Are tomatoes good for diabetes?
Patient's Query
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
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.
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.
References:
- https://diabetesjournals.org/care/article-abstract/31/12/2281/24911/International-Tables-of-Glycemic-Index-and
- https://nutritionsource.hsph.harvard.edu/what-should-you-eat/vegetables-and-fruits/
- https://glycemicindex.com/gi-search/
- https://www.nutrition.org.uk/nutritional-information/sugar/
- https://www.diabetes.org.uk/living-with-diabetes/eating/fruit-and-diabetes
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.