Answer:

Individuals with diabetes can still drink coffee, but they should avoid adding a lot of sugar or sweetened condensed milk. These forms of sugar have a high glycemic index (GI) and are rapidly metabolized. When consumed, especially on an empty stomach in the morning, this sugar quickly absorbs into the bloodstream, causing a sudden spike in blood sugar. If this occurs frequently, it increases pressure on the pancreas, worsening insulin resistance.

Pure coffee contains antioxidants such as chlorogenic acid and minerals that support metabolism. Therefore, to maintain your morning coffee habit while safely managing blood sugar, you can adjust your preparation.

Instead of using sweetened condensed milk or granulated sugar, individuals with diabetes should use unsweetened fresh milk, unsweetened nut milk, or specialized dairy products for diabetics. If sweetness is desired, prioritize non-caloric sweeteners such as stevia or other diet sugars approved by a doctor.

Doctor Nguyen Dieu Hien provides nutritional counseling for patients. *Illustration: Tam Anh General Hospital*

Gradually reducing the amount of sugar and milk in your coffee helps your taste buds adapt over time. Patients can then transition from milk coffee to a less sweet version, and eventually to black coffee.

Limit your daily intake to about one to two cups of coffee, staying under 200 mg of caffeine. Avoid overly strong coffee or drinking it in the late afternoon or evening to prevent sleep disturbances. It is advisable to consume coffee after breakfast or a light meal, rather than on an empty stomach, to minimize blood sugar fluctuations.

For effective blood sugar control, patients must maintain a balanced diet, manage their weight, engage in regular physical activity, and adhere to their doctor's prescribed treatment.

Master of Science, Doctor, Level One Specialist Doctor Nguyen Dieu Hien

Department of Nutrition and Dietetics

Tam Anh General Hospital, Ho Chi Minh City