Here are a few common questions and concerns that we always receive around oatmeal and diabetes:
“Do u know if eating oatmeal is good for diabetics?”
“I make steel cut oats in the morning and put in honey (from the honey place – real made) some chia seeds, walnuts, half an apple and pumpkin or other seeds if I have them – is this enough to balance out the sugar?”
“My sugars go crazy when I eat oatmeal but I was told by a dietitian to eat it.”
“I’m confused, can I eat oatmeal, not the packaged kind?”
Is Oatmeal Good for Diabetics? (The Short Answer)
Whether we’re talking oatmeal, cream of wheat, or grits, these classic breakfast items are always marketed as a “heart healthy” options, but as a diabetic there are many things to consider.
So, the short answer: Oatmeal could be okay for you – some type 2 diabetics can eat it. But, it is a higher carb food and for that reason, many type 2 diabetics can’t tolerate it due to the higher carb content, which as you’ll read on, you’ll see the nutrition facts detailed below.
Unfortunately, there is no clear answer on this, which is often the case with many individual food items.
The question for you to ask is, how is your blood sugar and A1C?
If you’re struggling to get it under control, you might consider eliminating the oatmeal and opting for lower carb foods (aka more vegetables). Or, you could try testing to see if oats influence your results.
Is Oatmeal Good for Diabetics? (The Long Answer)
Let’s explore a whole range of things to consider with oats and oatmeal – including nutrition, glycemic index (GI), research, and so forth.
Research on Oatmeal and Type 2 Diabetes
The research around oats/ oatmeal for type 2 diabetes treatment does show mixed results.
A review in Food and Function, 2016, looked at a range of studies but only 4 of those studies included type 2 diabetic patients. An important point to raise is that the results concluded from studies in those without diabetes (healthy subjects) is NOT necessarily going to result in the same conclusions in people who already have diabetes.
Diabetes prevention and diabetes treatment are two completely different things. Yet in many cases the two terms are used interchangeably. Take note of this if you’re reading things and you will start to see that much of the information around is about diabetes prevention, rather than treatment.
Anyway, back to the Food and Function review – they found an average reduction of (1.98 mg/dl (0.11mmol/l) in fasting glucose for the overall studies, but interestingly, this was only found significant in Asian subgroups, NOT Western. When subgrouping the diabetics alone, this result was higher at 15.12 mg/dl (0.84 mmol/l).
Another review in Nutrients, 2015, showed that in general, compared to control groups, those eating oats have lower cholesterol levels (range −0.10 to −0.80 mmol/L) and lower fasting glucose (range 1.26-34.28 mg/dl or 0.07-1.91 mmol/l).
However, the authors note that glucose levels at baseline were high – an average HbA1c 9.87% and average fasting blood glucose 179.82 mg/dl/ 9.99 mmol/L. And because both diets were low on energy, they suggest that “oats consumption might show its benefits especially when the general energy intake was low.”
They also mentioned that half the studies were low quality evidence but still included the results in the review anyway, which does somewhat downgrade the conclusions.
Yet another earlier review in the British Journal of Nutrition, 2014, showed that, “there was a slight decrease in fasting glucose concentrations, glycated hemoglobin and HOMA-IR in subjects after oat intake, but the difference was not significant,” as reported on The Nutrition Society.
Overall, the research shows some decreases to fasting blood glucose, decreases to cholesterol, possible decreases in insulin, and no effect on A1C.
Therefore, overall, the research is not shouting out YES, oats are awesome for diabetes treatment. But it does indicate that in some people oats can be show some beneficial results.
Nutritional Facts About Oats
The most well known thing about oats is they are a high fiber food source.
Fiber – is amazing! We need it for healthy digestion, feeding gut bacteria, reducing cholesterol, helping us feel full, keeping the bowels moving, improving metabolism, and managing blood sugar.
Majority of people don’t get enough fiber. We need around 30 g a day, but most people get around half that much. In particular, oats are a good source of soluble fiber. β-glucan comprises a fairly large component of the soluble fiber of oats – it is a nondigestible polysaccharide at a rate of 2.2-7.8%.
The fact that oats/ oatmeal do contain fiber, is one of the major reasons it is considered a healthy food. And overall, when it comes to cereals, oats are definitely your best option. You certainly don’t want to be eating packaged choc pops or something like that!
Foods | Energy | Protein | Fat | Carbs | Fiber | Net Carbs |
Oats 1 cup (39g) | 151.75 | 6.58 | 2.64 | 25.84 | 4.12 | 21.72 |
Instant Oats 1 pack (28 g) | 101 | 3.34 | 1.93 | 19.47 | 2.8 | 16.67 |
Quaker instant oatmeal 1 packet (41g) | 150 | 6.56 | 2.58 | 27.47 | 4 | 23.47 |
Oats, regular quick 1 packet (81g) | 307 | 10.65 | 5.28 | 54.84 | 8.2 | 46.64 |
As you can see from this table, oats are quite high in carbs. If you do eat it, you only want to be eating about 1/4 cup at one sitting. And while oats do contain fiber, so do vegetables. And vegetables compared to oats contain more fiber and less carbohydrates. For example, 1/2 avocado has 6.7 g fiber. 1 cup broccoli has around 5 g fiber and 1 carrot has nearly 2 g fiber.
So the question arises: Is your blood glucose and A1C going to be better without oats and with the inclusion of more vegetables?
Glycemic Index of Oats and Oatmeal
Glycemic index is just another indication of how different foods influence blood glucose on a 0 to 100 scale. The lower the number, the lower GI. Foods under 55 are generally considered low GI, while those over 55 are considered high GI foods.
The GI of oats and oatmeal according to The University of Sydney’s Glycemic Index:
- Uncooked rolled oats GI 59, 30 g serve, 19 g carbs.
- Traditional porridge oats, made from whole oats GI 51-58, 250 g serve, ~21 g carbs.
- Oat Bran/ Quaker oats GI 50-60, 10 g serve, 5-6 g carbs.
- Quick oats/ One minute oats/ instant porridge GI 65-66, 250 g serve, 26 g carbs,.
- Instant oatmeal porridge, from packet GI 83, 250 g serve, 23 g carbs.
Do’s and Don’t’s of Eating Oats
DO choose whole oats – If you’re going to eat oats, the research indicates that whole oats are the best choice, which is kind of a common sense thing. Skip the instant and quick cooking stuff.
DON’T add fruit and honey – given that oats already contain a higher amount of carbs, you don’t want to go adding fruit, raisins and honey, which further skyrockets carb count. Try adding nuts, seeds and vanilla extract to balance out the carbs with healthy fats and protein.
DON’T overeat oats – you need to watch your portion sizes because like most higher carb foods, it’s easy to overload. Try limiting your serving size to just ½ cup of oats at one serve.
DO test and see how oats influence you – try testing to see if oats influence your results. At the end of the day, each individual person with diabetes has a different carbohydrate tolerance. Some may be able to tolerate oats, while others can’t.
DO eat more fiber rich foods – change up your breakfast ideas. Opt for eggs and a veggie filled plate, or a delicious mixed veggie omelet. We have cereals ingrained into our brains as breakfast foods but there are plenty of other great breakfast options.
We don’t include oats in our meal plans because they do have mixed results for different people. Instead, we prefer to encourage higher intake of non-starchy veggies, which contain valuable phytochemicals, flavonoids, vitamins, minerals and fiber too.
Do you eat oats and oatmeal or not? Chime in and leave your comments below.
Jeff
Hi. I have borderline high LDL cholesterol levels so I have a bowl of Cheerios – serving size or less – with 1/4 cup of walnuts and 26 grams of blueberries and coconut-almond milk. drink of choice is a 4oz glass of flavored water that has 3g carbs. My HDL hovers around the 75-80 mark with triglycerides around 43. I choose to eat Cheerios over oatmeal due to the flavor. I do not wish to take statins. Any suggestions for a different and not time-consuming to make breakfast. My A1C is usually around 6.7- 7. One day a week I have eggs and pork roll for breakfast with a whole grain muffin.
Jedha: Nutritionist (MNutr)
Check out these breakfast ideas here Jeff.
Bob
Hi: my wife is a t2 diabetic. Her AIC is 6.5, take’s Jentadueto 2.5/500 twice a day with meals She often fall’s asleep on her chair after a meal. and is fatigued. Can you suggest or recommend something that I can add to her diet that an give her a boost? She takes a B50 as well. She’s it a big eater, only eats chocken and eggs (2 a day).Thanks
Jedha: Nutritionist (MNutr)
Hi Bob, it’s difficult to recommend a specific thing that gives a boost. It may be that she needs some overall changes to diet, or if her diet is limited in foods, she may have some nutrient deficiencies. Check out our recommended food list here.
JohnIL
Being type 2 I have always liked oatmeal but these days it does not like me. I tend to spike high even eating oatmeal cooked only in water, a hint of creamer and Splenda. typically by noon I still see 200 plus BGL. I am one Basaglar and Novolog which I take just at dinner. Hate to consider using Novolog for every meal just to enjoy a high carb food. Sadly Basaglar to me is the worst long acting insulin on the market. I never needed Novolog until I started on Basaglar because its cheaper. Been diagnosed for 15 years now and my advice is start early rejecting those heavy carbs even though the treatments seem to keep your BGL in check. Because eventually they won’t if you keep stressing a body that cannot naturally handle carbs. Your diabetes will advance slower if you start early with the carb control.
Malorie: Dietitian (MS, RD, CLT)
Hello John,
Yes, oatmeal is not tolerated well for a lot of people with diabetes. Thank you for sharing your experience.
Carel
To make things more mysterious, I’ve read combining gat with carbs blunt the BS yes, but actually increase insulin.
I cook my steelcut oats in water, add no milk. I do butter, cinnamon and rasbberry (1.9g of sugar per 100g). I do nuts before, and got no spike from 3 tests. But I need to test again as that meter can be funny.
Emily - Dietitian (MS, RD)
It’s something you can play around with, Carel. Small, controlled portions may be okay for some, but you should continue to check your blood sugar especially if you know it can be a bit funny. A fun addition may be some flaxseed or chia seed, which would raise the fiber content even more and could be another player to help lessen the glycemic response.
Elliot
I love your site and the great info you probide. Can you please tell me if you have information on if oatbran has less carb impact than oatmeal? I miss oatmeal and hot cereal and wonder if oat bran can be used as cereal and to make a roll or muffin…
Emily - Dietitian (MS, RD)
So oat bran is still high in carbs, but it’s definitely the more nutritious and higher fiber part of the grain. I wouldn’t encourage you to just eat it as cereal (25-30g/cup) or make muffins entirely from this, but you could try making muffins out of primarily almond and coconut flour, but adding a table spoon or two of bran for flavor? Just a thought.
Elliot
Thank you for answering my question…
William Laurin
I get much better results by eating the pack of instant oatmeal than when I eat the rolled oatmeal. The next day my fasting numbers are lower too.
Emily - Dietitian (MS, RD)
Hmm.. have you compared the portion size when you eat rolled oats? I am not quite sure why else this would be, as we know packaged oatmeal is a high carb food so the majority of people will not experience the same effect.