What to Eat for Breakfast When You Have Diabetes

Try these recipes and tips for blood sugar control

low glycemic breakfast

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Breakfast when you have diabetes should be low in carbs and higher in healthy fats, fiber, and protein. Starting your day with the right combination of nutrients can help keep your blood sugar down and give you the energy you need for a productive morning.

This article discusses why breakfast is important and how to build a healthy meal when you have diabetes.

Tips for a Diabetes-Friendly Breakfast

Some people with diabetes experience higher blood sugar levels in the morning because the liver breaks down sugar stores overnight. At this time, your cells can also be a bit more resistant to insulin, the hormone that regulates blood sugar. Eating a healthy breakfast can reduce your blood sugar and help prevent spikes later in the day.

Don’t Skip Breakfast

If you have diabetes, skipping breakfast can have a negative effect on your blood sugar control throughout the day. Instead, focus on eating a higher-fat and moderate-protein breakfast.

Studies have found that the right breakfast may reduce fasting blood sugar, A1C (average blood sugar levels), and weight. The likely reason is that a higher-fat, moderate-protein breakfast tends to be lower in carbohydrates.

Can skipping breakfast cause diabetes?

There is some research showing that skipping breakfast can put you at greater risk for diabetes. The chances are greater if you have other risk factors. There's some debate about this, though, especially since there isn’t a clear definition of “breakfast” and intermittent fasting has been shown to have health benefits. 

Blood sugar tends to rise after breakfast. It may be up to two times higher than after lunch, thanks to something called the dawn phenomenon.

High blood sugar after meals (postprandial) can result in carbohydrate cravings. That's because, in diabetes, an increased amount of sugar stays in the bloodstream instead of going into the cells. Then the cells signal to the body that it needs to eat more sugar or carbohydrates to give them energy.

Eating a lower-carb breakfast will minimize the resulting glucose response and help keep your blood sugar balanced throughout the day.

Your total calorie count and how much protein, fat, and carbs you personally need to consume depends on a number of factors. These include your age, sex, how much you exercise, blood glucose control, and any medications you may be taking. If you have diabetes, you should work with a registered nutritionist or diabetes educator to determine what is best for you.

There are four categories you want to try to include when planning a diabetes-friendly meal, whether for breakfast or other times of the day. They consist of:

  1. Fiber, such as no-sugar varieties of oatmeal, whole-grain bread, and whole-wheat/bran muffins
  2. Lean protein, such as eggs, fish, beans, or nuts
  3. Healthy fats, such as olive oil, avocado, grass-fed butter and dairy, coconut, and nuts
  4. Non-starchy vegetables, such as peppers, tomatoes, onions, and especially dark leafy greens

Focusing on these four types of food will ensure that your plate checks all the boxes of a satisfying, nutrient-dense meal. Plus, you'll set yourself up to make better meal choices throughout the rest of the day.

Avoid Processed Carbs

Not all carbs are the same in terms of quality. Bagels and broccoli are technically both carbs but are very different in terms of nutrient load.

Carbs are a quick source of energy, but for people with diabetes, the wrong ones can send blood sugar soaring.

If you have diabetes, avoid processed carbs such as sugary cereals, white bread, bagels, and pastries. These are not only less nutritious than unrefined whole grains, fruits, and veggies, they can also cause blood sugar spikes.

Focus on Fiber

When it comes to carbs on a diabetes-friendly diet, fiber is the shining beacon you should be searching for. Fiber helps slow the glucose response after a meal, helping to balance blood sugar.

Most nutritionists recommend at least 35 grams of fiber per day for people with diabetes. For those without diabetes, the recommended amount is 25 grams per day.

For high-fiber breakfast options, try the following:

  • Oatmeal (1/2 cup of dry steel-cut oats contains a whopping 10 grams of fiber!)
  • Avocado toast on whole-grain bread (12 to 15 grams of fiber)
  • A whole-grain waffle (5 grams of fiber)

Keep an eye on portions when planning a carb-centric meal. Your hands can serve as great visual tools. One serving of grains is usually 1/2 cup of dry grains, which generally fits in one cupped hand. You can measure cooked grains in 1 cup measurements or approximately two cupped hands.

Is morning coffee bad for diabetes?

For some people with diabetes, coffee can be problematic. If you’re extra sensitive to caffeine, coffee could raise your blood sugar even if you don’t add sugar.

Don’t Shy Away From Fats

From helping with vitamin absorption to heart and brain function, fats are an essential part of a healthy diet. However, not all fats are created equal.

Look for plant-based fats such as avocado, olive oil, nuts, seeds, and coconut. Also, choose high-quality sources of animal products such as grass-fed, whole-milk dairy, and butter.

Full-fat dairy was once thought to cause high cholesterol. Now, experts say that full-fat dairy may help to keep cholesterol balanced.

In terms of portions, a serving of liquid fats, such as olive oil or butter, is usually 1 teaspoon. That's about the size of the tip of your thumb. A serving of nuts, seeds, or avocado is 1 tablespoon, or about the full length of your thumb.

Seek out omega-3 fatty acids, which are a special kind of protective, anti-inflammatory fat. Walnuts, chia seeds, flax seeds, and fatty fish (like salmon and tuna) are all great sources of omega-3s.

To help boost your healthy fats, try the following:

  • Chia and flaxseed pudding topped with berries
  • Smoked salmon and cream cheese on whole-grain toast
  • Walnuts added to your smoothie for a boost of fat and protein

Include Lean Protein

Protein is the building block for every cell in the body and is a great source of energy.

For people with diabetes, lean proteins provide energy without a lot of saturated fat, which is linked to heart disease. Animal-based breakfast proteins like eggs and turkey sausage are pretty standard. Good plant-based protein sources include chickpeas, tofu, nuts, and seeds.

You can visualize a serving of protein by imagining a deck of cards. That's also about the size of the palm of your hand. A portion of protein should be around 3 to 6 ounces.

To boost your intake while staying low on carbs, try:

  • A protein powder smoothie (whey, pea, or hemp protein powders)
  • A frittata
  • Baked eggs and greens

Diabetes-Friendly Recipes

The easiest way to make sure you have healthy breakfasts to choose from is by meal prepping. Start small with two or three recipes you love and stock up on those groceries each week. Here are a few no-fail options:

Roasted Vegetable Egg Omelet

You can throw anything into an omelet. Using leftover vegetables from the night before is a great way to increase your nutrition, prevent spoilage, and boost your fiber content to help keep you full. Roasted vegetables add a nice texture and sweetness to an omelet. 

Power Yogurt Parfait

Ditch the granola and syrupy fruit and use plain Greek yogurt (which contains more protein than regular yogurt) and fresh or frozen fruit for a high-protein, high-fiber, satisfying breakfast. Top with chopped nuts for added crunch, flavor, protein, and healthy fats. Simple and satisfying.

Creamy Avocado Egg Salad Wrap

Avocado contains heart-healthy fat and fiber—and makes a great substitution for mayonnaise. Simply blend chopped hard-boiled eggs with avocado and fill a tortilla wrap. 

Pumpkin Quinoa Blueberry Bowl

Quinoa is a low-glycemic, high-fiber, high-protein seed. It makes a great swap for oatmeal and is naturally gluten-free. Try adding canned pumpkin for added vitamin A and fiber and top with blueberries.

Grilled Peanut Butter and Strawberry Sandwich

Instead of grilled cheese, make a grilled peanut butter sandwich on whole-grain bread. Chop up a few strawberries for added fiber and sweetness. The combination of protein and fiber will help you stay full and satisfied. 

Banana Pancakes

These pancakes contain protein and fiber and have only two ingredients. Simply blend two large eggs with a medium-sized banana and cook in a lightly oiled pan. Flip when bubbles appear on the surface. Serve with warm berries.

Eggs Over Avocado Toast

A slice of whole grain toast with mashed avocado topped with a fried egg will give you the fiber, healthy fats, and protein you need to start your day.

Oatmeal With Berries

Steel-cut oats are less processed than regular breakfast oats and are a good choice for people with diabetes. Cook them in unsweetened almond milk and add berries for extra fiber and healthy vitamins.

Cottage Cheese Breakfast Bowl

A cottage cheese breakfast bowl is healthy and requires no cooking. Mix cottage cheese with plain Greek yogurt, nuts, unsweetened coconut flakes, and berries for a protein and fiber-rich breakfast. 

Low Carb Smoothie

Smoothies are versatile and easy to make. Just blend strawberries or your choice of low-glycemic fruits with unsweetened almond milk and plain Greek yogurt. Add avocado for an extra boost of healthy fats.

Summary

If you have diabetes, eating a balanced breakfast that's low in carbohydrates can help you manage your blood sugar levels. Your meal should include lean protein, healthy fats, fiber, and non-starchy vegetables. These can help to give your body energy while balancing out your blood sugar to begin your day.

A Word From Verywell

A healthy breakfast is an important part of your self-care when you have diabetes. Look for meals that suit your taste with different combinations of nutritious foods.

Sometimes individuals can have different dietary needs, so contact your doctor or nutritionist if you have questions. They can help you to plan meals that meet your specific needs.

6 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Bi H, Gan Y, Yang C, Chen Y, Tong X, Lu Z. Breakfast skipping and the risk of type 2 diabetes: a meta-analysis of observational studies. Public Health Nutr. 2015;18(16):3013-9. doi:10.1017/S1368980015000257

  2. Rabinovitz HR, Boaz M, Ganz T, et al. Big breakfast rich in protein and fat improves glycemic control in type 2 diabetics. Obesity. 2014;22(5):E46-54. doi:10.1002/oby.20654

  3. Mekary RA. Breakfast skipping and type 2 diabetes: where do we stand? The Journal of Nutrition. 2019;149(1):1-3. doi:10.1093/jn/nxy284

  4. Evert AB, Dennison M, Gardner CD, et al. Nutrition therapy for adults with diabetes or prediabetes: A consensus report. Diabetes Care. 2019;42(5):731-754. doi:10.2337/dci19-0014

  5. Center for Disease Control and Prevention. 10 Surprising Things That Can Spike Your Blood Sugar.

  6. Drehmer M, Pereira MA, Schmidt MI, et al. Total and full-fat, but not low-fat, dairy product intakes are inversely associated with metabolic syndrome in adults. The Journal of Nutrition. 2015;146(1):81-9. doi: 10.3945/jn.115.220699

Additional Reading

By Debra Manzella, RN
Debra Manzella, MS, RN, is a corporate clinical educator at Catholic Health System in New York with extensive experience in diabetes care.