioned in any of the paperwork that comes with Metformin and would be interested to see this research
     
    • Agree Agree x 1
  5. In Response

    In Response Type 1 · Well-Known Member

    Messages:
    1,066
    Likes Received:
    567
    Trophy Points:
    173
    This is the one I quoted but there are quite a few if you Google.
    It is definitely something I have read before about metformin which is why I searched for it.
     
  6. Andydragon

    Andydragon Type 2 (in remission!) · Moderator
    Staff Member

    Messages:
    2,728
    Likes Received:
    3,606
    Trophy Points:
    198
    Thanks for the link, it says that "metformin isn’t broken down by the same enzyme as the drugs listed above. It’s unprocessed by your body and expelled in your urine."

    It also states there is a hypothesis on increased risk of lactic acidosis but only limited research carried out on non diabetic rats so not a strong correlation yet, maybe further research to be done

    Not an expert but not seeing anything to say Metformin in particular and grapefruit juice are a problem. The carbs may well be a problem in general for T2 mind you, as they are in most (all?) Fruit juices
     
    • Like Like x 2
    • Agree Agree x 2
  7. chaoticliloj

    chaoticliloj Type 2 · Active Member

    Messages:
    27
    Likes Received:
    9
    Trophy Points:
    63
    I believe grapefruit will affect you if you’re on statins but not metformin
     
    • Agree Agree x 1
    • Informative Informative x 1
  8. Riva_Roxaban

    Riva_Roxaban Type 2 · Well-Known Member

    Messages:
    1,360
    Likes Received:
    2,447
    Trophy Points:
    158
  9. Struma

    Struma Type 2 · Well-Known Member

    Messages:
    532
    Likes Received:
    437
    Trophy Points:
    123
    • Informative Informative x 1
  10. EllieM

    EllieM Type 1 · Moderator
    Staff Member

    Messages:
    4,731
    Likes Received:
    2,365
    Trophy Points:
    198
  11. Jaylee

    Jaylee Type 1 · Moderator
    Staff Member

    Messages:
    15,684
    Likes Received:
    11,631
    Trophy Points:
    298
    Hi,

    What meds are you prescribed for your diabetes.? (If any.)
     
    • Like Like x 1
  12. TriciaWs

    TriciaWs Type 2 (in remission!) · Well-Known Member

    Messages:
    934
    Likes Received:
    547
    Trophy Points:
    153
    Yes there are drugs to avoid with grapefruit, this is a UK list (the USA uses different drug names for some products): https://bnf.nice.org.uk/interaction/grapefruit-2.html

    Half a medium grapefruit has around 5-6g of carbs so similar to a portion of berries, as long as you don't add sugar (I use erythritol).
    I also use a little lemon or lime juice on fish or chicken, but avoid oranges as they contain more sugar.
     
  13. TriciaWs

    TriciaWs Type 2 (in remission!) · Well-Known Member

    Messages:
    934
    Likes Received:
    547
    Trophy Points:
    153
    Grapefruit is low carb, about the same per portion as raspberries. I sometimes have it for breakfast with a half slice buttered very low carb bread plus milky coffee - a total of 15g of carbs.
     
  14. Reemap

    Reemap · Well-Known Member

    Messages:
    258
    Likes Received:
    356
    Trophy Points:
    103
    Not on any med
     
  15. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

    Messages:
    3,504
    Likes Received:
    1,441
    Trophy Points:
    198
    @TriciaWs I should have written, "VERY low carb". Strongly influenced by Dr Bernstein, I follow his <30gc daily protocol with least carbs for breakfast when we are according to him most insulin resistant. I tend to forget that others can tolerate more carbs than me. Warm congratulations on keeping your T2 in remission while coping with so many other health problems
     
  16. Antje77

    Antje77 LADA · Moderator
    Staff Member

    Messages:
    11,602
    Likes Received:
    7,489
    Trophy Points:
    298
    In that case, yes, you can eat grapefruit but it might raise your blood glucose.
    You could use a glucose meter to see how you react to them.
     
    • Agree Agree x 1
  17. Resurgam

    Resurgam Type 2 (in remission!) · Expert

    Messages:
    8,952
    Likes Received:
    5,364
    Trophy Points:
    198
    I can eat a grapefruit - I have sometimes taken them with me on days out when I don't want to risk a normal meal after long hours out in the sun.
    A couple of times I have laughed when someone pinched a piece of my 'orange' and then discovered their mistake - one choked on the juice so violently that they were thought to be in danger of asphyxia.
    This is after years of eating low carb with very little sweetener - these days peas and beetroot taste sweet to me.
     
  18. Reemap

    Reemap · Well-Known Member

    Messages:
    258
    Likes Received:
    356
    Trophy Points:
    103
    Thanks all.. got it
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook