Can Diabetics Eat Korean Pearl Barley? Expert Insights - Internal Medicine

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excuse me?


Hello, I would like to ask if diabetic patients can consume Korean pearl grass.
Thank you.

anne, 20~29 year old female. Ask Date: 2008/07/18

Dr. Xiao Yongxun reply Internal Medicine


Hello,
I would like to respond as follows:
1.
The management of blood sugar levels in diabetes primarily relies on dietary control and regular exercise, with medication as a supplementary treatment when necessary.
This perspective remains unchanged in the medical community to date.
2.
The so-called "Korean Goryeo Pearl Grass," claimed to be derived from Phyllanthus niruri, is one of the prescriptions in traditional Korean medicine.
However, from the standpoint of modern Western medicine, there is currently no formal large-scale study supporting its efficacy in treating diabetes.
Therefore, I personally lean towards not recommending its use.
3.
It is advisable to first discuss the patient's condition, medications, and related circumstances with your family physician before making any decisions.
Dr.
Hsiao Yong-Hsun, Family Medicine

Reply Date: 2008/07/18

More Info


When it comes to dietary choices for individuals with diabetes, particularly regarding foods like Korean pearl barley (also known as "bori" in Korean), it is essential to consider the carbohydrate content, glycemic index, and overall nutritional profile of the food in question. Korean pearl barley is a whole grain that is often praised for its health benefits, including its high fiber content, vitamins, and minerals.


Nutritional Profile of Korean Pearl Barley
Korean pearl barley is rich in dietary fiber, which is beneficial for blood sugar management. Fiber helps slow down the digestion and absorption of carbohydrates, leading to a more gradual increase in blood glucose levels after meals. This is particularly important for individuals with diabetes, as it can help prevent spikes in blood sugar levels. Additionally, pearl barley contains essential nutrients such as B vitamins, iron, magnesium, and antioxidants, which can contribute to overall health.


Glycemic Index Considerations
The glycemic index (GI) is a measure of how quickly a food raises blood sugar levels. Foods with a low GI (55 or less) are generally better choices for people with diabetes, as they lead to a slower and more controlled rise in blood glucose. Korean pearl barley has a moderate GI, which means it can be included in a diabetic diet, but portion control is crucial. Consuming it in moderation and as part of a balanced meal that includes protein and healthy fats can help mitigate any potential impact on blood sugar levels.


Portion Control and Meal Planning
For individuals with diabetes, portion control is vital. While Korean pearl barley can be a healthy addition to the diet, it should be consumed in appropriate amounts. A typical serving size might be around half a cup of cooked barley, but this can vary based on individual dietary needs and overall carbohydrate intake goals. It is also important to consider the total carbohydrate content of the meal, including other foods consumed alongside the barley.


Monitoring Blood Sugar Levels
As with any dietary change, it is essential for individuals with diabetes to monitor their blood sugar levels regularly. This will help them understand how their body responds to different foods, including Korean pearl barley. Keeping a food diary can also be beneficial in tracking how specific foods affect blood glucose levels.


Consultation with Healthcare Professionals
Before making significant changes to the diet, it is advisable for individuals with diabetes to consult with healthcare professionals, such as a registered dietitian or a certified diabetes educator. They can provide personalized advice based on individual health status, medication, and lifestyle. This is especially important for those with additional health conditions, such as your mother, who has type 2 diabetes, cholangiocarcinoma, and dementia.


Conclusion
In summary, Korean pearl barley can be included in the diet of individuals with diabetes, provided it is consumed in moderation and as part of a balanced meal. Its high fiber content and nutrient profile can offer health benefits, but careful monitoring of blood sugar levels and portion sizes is essential. Always consult with healthcare professionals for tailored dietary advice to ensure optimal management of diabetes and overall health.

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