Need a smoothie fix but would rather skip the excess sugar? These nutritionist-recommended ingredients should be your go-tos.

They pack tonnes of nutrition into a small transportable cup, and often, they taste more like a dessert than a healthy snack or meal, but smoothies aren’t without their faults. If you concoct or order the wrong blend, your refreshing drink can spike your blood sugar, leaving you queasy and feeling overall blah, rather than satisfied.

Unfortunately, I discovered this the hard way.

I’ve tried numerous times to hop on the smoothie bandwagon. They seem like the perfect post-workout snack when I can’t go home to eat, or an easy option when I need to have breakfast on the run. But no matter what I order, smoothies always seem to leave me feeling nauseous—like I’ve just taken a very bumpy ride in the back of a car while reading a book. (You know the feeling.) And being that I’m a full-time health editor, I was determined to find out what could be going on. So I turned to the pros:

According to dieititan Lori Zanini, even if a smoothie is overflowing with healthy foods, it can cause blood sugar levels to spike if it isn’t made with the right blend or ratios of ingredients. This, of course, leaves you feeling not-so-awesome. “When blood sugar levels rise and fall quickly, the body's metabolism may get interrupted which can lead to feelings of nausea,” Zanini says.

What’s more, the insulin that rushes to get excess sugar out of your blood and into your cells can cause a blood sugar crash. This can leave you feeling fatigued and hungry, explains dietitian Alissa Rumsey.

Those with diabetes will have different, but just as uncomfortable side effects. “If you have diabetes and spike your blood sugar with a smoothie, or any other food or drink for that matter, your cells may not be responding as well to insulin, so your sugar will stay elevated for a longer period," explains Rumsey. “This can cause headaches, fatigue, increased thirst, blurred vision, and make it challenging to concentrate.”

Portions matter
Whether or not you have diabetes, you’ll want to stick to a small, 250-300g smoothie to ward off blood sugar spikes. This size will pack about 700 to 1900 kJs, making it an ideal snack or small meal, says dietitian Angel Planells.

Prefer to order your smoothies and like to size up to save money? Divide the serving into a few smaller ones, advises Planells. When stored in an airtight container or mason jar, a smoothie can last for two or three days in the refrigerator. If stowed in the freezer, a leftover smoothie can last up to a week.

Strike the right balance
Just as a healthy snack or meal contains a mix of carbs, protein and fat, a well-constructed smoothie will contain the same elements. Striking this balance is essential to preventing unwanted blood sugar highs and lows, says Zanini. “While there is no ‘perfect’ ratio of ingredients, a good guideline would be to have a small serving of fruit, a tablespoon or two of healthy fat, a source of protein and a serving or two of vegetables.” (FYI: Zucchini, cauliflower, and spinach are basically undetectable in smoothies.)

In your own kitchen, hitting the right nutritional marks isn’t too challenging. However, if you prefer to get smoothies from a shop, you may have to ask the cashier to tweak an existing recipe or give them a custom order to stay on track.

Watch for boobie traps
It’s worth noting that even if you follow these guidelines to a tee, you can still get tripped up. “Many smoothies often contain added sugars from sweetened yogurts, sweetened non-dairy milk, or juice. Combined with the fresh fruit that’s typically in smoothies, this is far too much sugar,” says Rumsey. “Even though the sugar in fruit is natural sugar, if you’re drinking all that sugar at once without much protein or fat, it will cause a large blood sugar spike.”

“When ordering, don't be afraid to ask questions about what’s added to your smoothie to make sure you are making the most informed choice possible,” Zanini adds. Ask if the almond or soy milk is unsweetened and if the yogurt has added sugars. If the clerk isn’t sure, ask to see the containers.

And no matter where you get your smoothie fix—in your own kitchen or at a smoothie shop—try to stick to these nutritionist-recommended smoothie ingredients. When consumed in the correct amounts and with our recommended ingredient pairings, they’ll keep your blood sugar levels even-keeled, and those icky hungry/nauseous/headachy feelings at bay.

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