Courtney Smith, Registered Dietitian & Diabetes Specialist

Colorado-Based | Telehealth Nationwide | Insurance Accepted

Courtney Smith, Registered Dietitian & Diabetes Specialist
Colorado-Based | Telehealth Nationwide | Insurance Accepted

Should Endurance Athletes with Prediabetes Cut Carbs? (The Surprising Truth)

If you’re an endurance athlete with prediabetes, you’ve probably heard conflicting advice:

  • “Cut carbs and your blood sugar will improve.”
  • “Eat low carb to prevent glucose spikes.”
  • “Carbs will make you fat and slow your recovery.”

Here’s the surprising truth: Cutting carbs too aggressively can hurt performance, recovery, and even glucose control.

In this post, we’ll break down:

  • Why low-carb strategies can backfire for athletes with prediabetes
  • How to fuel smartly for training and races
  • The types and timing of carbs that support glucose stability
  • Simple action steps you can start today

If you want individualized guidance for carb timing, training performance, and blood sugar control, book a 1:1 session with me today!

Why Low-Carb Can Be Harmful for Endurance Athletes With Prediabetes

1. Reduced Training Performance

Carbs are the primary fuel for high-intensity efforts. Restricting them can cause:

  • Early fatigue during workouts
  • Reduced training quality
  • Poor race performance

2. Worsened Insulin Sensitivity

Underfueling increases cortisol, which makes blood sugar more unpredictable — even on rest days.

3. Increased Risk of Hypoglycemia

Low-carb athletes with prediabetes may experience:

  • Mid-run lows
  • Weakness and shakiness
  • Slower recovery

How Much Carb Do Endurance Athletes With Prediabetes Really Need?

Training TypeCarb Intake (g/kg body weight)Notes
Easy Zone 23–5Supports energy, recovery, steady glucose
Moderate / Tempo5–7Fuels longer sessions, prevents bonking
Long / Intense6–10Needed for endurance performance

Tip: Always combine carbs with protein/fiber to slow glucose absorption.

Best Carb Sources for Athletes With Prediabetes

  • Oats, rice, quinoa
  • Fruit (bananas, berries, apples)
  • Sweet potatoes
  • Whole-grain bread or wraps
  • Sports gels and drinks during workouts

Avoid sugar alcohol-heavy bars (like Barebells) during training — they can cause GI distress and unpredictable glucose rises.

Carb Timing for Blood Sugar Stability

Before Workouts

  • 30–60 minutes prior: small carb + protein snack
  • Example: banana + peanut butter

During Long Sessions

  • 20–40g carbs per hour for workouts >60 minutes

Post-Workout (within 30 minutes)

  • 40–60g carbs + 20–30g protein to replenish glycogen and support insulin sensitivity

Let me help you optimize carbs around your workouts to stabilize blood sugars and improve performance. Schedule your 1:1 session now!

Why “Low-Carb” Labels Can Be Misleading

  • Many bars marketed as “low-carb” contain sugar alcohols (e.g., Barebells bars)
  • Sugar alcohols = GI distress + still count toward total carbs
  • Net carbs can mislead athletes into underfueling

Common Mistakes Endurance Athletes Make With Carbs

  • Cutting carbs too aggressively
  • Skipping post-workout fueling
  • Using sugar alcohol-heavy bars during training
  • Believing fasting runs are always better

FAQ – Carbs & Prediabetes for Endurance Athletes

1. Can I go low-carb and still train?

    Yes, but performance may suffer, and glucose control can worsen if underfueling causes stress and cortisol spikes.

    2. What about sugar-free or low-carb bars?

    Many contain sugar alcohols (like Barebells bars), which cause GI distress and unpredictable blood sugar.

    3. How do I know how many carbs I need?

    It depends on training intensity, duration, and your glucose trends. Using a CGM or tracking performance helps fine-tune intake.

    4. Can carbs really help with blood sugar control?

    Yes! When timed strategically around workouts, carbs improve insulin sensitivity, stabilize glucose, and support recovery.

    Conclusion

    Cutting carbs isn’t a one-size-fits-all solution for endurance athletes with prediabetes. The key is strategic carb intake, timing, and quality to:

    • Support performance
    • Improve insulin sensitivity
    • Avoid hypoglycemia
    • Maintain recovery

    Book your personalized 1:1 fueling session and learn exactly how to balance carbs, performance, and glucose control for your training. Plus, download my Top 10 Snacks for Endurance Athletes With Diabetes & Prediabetes to use during training.

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