Can people with high blood sugar eat durian?

Apr 16, 2025 Source: Cainiu Health
Disease description:

I am 46 years old and have been diagnosed with high blood sugar. I really enjoy eating durian, and I would like to know whether people with high blood sugar can eat durian.

Doctor's answer (1)
Dr. Liu Feng

Generally speaking, people with high blood sugar can eat durian, but they should do so cautiously and in small amounts.

Durian is a tropical fruit that is rich in nutrients, but it also has a high sugar content and a high glycemic index. For individuals with elevated blood glucose levels, excessive consumption of high-sugar foods may cause a rapid increase in blood sugar, making it more difficult to control glucose levels. If blood sugar is already relatively stable, people with high blood sugar may occasionally consume small amounts of durian, but intake must be strictly controlled. It is also important to consider the consumption of other foods during the day; if a significant amount of other carbohydrates or high-sugar foods have already been consumed, durian intake should be reduced or avoided to prevent exceeding the daily total calorie and sugar intake limits, which could negatively affect blood sugar control.

The timing of durian consumption should also be considered. It is recommended not to eat durian immediately before or after meals; instead, it can be consumed as a snack between meals when blood sugar levels are more stable. This can help minimize adverse effects on blood glucose. Additionally, after consuming durian, blood sugar levels should be closely monitored to understand one's personal tolerance to the fruit.

Moreover, durian also contains relatively high levels of potassium. If a patient has impaired kidney function, the body may be unable to promptly excrete excess potassium, which could lead to elevated blood potassium levels and potentially cause metabolic alkalosis, with severe cases possibly resulting in cardiac arrest. Therefore, individuals with high blood sugar and impaired kidney function should avoid eating durian as much as possible.