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Are tomatoes good for diabetes?

Answered byDr. A Mythili AyyagariMBBS, MD (General Medicine), DM (Endocrinology)
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Patient's Query

45 years oldFemale

Hi doc, are tomatoes safe for diabetes? Some people tell me tomatoes are fruits and can raise sugar. 

I eat tomatoes almost every day in curries and salads. Should I avoid them?

Endocrinologist Answers

Dr. A Mythili Ayyagari
MBBS, MD (General Medicine), DM (Endocrinology)EndocrinologistView Profile

Yes, tomatoes are safe for people with diabetes when eaten in normal amounts.

Even though botanically tomato is a fruit, nutritionally it behaves like a vegetable and does not cause dangerous sugar spikes.

Let me explain in simple terms.

Are Tomatoes Good for Diabetes?

What exactly is a tomato for diabetes?

  • Tomatoes are very low in sugar.

  • They have high water content.

  • They are low in calories.

  • They contain fiber, antioxidants, and vitamins.

So from a diabetes point of view, tomatoes are diabetes-friendly.

Glycemic index (GI) of tomatoes

  • Glycemic Index of tomato: ~15.

  • This is considered very low GI.

Low GI foods raise blood sugar slowly and mildly, which is exactly what we want in diabetes.

Why tomatoes do NOT spike blood sugar

  • Very low carbohydrate content.

  • High water content slows absorption.

  • Fiber reduces glucose rise.

  • Minimal effect on insulin response.

That is why tomatoes are commonly included even in diabetes meal plans worldwide.

Best ways to eat tomatoes if you have diabetes

Good ways

  • Raw tomato in salads.

  • Tomato in curries and sabzi.

  • Tomato with dal, vegetables, eggs.

  • Cooked tomato in moderation.

Be careful with

  • Tomato juice

    • Juicing removes fiber

    • Easier to drink large quantities

    • Can raise sugar faster than whole tomato

Whole tomato is always better than tomato juice

How much tomato is okay?

  • 1 to 2 medium tomatoes per day is absolutely fine

  • No need to count tomatoes strictly

  • Problems arise only if:

    • Taken as large quantities of juice

    • Combined with sugar or sauces

Extra health benefits of tomatoes

Tomatoes contain lycopene, a powerful antioxidant that:

  • Supports heart health

  • May reduce inflammation

  • Is beneficial for blood vessels (important in diabetes)

Common myths clarified

  • “Tomato is a fruit, so sugar will rise” = Not true

  • “Diabetics should avoid tomatoes” = No scientific basis

  • “Quantity and form matter” = True

Simple takeaway for patients

Tomatoes are safe, healthy, and diabetes-friendly. Eat them whole, not as juice, and don’t overthink.

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Disclaimer: The information provided in this Q&A is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment recommendations.

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Are tomatoes good for diabetes?