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Diabetes
Diabetes

Foods to Avoid With Trulicity: What to Eat Instead

Sarah Hormachea, MS, RD, CDCES, BC-ADM
Author: 
Medical Reviewer: 
Sarah Hormachea, MS, RD, CDCES, BC-ADM
|
Author: 
Heather Smith, RN, BSN
Published:
April 26, 2024
Updated on
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min read
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Table of Contents

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Diabetes

Key Takeaways

  • Trulicity (dulaglutide) is an injectable medication used to improve blood sugar control in adults with type 2 diabetes. While taking it, it's important to limit high-sugar foods, refined carbohydrates, processed foods, foods high in fat and sodium, and excessive alcohol.
  • Incorporating a balanced diet, staying hydrated, and consulting with a registered dietitian can enhance Trulicity's benefits and aid overall diabetes care.
  • A registered dietitian can provide personalized guidance and advice on the best foods to eat with Trulicity and how to establish consistency and healthy habits for long-term benefits. 

Eating the right types of foods is important while taking Trulicity, a medication doctors prescribe to improve blood sugar control in adults with type 2 diabetes.

By incorporating specific foods into your diet, you may enhance the drug's effects, potentially improving your results and reducing the likelihood of side effects. 

Read on for a comprehensive guide to the types of foods to limit or avoid while taking Trulicity, get ideas for meal planning, discover which foods are best to eat, and learn specific ways a dietitian can help. 

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Foods To Avoid With Trulicity

Trulicity works in your body to maintain your blood sugar in a healthy range.

However, certain foods work against the medication’s positive benefits by increasing blood sugar and potentially reducing its effects.

High-Sugar Foods

Eating foods high in sugar can cause a quick and significant increase in your blood glucose (sugar) levels, which works against Trulicity’s effects on managing diabetes.

Limiting these foods is important for maintaining steady blood sugar and supporting the medication’s aim of improving glucose control.

Foods high in sugar can include:

  • Sugary beverages (sodas, sweetened tea and coffee, sweetened fruit juices).
  • Candies.
  • Desserts.

Processed Foods

Processed foods often contain high amounts of sugars, unhealthy fats, and sodium (salt), which can interfere with maintaining balanced blood sugars.

They also tend to lack nutritional value and may lead to weight gain and increased insulin resistance. 

Processed foods typically include:

  • Packaged snacks.
  • Fast foods.
  • Frozen meals.
  • Canned foods.

Refined Carbohydrates

Refined carbohydrates are grains that have undergone processing that strips away some of their fiber and nutrition to help improve shelf life and texture. 

However, refined carbohydrates quickly absorb into the bloodstream and cause a rapid increase in blood sugar, which complicates diabetes management with Trulicity.

Refined carbohydrate examples include:

  • White bread.
  • White pasta.
  • White rice.

High-Fat Foods

Consuming large amounts of foods high in saturated fats can increase your risk of heart disease and weight gain, which works against the benefits of Trulicity. 

Saturated fats are typically solid at room temperature and include foods such as:

  • Butter.
  • Palm oil.
  • Whole fat cheeses.
  • Red meat.

Sodium-Rich Foods

While your body needs some sodium to function well, eating too much can cause high blood pressure, a common concern with diabetes.

Foods high in sodium include:

  • Canned soups.
  • Salty snacks.
  • Processed meats (salami, sausage, bacon, cold cuts)
  • Frozen meals.

When taking Trulicity, try to limit foods high in sodium by checking food labels and avoiding adding extra salt to your foods.

Alcohol

Alcohol can have an unpredictable effect on your blood sugar level, causing it to rise too high or drop too low.

It can also interfere with certain diabetes medications, although there is no known interaction between alcohol and Trulicity.

If you are taking Trulicity, it’s important to limit your alcoholic beverages and closely monitor your blood sugar level.

If you choose to drink, be sure to eat a meal before or with the alcohol and avoid drinking on an empty stomach.

It’s always best to talk with your doctor for personalized guidance regarding alcohol intake while taking this medication.

Sample Diet Plan On Trulicity 

Here is a sample five-day meal plan emphasizing high-fiber foods, lean proteins, and whole grains while limiting sugar, saturated fats, and sodium.

Before starting a new way of eating, it’s important to consult with a healthcare professional, such as a registered dietitian, to ensure you are meeting your nutritional needs while reaching your health goals. 

Day 1

  • Breakfast: Scrambled eggs with spinach and whole grain toast with mashed avocado spread.
  • Lunch: Grilled chicken salad with a variety of greens, couscous, cherry tomatoes, cucumber, yellow or red pepper, and drizzled with a vinaigrette dressing.
  • Snack: A small handful of mixed nuts and an apple.
  • Dinner: Baked salmon with steamed broccoli and quinoa.

Day 2

  • Breakfast: Greek yogurt with mixed berries, sugar-free granola, and a sprinkle of chia seeds.
  • Lunch: A turkey and avocado wrap with a whole wheat tortilla, tomato, and mixed greens, served with a side of fresh melon slices.
  • Snack: Veggie sticks with hummus spread.
  • Dinner: Stir-fried tofu or shrimp with assorted vegetables over brown rice.

Day 3

  • Breakfast: Oatmeal topped with sliced banana, a sprinkle of cinnamon, and a drizzle of almond butter.
  • Lunch: Lentil soup with a side of mixed leafy greens and a slice of a whole-grain pita.
  • Snack: Orange slices and a hard-boiled egg.
  • Dinner: Grilled chicken breast with steamed asparagus or broccoli and a side of brown rice pilaf.

Day 4

  • Breakfast: A Greek yogurt smoothie with spinach, frozen berries, protein powder, and unsweetened almond milk.
  • Lunch: Quinoa salad with diced tomatoes, cucumbers, feta cheese, and grilled chicken, drizzled with a low-sugar Greek vinaigrette dressing.
  • Snack: Low-fat cottage cheese with fresh or canned-in-water sliced peaches or pears.
  • Dinner: Beef stir-fry with bell peppers, broccoli, and snow peas served over cauliflower rice.

Day 5

  • Breakfast: Two eggs fried in vegetable oil placed on a bed of sautéed kale and whole grain toast.
  • Lunch: Leftover diced grilled chicken mixed with Greek yogurt, chopped celery, red onion, green apple, and Dijon mustard served in a whole-grain pita pocket.
  • Snack: A small bowl of mixed nuts and seeds with an apple.
  • Dinner: Grilled garlic shrimp skewers with roasted Brussels sprouts and baked sweet potato.

What To Eat With Trulicity

While taking Trulicity, eating the right foods can help support your blood sugar levels and the medication’s benefits. 

The foods to focus on should include lean proteins, high-fiber fruits and vegetables, whole grains, low-fat dairy, and beverages that keep you hydrated. 

Eating these foods helps you meet your nutritional needs without causing rapid increases in your blood sugar and supports your overall health. 

Talking with a registered dietitian is also helpful when learning to eat while taking Trulicity.

They can make tailored meal plan recommendations to meet your specific needs. 

Whole Grains And Complex Carbs

Whole grains and complex carbohydrates provide energy without causing a rapid spike in blood sugar.

They are also packed with nutrition and vitamins and are great sources of fiber, which helps slow how quickly your body absorbs glucose.

Whole grains and complex carbs include:

  • Brown rice.
  • Quinoa.
  • Oats.
  • Whole grain breads and pasta.
  • Ancient grains (Farro, bulger, millet, barley, etc.)

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Lean Proteins

Lean proteins contain essential nutrients for muscle building and tissue repair and do not directly impact blood sugar levels.

They also help you feel full for longer, making them an excellent choice while taking Trulicity.

Opt for lean proteins such as:

  • Chicken breast.
  • Turkey.
  • Tofu.
  • Beans.
  • Lentils.
  • Fish.

When planning your meals, include a variety of different types of protein throughout the week to help you meet your nutritional needs. 

High-Fiber Fruits And Vegetables

Fruits and vegetables are excellent sources of vitamins, minerals, and fiber, which helps naturally regulate blood sugar levels by slowing the absorption of sugar into the bloodstream.

Try eating a variety of vegetables throughout the day to give yourself a variety of nutrients. Some high-fiber veggies include:

  • Dark leaf lettuce.
  • Swiss chard.
  • Spinach.
  • Raw carrots.
  • Asparagus.
  • Beets.
  • Sweet potatoes with skin.
  • Broccoli.
  • String beans.
  • Artichokes.
  • Squash.

You may need to limit your fruit serving size to one cup or less for blood sugar management as eating too much may increase your blood glucose.

But in general, fruits are great sources of antioxidants, vitamins, and minerals. 

Fruits high in fiber include:

  • Apples.
  • Bananas.
  • Peaches.
  • Pears.
  • Tangerines.
  • Prunes.
  • Berries.
  • Figs.
  • Kiwis.

Low-Fat Dairy

Low-fat dairy products provide protein and calcium without adding saturated fat.

Select low-fat options like 1% skim milk, low-fat yogurt, and reduced-fat cheeses when making dairy choices.

You can also select alternative dairy products, such as oat milk or almond milk, which have several benefits for type 2 diabetes.

Hydrating Beverages

Staying hydrated is important for your overall health and helps maintain a balanced diet while managing diabetes. 

Water should be your primary beverage, but other hydrating beverages, such as coconut water, unsweetened herbal teas, and broths, can also hydrate you without increasing your blood sugar.

What Is Trulicity?

Trulicity (dulaglutide) is an injectable medication medical providers prescribe for managing type 2 diabetes.

It is a glucagon-like peptide-1 (GLP-1) receptor agonist that mimics a naturally occurring hormone in the digestive system. 

It regulates blood glucose levels by stimulating insulin release when you eat, reducing the amount of glucose the liver produces, and slowing digestion.

Trulicity works in conjunction with a balanced diet and exercise to improve type 2 diabetes management in adults.

It is not intended for treating type 1 diabetes or diabetic ketoacidosis.

Common Side Effects Of Trulicity

Common side effects of Trulicity include:

  • Nausea.
  • Vomiting.
  • Diarrhea.
  • Abdominal pain.
  • Decreased appetite.
  • Fatigue.
  • Indigestion.

Tips For Meal Planning With Trulicity

Here are some tips to help you plan your meals while taking Trulicity.

  • Plan your meals and snacks ahead of time. 
  • Prep your meals and snacks in advance.
  • Schedule consistent meal times and snacks throughout the day. 
  • Choose snacks that are high in fiber and protein. 
  • Get in the habit of checking food labels. 
  • Keep a food journal to track your progress. 
  • Consult a registered dietitian specializing in diabetes for personalized guidance tailored to your needs and preferences.

GLP-1 Alternatives

Alternatives to Trulicity include other classes of diabetes medications that have other ways of managing blood sugar. 

  • Insulin: Insulin is an injectable medication that mimics the naturally occurring insulin hormone in the body. Some insulins are fast-acting, while others are long-lasting. 
  • Metformin: Metformin is a common oral medication for type 2 diabetes that helps improve your body’s sensitivity to insulin and reduces the amount of glucose the liver releases. 
  • Meglitinides: These oral medications help your body make more insulin around times when you are eating.
  • Alpha-Glucosidase Inhibitors: These oral pills help slow the rate at which your body absorbs sugar from the food you eat.
  • Thiazolidinediones: These medications help your cells use sugar more efficiently.
  • DPP-4 Inhibitors: These oral medications help your pancreas (the gland that makes insulin) produce more insulin. 
  • SGL2T: These medications help the kidneys remove more sugar from the bloodstream while making urine.

Sometimes, medical providers prescribe a combination of medications to help manage blood sugar.

Trulicity can be taken with other diabetes medications if needed.

Takeaway

Managing type 2 diabetes requires a combination of diet and lifestyle changes and sometimes medications.

Trulicity is an effective treatment due to its ability to regulate blood sugar levels. 

While taking Trulicity, it’s important to avoid or limit foods that may increase blood sugar levels or the risk of heart disease.

Foods to limit include high-sugar foods, highly processed foods, refined carbohydrates, high-sodium foods, and alcohol.

Instead, focus on eating whole grains, lean proteins, fruits and vegetables, low-fat dairy products, and staying hydrated.

It’s always important to discuss new medications and all medication options with your medical provider for personalized guidance.

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How A Dietitian Can Help

A registered dietitian specializing in diabetes can be crucial in managing your condition.

They are especially helpful when taking medications like Trulicity, as they can give advice tailored to your health needs and goals. 

Several specific ways a dietitian can help include:

  • Personalized meal planning that works with Trulicity and your preferences.
  • Education on different foods and how they affect your blood sugar levels. 
  • Tips for how to incorporate your new knowledge into your everyday food choices.
  • Managing side effects from Trulicity by suggesting foods that may help reduce nausea or changes to bowel movements.
  • Provide behavioral change strategies for establishing long-term healthy eating habits.
  • Monitoring your progress and making necessary changes to your dietary plan.
  • Support and motivation to help you stay on track.

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Frequently Asked Questions

What should I avoid while taking Trulicity?

While taking Trulicity, it’s best to limit or avoid foods that interfere with blood sugar control, such as high-sugar foods, processed foods, refined carbohydrates, high-fat foods, and alcohol.

‍

What is the average weight loss with Trulicity?

The average weight loss with Trulicity varies from person to person. In clinical trials, participants lost up to 10 pounds. 

Weight loss results depend on several factors, including diet, exercise, and blood sugar management.

‍

Is it better to take Trulicity in the morning or at night?

You can take Trulicity at any time of the day, with or without meals.

The most important factor is to remain consistent with the time and dose to maintain regular levels of the medication in your system.

‍

References

View all references

Trulicity. (N.D.) Webpage.

‍

Diabetes meal planning. (2023). CDC.

‍

Eating highly processed foods linked to weight gain. (2019). National Institutes of Health.

‍

Grains. (N.D.) USDA.

‍

Glycemic index and diabetes. (2022). MedlinePlus.

‍

Facts about saturated fats. (2022). MedlinePlus.

‍

Sodium intake and health. (2023). CDC.

‍

Diabetes and alcohol. (2023). MedlinePlus.

‍

Fiber: The carb that helps you manage diabetes. (2022). CDC.

‍

Diabetes and healthy living. (2021). AU Department of Health.

‍

Moon, J., & Koh, G. (2020). Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss. Journal of Obesity & Metabolic Syndrome, 29(3), 166-173. 

‍

High-fiber foods. (2022). MedlinePlus.

‍

Diabetes meal planning. (2023). CDC.

‍

Collins, L., et al. (2023). Glucagon-Like Peptide-1 Receptor Agonists. StatPearls.

‍

Diabetes medications. (2018). FDA.

‍

Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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39.112701, -94.626801
Reno
, 
NV
Nevada
39.529633, -119.813805
Tacoma
, 
WA
Washington
47.258728, -122.465973
Aurora
, 
CO
Colorado
39.7405111, -104.830994
Oxnard
, 
CA
California
34.197659, -119.175949
Amarillo
, 
TX
Texas
35.221996, -101.831299
Henderson
, 
NV
Nevada
36.039524, -114.981720
Vancouver
, 
WA
Washington
45.633331, -122.599998
Gilbert
, 
AZ
Arizona
33.352825, -111.789024
San Bernardino
, 
CA
California
34.115784, -117.302399
Columbus
, 
GA
Georgia
27.800583, -97.396378
Hayward
, 
CA
California
37.668819, -122.080795
Milwaukee
, 
WI
Wisconsin
43.038902, -87.906471
Lubbock
, 
TX
Texas
33.576698, -101.855072
Norfolk
, 
VA
Virginia
36.850769, -76.285873
Tulsa
, 
OK
Oklahoma
36.153980, -95.992775
Garland
, 
TX
Texas
32.914341, -96.636559
Fort Lauderdale
, 
FL
Florida
26.124161, -80.143593
Tucson
, 
AZ
Arizona
32.248814, -110.987419
Salt Lake City
, 
UT
Utah
40.760780, -111.891045
Corona
, 
CA
California
33.875670, -117.568840
Madison
, 
WI
Wisconsin
43.073051, -89.401230
Huntsville
, 
AL
Alabama
34.7014286, -86.6597495
Kansas City
, 
MO
Missouri
39.099728, -94.578568
Irvine
, 
CA
California
33.684566, -117.826508
Chula Vista
, 
CA
California
32.640072, -117.084038
Denton
, 
TX
Texas
33.215530, -97.132446
Aurora
, 
IL
Illinois
41.7571701, -88.3147539
Baton Rouge
, 
LA
Louisiana
30.4494155, -91.1869659
Columbus
, 
OH
Ohio
39.961178, -82.998795
Baltimore
, 
MD
Maryland
39.2908816, -76.610759
Detroit
, 
MI
Michigan
42.331429, -83.045753
Chesapeake
, 
VA
Virginia
36.7183708, -76.2466798
Birmingham
, 
AL
Alabama
33.5206824, -86.8024326
Scottsdale
, 
AZ
Arizona
33.501324, -111.925278
Cincinnati
, 
OH
Ohio
39.103700, -84.513610
North Las Vegas
, 
NV
Nevada
36.201946, -115.120216
Riverside
, 
CA
California
33.980602, -117.375496
Plano
, 
TX
Texas
33.019844, -96.698883
Minneapolis
, 
MN
Minnesota
44.977753, -93.265015
Salinas
, 
CA
California
,
Anaheim
, 
CA
California
33.836594, -117.914299
Springfield
, 
MO
Missouri
37.208958, -93.292297
Fort Wayne
, 
IN
Indiana
41.077469, -85.137489
Phoenix
, 
AZ
Arizona
33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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