All About the Low Carb and Very Low Carb Eating Patterns

by ADA Nutrition & Wellness Team
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When you eat fewer carbohydrates, your body uses more fat for energy. This way of eating may help with weight loss, lowering A1C, and supporting heart health.

  • Low‑carb eating pattern: About 26–45% of your daily calories come from carbs.
  • Very low‑carb eating pattern: About 26% or less of your daily calories come from carbs, often with a goal of 20–50 grams of non‑fiber carbs per day.

Both eating patterns focus on non‑starchy vegetables, lean protein, and healthy fats.

Eating fewer carbs can also mean eating less fiber. This may affect your energy, increase the chance of missing important nutrients, or cause digestion changes like constipation. Working with a registered dietitian nutritionist (RDN) can help you build balanced meals that meet your needs.

Foods to Include

Non‑Starchy Vegetables

These vegetables are low in carbs and high in fiber. Examples include broccoli, kale, lettuce, collard greens, spinach, and onions. Try to fill half your plate with non‑starchy vegetables.

Lean Proteins

Choose protein sources that are lower in saturated fat. Options include:

  • Lean meats: 95% lean ground beef, sirloin, venison, bison, turkey breast, white‑meat chicken, white‑meat pork
  • Fish and seafood: flounder, salmon, shellfish
  • Eggs and egg whites
  • Nuts, seeds, and natural (no‑sugar‑added) nut butters
  • Low‑fat cheese
  • Low‑fat or non‑fat Greek yogurt and cottage cheese (these contain some carbs)

Quality Carbohydrates

These foods are eaten in smaller amounts because they contain more carbs:

  • Starchy vegetables
  • Beans
  • Fruit (such as berries)
  • Low‑fat and non‑fat dairy

Healthy Fats

Healthy fats can help you feel full and satisfied. Examples include:

  • Avocado
  • Oils such as extra‑virgin olive, canola, or safflower
  • Nuts and seeds (walnuts, cashews, chia, flax, hemp)
  • Natural nut butters with no added sugar

Things to Think About

Choose foods you enjoy that also meet your nutrition needs. Eating fewer carbs will affect your blood glucose. Talk with your doctor about whether any of your medications need adjustment before and after you make changes in your food choices.

Keeping a blood glucose log can help you notice patterns, understand times when your blood glucose might go low (hypoglycemia), and helps you and your health care team decide whether changes to your eating or treatment plan are needed.

Ideas for a Low Carb Eating Plan

Try these recipes in your eating plan that work with a low carb eating pattern: 

Easy Egg Muffins

Greek Cottage Cheese Bowl

Spicy Greens and Roasted Red Pepper Shakshuka

Low Carb Artichoke Chicken Wraps 

Spinach Feta Turkey Burgers 

Almond Cranberry Celery Log

Spinach and yogurt dip 

Peanut Chicken with Cauliflower Rice 

Baked Tilapia with Roasted Vegetables  

Roasted Pork Tenderloin with Thyme & Garlic Marinade and Balsamic Roasted Grapes 

Ideas for a Very Low Carb Eating Plan 

Try these recipes in your eating plan that work with a very low carb eating pattern: 

Asparagus and Bok Choy Frittata 

Greek Salmon and Veggie Packets 

Guilt-Free Breakfast Sausage Patties 

Creamy Chicken and Apple Salad 

Easy Turkey Chili 

Lemony Arugula Shrimp Salad 

Coconut Curry Trail Mix

Crispy Chicken Fried “Rice” 

Chipotle Chili and Tea-Rubbed Salmon 

Sheet Pan Cheesy Mini Meat Loaves with Bell Pepper and Onions 

Work with a registered dietitian nutritionist to create an eating plan that’s made for you. And don’t forget to sign up for Diabetes Food Hub’s e-newsletter for more diabetes-friendly ideas and recipes for ADA’s Nutrition and Wellness Team.