Thai food's mix of fresh vegetables, protein and bold flavors can be very diabetes-friendly — with a few caveats.
Best dishes
### Curries (no rice) - Green curry with chicken/shrimp (12g) - Red curry with beef (15g) - Massaman without potatoes (10g) - Panang curry (12g)
Ask for "less sweet" — many places add palm sugar.
### Salads - Larb (minced meat salad, 8g) - Som tam (papaya salad — light on dressing, 15g) - Yum nua (beef salad, 8g)
### Stir-fries - Pad pak (vegetable stir-fry, 10g) - Pad gra prow (basil chicken, 12g — no rice) - Cashew chicken (15g — no rice)
### Soups - Tom yum (8g per cup) - Tom kha gai (10g per cup)
Avoid
| Dish | Net carbs |
|---|---|
| Pad Thai | 70g+ |
| Drunken noodles | 65g+ |
| Pineapple fried rice | 80g+ |
| Mango sticky rice | 60g+ |
| Khao soi | 50g+ |
| Spring rolls | 25g (2 rolls) |
| Sweet chili sauce | 15g per 2 tbsp |
| Thai iced tea (sweetened) | 35g+ |
Smart ordering
- "No rice" or "cauliflower rice if available"
- "Less sweet, no palm sugar"
- "Sauce on the side"
- "Extra vegetables, less noodles"
- Tom yum with shrimp is often the safest starter
Drinks
- Thai iced tea unsweetened with stevia (huge difference)
- Hot tea
- Sparkling water with lime
- Coconut water in small amounts (12g per 8 oz)
The "spicy" benefit
Capsaicin (the heat in Thai food) has small but real evidence for improving insulin sensitivity. Embrace the spice level you can handle.