​When and How to Use Diabetes-Specific Oral Nutritional Supplements​

By ​Nutritionist Ming-Hui Wu, Min-Sheng General Hospital

The Truth About Diabetes Nutritional Drinks

During a clinic visit, a patient asked: “I follow my meal plan, exercise, take meds, and even drink 1-2 cans of diabetes-specific supplements daily—why did my doctor say my control hasn’t improved?”

The answer? ​More isn’t always better.​​ Let’s demystify these supplements.


Do Diabetes Supplements Lower Blood Sugar?​

No.​​ These products are ​balanced formulas​ with:

  • Controlled carbs (low glycemic index)
  • Protein, fiber, vitamins/minerals

They ​stabilize​ post-meal glucose but ​won’t reduce​ blood sugar on their own. ​Misuse can cause spikes!​


Who Needs These Supplements?​

After a dietitian’s assessment, they may help if you:

1. Struggle with Nutrient Gaps

  • Picky eater or limited food choices
  • Rely on high-GI foods (e.g., white rice, bread)

2. Experience Unintended Weight Loss

  • Poor appetite due to illness/dental issues
  • Can’t meet needs with whole foods alone

3. Have Irregular Meal Routines

  • Shift workers, truck drivers, frequent travelers
  • Tend to skip meals or grab unbalanced snacks

How to Use Them Correctly

Step 1: Decode the Label

Example from Case 1:

Per 200ml ServingPer 100ml
Calories: 191 kcal96 kcal
Carbs: 24.5g12.3g
Protein: 9.3g4.6g

Key Math:

  • 24.5g carbs ÷ 15g/serving = 1.6 carb portions
  • Translation: 1 can ≈ 1.5 carb portions (exchange for ⅓ bowl rice or 1.5 fruits)

Step 2: Meal Swaps (Case 2 & 3)​

Option 1

🍽️ ​Steamed bun sandwich + egg + unsweetened soy milk

  • 1 bun (90g) + 1 egg + 200ml soy milk

Option 2 (Supplement-Included)​

🥤 ​1 can diabetes supplement + ½ bun + 1 egg
→ ​Same carbs, better nutrition!​

Option 3

🍞 ​Toast + egg + fresh milk

  • 2 thin toast slices + 1 egg + 240ml milk

Option 4 (Supplement-Included)​

🥤 ​1 can supplement + 1 toast + 1 boiled egg + ½ fruit


3 Smart Usage Scenarios

1. During Blood Sugar Adjustment

Replace unbalanced meals (e.g., takeout) with a supplement to ​maintain carb consistency.

2. For Poor Appetite

Use as a ​high-protein snack​ between small meals.

3. Night Shifts/Travel

Substitute for skipped meals (better than just bread!).


Key Takeaways

✅ ​Supplements ≠ magic bullets​ – They’re tools for specific needs.
✅ ​Always count carbs​ – Sync with your meal plan.
✅ ​Dietitian-first​ – Never self-prescribe!

​”Think of supplements like a GPS—they help navigate tough terrain, but you’re still the driver!”​

(Individual needs vary.)

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