Short Summary
Main recommendation: Tomatoes are low in carbs and can be included in a diabetes-friendly diet, but tomato paste and store-bought ketchup are concentrated sources of carbs that need portion control. Dr. Ahmed Ergin, an endocrinologist, says a medium tomato contains about five grams of carbs, while one tablespoon of ketchup can also contain about five grams of carbs.
Key Points
- A medium tomato has around five grams of carbs, so it is not considered high in carbs.
- Tomato paste is more concentrated than a whole tomato, which the speaker compares to orange juice versus eating an orange: processing removes fiber and concentrates sugar.
- Store-bought ketchup can contain about five grams of carbs per tablespoon, and it is easy to use more than one tablespoon without noticing.
- Tomatoes are described as filling and suitable for salads, and paired with feta or white cheese, cucumbers, and eggs for a savory, low-carb breakfast.
- Dr. Ergin says tomatoes are rich in potassium, calcium, and phosphorus, and he says more tomatoes and vegetables with less sodium will help blood pressure.
Details Worth Noting
- Concrete instructions:
- Eat whole tomatoes in salads or with breakfast foods such as eggs, feta or white cheese, and cucumbers, especially in season.
- If buying ketchup, read the nutrition label and check the carb content per tablespoon.
- Measure ketchup rather than pouring it freely, since one tablespoon is about five grams of carbs.
- Be mindful of tomato paste when using it heavily in cooking, since the concentrated form can raise carb intake.
- Making ketchup at home is presented as a good option.
- Full-fat white cheese is acceptable in moderation, according to the speaker.
- The speaker frames the blood pressure benefit as coming from a diet with less sodium and more potassium from vegetables and tomatoes.
- The video includes jokes about tomatoes (a vegetable/fruit pun and a ketchup pun) that are not medical advice.
Bottom Line
Whole tomatoes are a low-carb option, but processed forms like ketchup and paste deliver carbs quickly, so measure them and check labels.





