What to Eat and Avoid on Ozempic, Wegovy, and Zepbound (GLP-1 Medications)

GLP-1 medications, including Ozempic, Wegovy, Zepbound and Mounjaro, work by slowing digestion, helping you feel full faster and longer. While many people experience reduced hunger and even a loss of interest in sweet snacks, it’s still important to prioritize healthy eating for optimal weight loss, muscle retention, and overall health. Here are tips to eat healthy while on a GLP-1 medication.

5 Tips for Eating Healthy While on GLP-1 Medications

1. Prioritize Protein at Meals
Protein plays a critical role in weight loss and muscle retention, particularly while on GLP-1 medications. By eating a protein source first at meals, you’ll ensure that you get the necessary nutrients to stay energized and healthy. Choose from lean meats, fish, eggs, Greek yogurt, and protein powders.

2. Eat Small, Frequent Meals
Instead of large meals, aim for smaller, balanced meals every 3 to 4 hours. This pattern can help you get the nutrients your body needs, despite feeling full more quickly. Examples include:

  • 8:00 am: Scrambled eggs with spinach and cheese
  • Noon: Tuna salad with veggies and crackers
  • 3:00 pm: Protein shake with an apple
  • 6:00 pm: Pork tenderloin, green beans, and baked sweet potato

3. Limit Fried Foods and High-Fat Meals
Because GLP-1 medications slow digestion, high-fat meals can lead to uncomfortable symptoms such as nausea, bloating, and indigestion. Try to limit these meals, particularly in the evening, to avoid these issues.

4. Slow Down and Listen to Your Body’s Fullness Cues
GLP-1 medications often lead to faster feelings of fullness. Slow down, chew your food well, and put your fork down between bites to stay in tune with your body’s hunger signals. If you’re still hungry after a few minutes, you can continue eating in smaller bites.

5. Limit Added Sugars
While GLP-1 medications may reduce sugar cravings, it’s still important to avoid added sugars. Men should aim for no more than 36 grams of added sugar per day, while women should target 24 grams or less. Be mindful of hidden sugars in packaged foods and drinks.

With the right food choices, taking a GLP-1 medication like Ozempic, Wegovy, or Mounjaro can support weight loss and health goals. For personalized advice and meal planning, consider working with a registered dietitian.

Barbecues and Diabetes: Building a Better BBQ Plate

Barbecue cookout meal healthy plate for diabetes.

If you are newly diagnosed with diabetes and experiencing your first summer of navigating barbecues and cookouts, you’ve probably noticed barbecues offer a lot of carbs. Corn, potato salad, chips, bread, fruit, desserts and lemonade are common higher carbohydrate staples at summer cookouts. Before you decline the invites, learn how to navigate the the food choices for better blood sugars.

  • Have a snack before you go. Showing up to a barbecue starving is a sure way to eat too fast and overeat on the first thing that’s available (usually chips). Have a handful of nuts at least before you go.
  • Look at everything available before deciding what to put on your plate.
  • Seek out a lean protein option like chicken, lean steak or a turkey burger. If burgers and hot dogs are the only option, go for the burger.
  • Pick 1 or 2 carbohydrate choices. For instance, if the corn and watermelon sound the best, forgo the bun for your burger.
  • Fill 1/2 of your plate with veggies like salad, cole slaw (if not too sweet), veggies and dip or veggie kabobs.
  • Choose unsweet tea, low sugar lemonade, water or sparkling water to drink. If you are drinking alcohol, be sure to eat something first. For some, drinking alcohol on an empty stomach can cause hypoglycemia.

Here are 2 examples of diabetes-friendly balanced plates featuring barbecue foods. The balanced plate is half-filled with non-starchy vegetables, one quarter filled with protein, and one quarter filled with carbohydrates.

Balance plate for diabetes with BBQ grilled chicken, salad and potato salad
Balanced plate for diabetes-friendly cookout meal with veggies and hummus, chips, corn and a burger wrapped in lettuce with pickles and ketchup.

Gain confidence in your dining out choices! Meet with a registered dietitian.

Apple Cinnamon Waffle with Vanilla Protein Icing

Waffles just say weekend, don’t they? Since traditional waffles with maple syrup can easily add up to more than 80 grams of carbohydrate, this waffle recipe is only 26 grams carbohydrate for 1 or double it and have a filling breakfast that’s 52 grams of carb plus over 30 grams of protein.

I used gluten-free Van’s Apple Cinnamon waffles for this recipe, but most round, frozen waffles are similar in total carbohydrates. Use gluten-free if you are gluten sensitive or have celiac disease.

If you can love a toaster, than this one is love. I like the elongated slots for toasting larger slices of sourdough bread or flat breads. Here is a link to it my Amazon store if you are in the market! As an Amazon Associate I earn from qualifying purchases. 

Makes 1 serving (double for a larger serving)

Ingredients

Make it

  1. Toast waffle according to package directions. Meanwhile, add protein powder and water to a small bowl. Stir to mix into a paste you can drizzle over the waffle. Add a little more water if needed. Stir cinnamon into mixture.
  2. Plate waffle. Spread almond butter onto waffle. Drizzle protein mix over waffle. Top with sliced strawberries and serve.

Using a food journal app can help you understand your food and blood sugars. Here is an example journaling this meal using the 1st Phorm app, which also has exercise plans, coaching support and helpful reminders to stay accountable.

Approximate nutrition information: 306 calories, 14 g fat, 2 g saturated fat, 26 g carbohydrate, 3 g fiber, 23 g protein.

Apple Pumpkin Spice Overnight Protein Oats

What tastes like pumpkin spice, is easy to make and balanced in protein and carbohydrates? These apple pumpkin spice overnight protein oats! Most quick breakfast options are very high carb and low protein and fiber. Eating that combo in the morning can leave you tired an hour later with blood sugar spiking and then crashing. Try adding protein to oats, either with protein powder or Greek yogurt, to better balance carbs to protein.

You can make several servings of this recipe at one time. I recommend making 3 of them so you have breakfast ready for the next 3 days. Need more carbs per meal? Increase your oats to 1/2 or 2/3 cup per serving.

Makes 3 servings

Ingredients

1 cup old fashioned oats

3/4 cup Level-1 Pumpkin Spice protein powder (or vanilla protein powder, add 1/2 tsp pumpkin pie spice)

3 tbsp pumpkin puree

3/4 tsp cinnamon

1 1/2 cups water

1 small apple, chopped

3 tbsp chopped pecans

Make it

  1. In 3 small containers with lids, like mason jars, divide the oats, protein powder and water evenly (1/3 cup oats, 1/4 cup protein and 1/2 cup water per container). Stir to combine.
  2. Add 1/4 tsp cinnamon and 1 tbsp pumpkin puree to each jar. Stir to combine.
  3. Top each with chopped apple and pecans. Put the lids on and refrigerate overnight or at least 4 hours.
  4. When ready to eat, remove lid. Microwave 30 seconds to warm (or eat them cold if you like!).

Approximate nutrition information per serving (1 container): 308 calories, 9 g fat, 2 g saturated fat, 112 mg sodium, 34 g carbohydrate, 5.5 g fiber, 23 g protein.

Lower Carb Options at Chipotle for People with Diabetes

Chipotle and similar restaurants can be a healthy dining out option for people with diabetes. With the simple ingredients and variety of proteins and vegetables, you can build a balanced fast food meal. The amount of carbohydrates you should have at each meal differs for people with diabetes. Ask your registered dietitian what a good carbohydrate target is for you and your goals.

There are plenty of complex carbohydrate options at Chipotle too. If you’re looking for low carb, try the the combinations below for lunch and dinner options.

Lowest carbohydrate meals at Chipotle

Grain Freedom Bowl, 12 grams carbohydrate: This bowl has the Chipotle Supergreens, chicken, tomatillo red-chili salsa and/or fresh tomato salsa, sour cream and cheese. You could add fajita veggies for just 5 grams carb more and to make the meal more filling.

Wholesome Bowl, 18 grams carbohydrate: Similar to the Grain Freedom Bowl, this options has the Supergreens Lettuce Blend, chicken, fajita veggies, fresh tomato salsa, and guacamole.

Learn how much carbohydrate per meal is right for you. Talk to a registered dietitian via telehealth. Learn more.

Lower carbohydrate meals at Chipotle

Steak Salad with Guacamole instead of dressing, 25 grams carbohydrate: Salad macros can add up quickly if you order the standard options at a restaurant, so try this combo. Ask for salad with steak, light black beans, guacamole and one of the tomato salsas. Holding the honey vinaigrette saves 18 grams carbohydrate.

Chicken burrito bowl with beans, no rice, 27 grams carbohydrate: You could swap chicken for another meat but you’ll lose 8 to 10 grams of protein with the swaps based on the portion and fat content. Order the chicken burrito bowl with pinto beans or black beans, no rice, fresh tomato salsa or tomatillo salsa, cheese and romaine lettuce (ask for extra!).

Chicken bowl at Chipotle. Make it lower carb with no rice and extra romaine lettuce.

Barbacoa Crispy Corn Tacos (3), 37 grams carbohydrate: The Barbacoa at Chipotle is a shredded style beef option. Order these with no beans or rice, crispy shells, romaine lettuce, your choice of a tomato based salsa and cheese. If you choose the soft flour tortillas, add 11 grams carbohydrate to the meal.

There are many combinations you can create at Chipotle. The next time you stop in for a quick lunch or dinner, try one of these low or lower carb combos.

Cooking at home? Make your own diabetes friendly Chipotle style bowls.

Protein Packed BLT Pasta

Chickpea and lentil pastas are a higher fiber, higher protein option for people with diabetes or prediabetes. They are more filling than regular pasta and the fiber content helps reduce blood sugar spikes after eating. There are many brands to choose from like Banza, Tolerant or Barilla Chickpea pasta. Even Aldi has their own Simply Nature chickpea pasta! Try this pasta dish that’s packed with vegetables and protein for more balanced blood sugars and enjoy the leftovers for lunch the next day.

To save time at dinner, I like to precook the pasta and the bacon the day before or earlier in the day. You can also pre-chop your veggies so all the ingredients are ready to throw in the pan.

Makes 4 large servings

Ingredients

  • 8 oz Tolerant Lentil Penne Pasta, cooked according to package directions, drained and set aside
  • 2 medium zucchini, chopped
  • 1 1/2 cups cherry tomatoes, halved
  • 1/2 cup shredded mozzarella cheese
  • 1/4 cup shredded parmesan cheese
  • 5 strips cooked bacon
  • 3 cloves garlic, minced
  • 2 boneless skinless chicken breasts (10-12 oz total)
  • 1 tbsp olive oil
  • 1/4 tsp crushed red pepper
  • 2 tbsp fresh chopped basil
  • salt and pepper to taste

Make it

  1. Preheat oven to 375 degrees. Line a baking sheet with foil. Place chicken breasts on foil. Sprinkle with salt and pepper or your favorite seasoning mix. Put chicken in the oven and cook for about 20 minutes or until internal temperature of the chicken is 160 degrees. Set aside when it’s done.
  2. Meanwhile, add olive oil to a large skillet over medium heat. Warm for 1 minute and add chopped zucchini. Let it cook for 1-2 minutes, stir and cook 1 minute more.
  3. Reduce heat to low. Add garlic to the pan. Stir to mix. Add chopped bacon to pan and stir. As bacon starts to warm, add chopped tomatoes and basil to the pan. Stir to combine. Add crushed red pepper.
  4. Add cooked pasta to the pan and stir to combine with veggie mixture. Add mozzarella and parmesan cheeses.
  5. Slice chicken breasts and serve with pasta.

Approximate nutrition information: 485 calories, 15 g fat, 4 g saturated fat, 525 mg sodium, 42 g carbohydrate, 11 g fiber, 45 g protein.

Salmon BLT

BLTs are delicious, no doubt! Adding salmon makes them more filling, adds healthy omega-3 fats to the meal and makes it even more delicious. If we have leftover salmon from the night before, this is my favorite way to reuse it. Add chopped fresh basil to your sandwich stack if you have it on hand.

Sprouted grain roll salmon BLT sandwich.

Makes 2 sandwiches

Ingredients

  • 2 sprouted grain or whole wheat rolls, or 4 slices bread
  • 6 oz salmon filet
  • 2 tbsp dijon or spicy mustard, divided
  • 1 tsp Mrs. Dash Original spice blend
  • 4 slices bacon
  • 1 large tomato, sliced
  • Lettuce leaves or chopped lettuce
  • 1 tbsp mayonnaise

Make it

  1. Preheat oven to 400 degrees.
  2. Mix 1 tbsp mustard with the Mrs. Dash seasoning in a small bowl. Spread mix onto the top of the salmon filet.
  3. On a large baking sheet, lay 2 pieces of foil. Lift the sides of the foil pieces on each side to make 2 separate cooking aread. Put salmon on the foil one side of the baking sheet. Place bacon slices on the other side. Bake in the oven for 10 to 13 minutes or until fish flakes easily with a fork and bacon is cooked. Remove from oven and set aside.
  4. Toast bread if wanted. Spread mayo and remaining mustard on bread. Use a paper towel to remove some of the excess grease from the cooked bacon. Stack bread with lettuce, tomato slices and bacon.
  5. Use a fork to break up salmon filet and remove from skin. Add salmon pieces to sandwich, top with bread slice and serve.

Approximate nutrition information: 436 calories, 18 g fat, 3 g saturated fat, 1,000 mg sodium, 33 g carbohydrate, 5 g fiber, 36 g protein.

Shrimp Tacos with Avocado Slaw

Spice this meal up as much, or as little, as you like. The broccoli slaw makes a great cooking short cut and tends to last longer than lettuce salads. If you are vegetarian, swap the shrimp for extra firm tofu.

Looking for taco plates like these? They are my favorite! Find them here.

Makes 4 servings

Slaw Ingredients

  • 1 bag broccoli slaw
  • 1 avocado, peeled and diced
  • 1/2 of a mango, peeled and diced
  • 1 orange or red bell pepper, chopped
  • 2 tbsp avocado oil
  • 1/2 lime, juiced
  • 1/8 tsp each salt and pepper

Shrimp Taco Ingredients

  • 1 lb shrimp, peeled and deveined, tails removed
  • 1 tbsp avocado oil
  • 1 packet taco spice
  • 1/2 lime, juiced
  • Tortillas (corn, Siete brand, or low carb)
  • Salsa
  • Optional: shredded lettuce, jalapenos, additional avocado, chopped bell peppers for toppings.

Make it

  1. In a large bowl, combine the avocado oil, juice from half of the lime, salt and pepper. Stir to combine. Add the other slaw ingredients to the bowl and toss to combine. Refrigerate until ready to eat.
  2. In a large skillet over medium heat, add avocado oil.
  3. Add shrimp to pan. Let cook over medium heat, stirring occasionally. After 2 to 3 minutes, sprinkle shrimp with taco seasoning. You might only need 1/2 of the packet. Continue to cook another 8-10 minutes until shrimp are pink and cooked through. Sprinkle lime juice from other lime half over the cooked shrimp.
  4. Assemble shrimp tacos with toppings of your choice! Serve with avocado slaw.

Approximate nutrition information: 470 calories, 19 g fat, 2 g saturated fat, 1300 mg sodium 54 g carbohydrate, 9 g fiber, 23 g protein

Strawberries & Cream Protein Ice Cream with the Ninja Creami

I was skeptical, but the Ninja TM Creami ice cream maker makes what would otherwise be a protein smoothie into the same texture as ice cream! The Ninja blender is great, but if you love ice cream, this machine really works.

For people with diabetes, desserts can spike blood sugars and fattier desserts, like real ice cream or cheesecake, can leave blood sugar higher, longer. This strawberry protein ice cream is lower in fat and carbohydrates, or sugar, than traditional ice cream, plus is high in protein which can help keep you full longer. This combo makes a great night time snack for people with diabetes. If you do choose to have regular ice cream, keep the portion smaller to avoid a big blood sugar spike.

Mix up the flavors! Try this diabetes-friendly dessert with other fruits. Just swap the strawberries for another fruit in season like peaches, nectarines or blackberries.

Step by step video here

Some links in this post may be affiliate links. This means if you click on the link and make a purchase, I may receive a small commission at no cost to you. But rest assured that all opinions remain my own. You can read my full affiliate disclaimer here

Makes 2 servings

Ingredients

Make it

  1. In the Ninja Creami pint container, add almond milk, protein powder, orange juice and monk fruit. Stir well to combine. A hand held frother like this makes it easier (plus they are great for mixing collagen or protein into coffee!)
  2. Add chopped strawberries. Add all or enough to bring mixture to the fill line on the pint container. Stir to combine. Put lid on container and freeze for 24 hours.
  3. Remove pint from freezer and remove lid. Following the Ninja Creami instructions, process the frozen pint using the Lite Ice Cream option. Respin if it’s not fully combined or has some unmixed ice cream at the top.
  4. Serve! Freeze leftovers.

Approximate nutrition information per serving (1/2 container): 145 calories; 3.3 g fat, 1.5 g saturated fat, 165 mg sodium, 10 g carbohydrate, 0g added sugar, 1.5 g fiber, 19 g protein.

Quick Meal Ideas for Diabetes at Costco, Plus 2 to Avoid

Costco is always changing and packed with healthy and fun options! There are many more but here are a few dietitian-approved options to look for at Costco that are tasty and diabetes-friendly. Add these with your favorite veggies for quick meals. Plus, two options that appear healthy, but are not the best choices for people with diabetes. Get more help with diabetes meal planning here.

Banza Pasta. Try with this Buttered Spaghetti recipe

Vicky’s Kitchen Organic Broccoli Cheddar Stuffed Chicken

Don Lee Farms Grilled Chicken Patties with G. Hughes Sugar Free Barbecue Sauce

Real Good Foods Chicken Enchiladas

Tattooed Chef Plant Based Beef Burrito Bowls

Morey’s Marinated Wild Alaskan Salmon

Trident Alsaka Salmon Burgers

Riced Cauliflower Stir Fry

Amylu Teriyaki Pineapple Chicken Meatballs

Amylu Kale and Mozzarella Chicken Burgers

Kevin’s Thai Style Coconut Chicken

Here are two items to avoid! The acai bowl would be better if served with a protein source like eggs or Greek yogurt. The cauliflower crust pizza isn’t much lower in carbohydrates than regular frozen pizzas. Check the nutrition facts labels or talk to a dietitian to learn how to carb count for better blood sugars.