Diet for people with diabetes with congestive heart failure

One of the complications of diabetes is congestive heart failure. Up to one-third of people with heart failure may have some degree of diabetes that may be controlled by diet, medicines or insulin.

It is important that people with heart failure maintain good control of blood sugars. Increases the levels of blood sugar will also have direct and indirect harmful effects on heart function.

It is of particular importance for people with both diabetes and heart failure to carefully follow the advice of their doctor, nurse, and dietitians.

 Fruits and vegetables.

Add fresh fruits and vegetables in your diet. They contain only small amounts of salt.

       Low sodium diet.

  • Fresh meats, poultry, fish, dry and fresh legumes, eggs, milk, and yogurt, are good for people with diabetes.
  • Plain rice, pasta, and oatmeal are good low-sodium choices. However, the sodium content can increase if salt or other high sodium ingredients are added during their preparation.

Avoid highly salted contents.

  • Avoid herb or spice mixtures that contain salt or sodium.
  • Choose fresh juices
  • Use lemon juice or fresh ground pepper to accent natural flavors. Try orange or pineapple juice as a base for meat marinades.

Avoid canned/preserved foods.

  • Check the nutrition facts on the label for sodium content per serving. Find out the number of servings in the package. How does the sodium in each serving compare to the total sodium you can eat each day?

 Whole Grains

  • Fresh bread (without cheese), pasta, rice.
  • Cooked cereals without salt
  • Unsalted and reduced salt crackers (choose low-fat)
  • Choose whole and multi-grain products.
  • Crackers, bread, or rolls with salted tops.
  • Packaged breading, stuffing, bread or biscuit mixes
  • Packaged instant cooked cereals.
  • Commercial waffles, pancakes, and muffins

Milk and Alternatives

  • Milk, yogurt, cream, sour cream, choose low fat
  • Low-sodium cheese and cottage cheese.
  • Regular and processed cheese slices and spreads.
  • Buttermilk, malted milk, evaporated or condensed milk.
  • Hot chocolate mixes.

Meat and Alternatives

  • Meat, poultry, fish without salt or sodium products
  • Eggs, tofu, legumes (without added sodium)
  • Unsalted peanut butter, nuts, and seeds
  • Choose low-fat protein choices
  • Salted, smoked, cured, or pickled meat, fish, and poultry: luncheon
  • Meats, bacon, ham, sausages, wieners, sardines, herring, and pickled eggs are safe for people with diabetes.
  • Salted peanut butter, nuts, and seeds are not good for heart patients.
  • Convenience foods (e.g. canned: stews, pasta, beans)

Fats and Oils.

  • Any except those on opposite list (in moderation)
  • Bacon fat
  • Packaged gravies, sauces, salad and vegetable dips
  • Commercial salad dressings salted margarine


  • Commercial cakes, pies, pastries, dessert, and instant pudding mix Snack Foods Unsalted Only
  • Unsalted popcorn (air popped).
  • Salted chips, cheesiest, pretzels.

Salt-Free Herb Blends

Instead of seasoning your food with salt, enhance the flavor of food with these salt-free herb and spice combinations. To make 1/2 cup, combine the ingredients in a jar.

Cover tightly and shake. Keep in a cool, dry place. Then rub or sprinkle them on food for flavor.

Chinese 5-Spice

  • For chicken, fish or pork:
  • 1/4 cup ground ginger
  • Two tablespoons of each: ground cinnamon, ground cloves
  • One tablespoon of each: ground allspice, anise seeds
  • Mixed Herb Blend
  • For salads, pasta salads, steamed vegetables, vegetable soup or fish:
  • 1/4 cup dried parsley flakes
  • Two tablespoons dried tarragon
  • One tablespoon of each: dried oregano, dill weed, celery flakes
  • Italian Blend
  • For tomato-based soups, pasta dishes, chicken, pizza, focaccia and herbed bread:
  • Two tablespoons of each: dried basil, dried marjoram, thyme, crushed dried rosemary, crushed red pepper
  • One tablespoon of each: garlic powder, dried oregano
  • Easy Dip Blend
  • For mixing with cottage cheese, yogurt, or low-fat sour cream:
  • 1/2 cup dried dill weed
  • One tablespoon of each: dried chives, garlic powder, dried lemon peel and dried chervil.

With proper diet and exercise, you can prevent yourself from complications.



  • A growing body of evidence links moderate alcohol consumption with reduced risk of heart disease. The same may be true for type 2 diabetes. Moderate amounts of alcohol up to a drink a day for women, up to two drinks a day for men increases the efficiency of insulin at getting glucose inside cells. And some studies indicate that moderate alcohol consumption decreases the risk of type 2 diabetes.
  • If you already drink alcohol, the key is to keep your consumption in the moderate range, as higher amounts of alcohol could increase diabetes risk.
  • If you don’t drink alcohol, there’s no need; you can get the same benefits by losing weight, exercising more, and changing your eating patterns.


  • Regular exercise also helps to keep arteries and other blood vessels flexible, ensuring good blood flow and normal blood pressure and cholesterol.
  • According to the American Heart Association (AHA), exercising 30 minutes a day, five days a week will improve your heart health and help reduce your risk of heart disease.