Diabetes-Friendly Fruit Smoothies

Tips for crafting your own recipes at home

Fruit smoothies are convenient, quick, and easy to make. They also can be nutrition powerhouses—or sugar bombs. If you have diabetes, it's important to know how much fruit is in a smoothie and whether it has added sugar or other sweeteners before you take a sip.

Glass of wild berry and raspberry smoothie
Westend61 / Getty Images

One way to do this: Make your own at home. It's easy to do if you have a blender, and whipping up your own smoothies allows you to control the ingredients and keep them in line with a diabetes-friendly approach to eating—low in carbs and with ample fiber, protein, and healthy fat to help keep blood glucose levels in balance.

Prep Tip For A.M. Smoothies

Put all ingredients (fruit chunks, nut butter, seeds, leafy greens, etc.) into the blender at night and store it in the fridge. All you'll have to do is add ice the next morning.

Components of a Diabetes-Friendly Smoothie

Crafting a smoothie that's compatible with a diabetes meal plan involves choosing nutritious and tasty ingredients that won't lead to glucose spike, but will keep you full.

Fiber

Fiber benefits blood sugar control by slowing the entry of glucose into the bloodstream. Thanks to the complex structure of starch, it takes some time and effort for fiber to be broken down during the digestive process. Fiber also adds bulk to stool, which aids digestion and metabolism.

Look to add 8 grams of fiber or more to your smoothies. That's about the amount in 1 cup of blackberries.

Good sources include:

  • Whole fruit: Very ripe bananas make an ideal smoothie base because they're creamy when blended and naturally sweet. Berries are relatively low in sugar and pack lots of fiber. Tropical fruits, such as kiwi or pineapple, lend an exotic flavor. Leaving the skin on fruits like peaches can increase the fiber content. Frozen fruit, such as peeled and chunked bananas and frozen berries, eliminate the need to add ice cubes.
  • Leafy greens: Baby kale and baby spinach are more tender than mature greens and will blend in more smoothly with other ingredients.
  • Nut butters and seeds: Seeds are an especially good way to boost the fiber in smoothies. Try flaxseed, chia, hemp, sunflower, pumpkin, or sesame seeds.

Protein

Like fiber, protein slows the rate at which glucose enters the bloodstream, making for an even, long-lasting source of energy. Ideal sources of protein for a fruit smoothie include:

  • Protein powder: Whey-based powder may help with insulin sensitivity. If you prefer plant-based proteins, you may select powder made from hemp seeds or peas.
  • Silken tofu, which is creamier than the firm variety.
  • Full-fat plain Greek yogurt or Icelandic skyr, which are higher in protein and lower in carbohydrates than other types of yogurt and have no added sugar.
  • Nuts, nut butters, and seeds. These count as good sources of both protein and fat. For example, 2 tablespoons of hemp seeds yields 6 grams of protein. Note that nut milk generally is not a rich source of protein.

Fat

Fat may promote satiety and can help keep blood sugar balanced by slowing glucose absorption, just as with fiber and protein. Fat also lends creaminess. Healthy fats that are smoothie-worthy include:

  • Plant-based fat such as nuts, nut butter, seeds: A couple of tablespoons is plenty.
  • Full-fat dairy such as whole milk or plain Greek yogurt: Four to 8 ounces per smoothie is about right for drinkable consistency.
  • Avocado: One quarter to one half of an avocado is especially delicious in green smoothies.
  • Reduced-fat coconut milk: Four ounces will add creaminess and flavor.

If you follow a plant-based diet, you can substitute unsweetened nut milk or vegan yogurt for dairy products. Some fortified vegan yogurts and milks have as much, or more fat and/or protein as dairy products.

Flavor Add-ins

Carefully selected herbs, spices, and other flavor enhancers include:

  • Grated fresh ginger or ginger powder
  • Cinnamon
  • Chai spices such as cardamom and cloves
  • Fresh mint
  • Lemon or lime juice
  • Vanilla extract (1/2 teaspoon)
  • Unsweetened cocoa powder

Green Smoothie Tips

If you like veggie-forward smoothies, in addition to leafy greens experiment with neutral-tasting vegetables such as chopped cauliflower, cucumber, zucchini, yellow squash, or even a small amount of cooked beets or sweet potatoes. All will add a hefty dose of vitamins and minerals. Matcha (powdered green tea) can also amp up the green quotient of your smoothies.

Sweeteners

Fruit should provide plenty of natural sweetness, but if you're using a predominantly vegetable-based blend a pitted date will do the trick. Besides a punch of sweetness, dates offer minerals such as iron, calcium, potassium, magnesium, and fiber.

Stevia is another good option for adding sweetness, but avoid artificial sweeteners, which may negatively affect gut bacteria and can worsen blood sugar control.

17 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. American Diabetes Association. Best fruit choices for diabetes.

  2. Weickert MO, Pfeiffer AFH. Impact of Dietary Fiber Consumption on Insulin Resistance and the Prevention of Type 2 Diabetes. J Nutr. 2018;148(1):7-12. doi:10.1093/jn/nxx008

  3. MedlinePlus. Dietary fiber.

  4. Academy of Nutrition and Dietetics. Easy ways to boost fiber in your daily diet.

  5. FoodData Central. Blackberries,raw.

  6. American Heart Association. Fuzzy and full of nutrients, peachs are a summertime staple.

  7. Michigan State University. Seeds are healthy sources of fiber.

  8. Joslin Diabetes Center. Carbs, proteins, and fats—their effect on glucose levels.

  9. Mignone LE, Wu T, Horowitz M, Rayner CK. Whey protein: The "whey" forward for treatment of type 2 diabetes? World J Diabetes. 2015;6(14):1274-84. doi:10.4239/wjd.v6.i14.1274

  10. FoodData Central. Yogurt, Greek, plain, nonfat.

  11. Icelandic Provisions. Plain skyr.

  12. FoodData Central. Seeds, hemp seeds, hulled.

  13. Maher T, Clegg ME. Dietary lipids with potential to affect satiety: mechanisms and evidence. Crit Rev Food Sci Nutr. 2019;59(10):1619-1644. doi:10.1080/10408398.2017.1423277

  14. De souza RGM, Schincaglia RM, Pimentel GD, Mota JF. Nuts and human health outcomes: a systematic review. Nutrients. 2017;9(12). doi:10.3390/nu9121311

  15. FoodData Central. Dates, medjool.

  16. Ruiz-Ojeda FJ, Plaza-Díaz J, Sáez-Lara MJ, Gil A. Effects of sweeteners on the gut microbiota: a review of experimental studies and clinical trials. Adv Nutr. 2019;10(suppl_1):S31-S48. doi:10.1093/advances/nmy037

  17. Iizuka K. Is the use of artificial sweeteners beneficial for patients with diabetes mellitus? The advantages and disadvantages of artificial sweeteners. Nutrients. 2022;14(21):4446. doi:10.3390/nu14214446

By Stacey Hugues
Stacey Hugues, RD is a registered dietitian and nutrition coach who works as a neonatal dietitian at Beth Israel Deaconess Medical Center in Boston.