Fruit · Tropical Fruit

How Many Carbs in a Banana? By Size, Ripeness & Net Carbs

Exact USDA carb counts for every banana size, what net carbs mean, how ripeness turns starch into sugar, what bananas do to blood sugar, and how to fit them into keto, diabetes-conscious and active eating.

Meet the Medical Advisory Board
Evidence-based32 sources citedUpdated October 16, 2026
Published Oct 12, 2026Last updated Oct 16, 2026Editorial policyMedical review policyFact-checking policy
Five ripe yellow bananas on a pale yellow background
Ripe yellow bananas, the stage when most of a banana's starch has turned to sugar.
The Dr. Axe Score™
6.0/10
Overall Dr. Axe Score · How Many Carbs in a Banana? By Size, Ripeness & Net Carbs

Bananas score 6.0 as a whole-food carbohydrate with human research on the fruit itself for blood sugar and exercise, and a deep body of research on the resistant starch in green bananas.

Scientific Evidence
6.4/10
Human studies of bananas on blood sugar, exercise and diabetes risk, plus a 36-trial review of resistant starch types, including the one green bananas carry.
Antioxidant & Anti-Inflammatory
5.2/10
Vitamin C and manganese; in cyclists, inflammation after a hard ride matched a sports drink.
Clinical Effectiveness
6.8/10
A whole-food swap for added sugar and a workout fuel that matched a sports drink; at 27.0 grams of carbs, it's best paired with protein.
Nutrient Density
5.6/10
About a quarter of a day's vitamin B6, plus manganese, vitamin C, fiber and potassium.
Why this score?
Why How Many Carbs in a Banana? By Size, Ripeness & Net Carbs scores 6.0 / 10

    Weighting: Evidence 30% · Antioxidant & Anti-Inflammatory 25% · Clinical Effectiveness 25% · Nutrient Density 20% (6.4×0.30 + 5.2×0.25 + 6.8×0.25 + 5.6×0.20 = 6.04, shown as 6.0).

    A transparent, weighted index built for foods. See how it’s calculated →
    Dr. Axe Protocol

    Insulin Resistance & Prediabetes

    90-day protocol

    The complete root-cause framework for lowering insulin, bringing HbA1c back to healthy and stopping prediabetes before it becomes diabetes — with the labs to prove it’s working.

    • A self-check
    • The four-phase plan
    • A 7-day meal plan

    Free with your Dr. Axe account

    View the protocol →
    Banana carbs at a glance

    A medium banana, 7 to 7⅞ inches long and 118 grams, has 27.0 grams of carbohydrate, 3.1 grams of fiber and 23.9 grams of net carbs, with 14.4 grams of natural sugar and 105 calories.1

    • By size: from 18.5 grams of carbohydrate in an extra-small banana to 34.7 grams in an extra-large one1
    • Ripeness: green bananas hold most of their carbohydrate as starch, much of it resistant starch, and ripening turns that starch into sugar23
    • Blood sugar: a raw banana's glycemic index averages 51, in the low range, and greener fruit raised blood sugar less in adults with type 2 diabetes42
    • How to eat it: pair it with protein or fat, and enjoy it earlier in the day or around a workout
    • Keto: one medium banana has more net carbs than a strict keto day allows, so save it for when you add carbs back

    A banana changes its own nutrition while it sits on your counter. Bought green, it holds most of its carbohydrate as starch, much of it a kind your body doesn't digest; a few days later, that starch has become the sugar that makes a speckled banana taste so sweet.23

    USDA's nutrition record for bananas doesn't separate one stage from another,3 so the familiar carb count describes an average banana, and size is what moves that count. An extra-small banana carries 18.5 grams of carbohydrate and an extra-large one 34.7 grams.1 Ripeness changes the kind of carbohydrate inside, and that's what your blood sugar responds to.2

    Bananas made the fruit list in The Biblio Diet, my book with Jordan Rubin, which names organic fresh or frozen fruit as the best choice.5 When I talked on my show about satisfying a sweet tooth, bananas came up by name:6

    Every time you're trying to sweeten up a recipe or satisfy your sweet tooth, do fruit. Even the sweeter fruits like watermelon or bananas are always going to be better than added sugar or a sweetened dessert.Dr. Josh Axe, DC, DNM, CNSFrom 11 Foods with SHOCKINGLY High Amounts of Sugar (Best Sugar Substitutes), The Dr. Josh Axe Show (2024), at 22:54
    Advertisement20% off Ancient Nutrition Multi Collagen Protein, code MCP20

    How many carbs are in a banana?

    Quick answer

    A medium banana, 7 to 7⅞ inches long and 118 grams, has 27.0 grams of carbohydrate, including 3.1 grams of fiber and 14.4 grams of natural sugar.1 A small banana has 23.1 grams and a large one 31.1 grams.1

    These counts come from USDA FoodData Central's record for raw bananas, worked out at USDA's own weight for each size.1

    Carbs in one banana by size, from USDA FoodData Central (Bananas, raw, FDC 173944) at USDA's portion weights. Net carbs are worked out before rounding, so a row can differ by 0.1 gram from subtracting the rounded columns.1

    SizeLengthWeightTotal carbsFiberNet carbsSugarsCalories

    Extra small

    Under 6 in

    81 g

    18.5 g

    2.1 g

    16.4 g

    9.9 g

    72

    Small

    6 to 6⅞ in

    101 g

    23.1 g

    2.6 g

    20.4 g

    12.4 g

    90

    Medium

    7 to 7⅞ in

    118 g

    27.0 g

    3.1 g

    23.9 g

    14.4 g

    105

    Large

    8 to 8⅞ in

    136 g

    31.1 g

    3.5 g

    27.5 g

    16.6 g

    121

    Extra large

    9 in or longer

    152 g

    34.7 g

    4.0 g

    30.8 g

    18.6 g

    135

    Sliced

    1 cup

    150 g

    34.3 g

    3.9 g

    30.4 g

    18.3 g

    134

    Mashed

    1 cup

    225 g

    51.4 g

    5.9 g

    45.5 g

    27.5 g

    200

    Total carbs by banana size and cup

    Total carbs by banana size and cupUSDA FoodData Central record for raw bananas · USDA portion weights from 81 g to 225 g. 1 cup mashed: 51.4 g total carbs; Extra large (9 in or longer): 34.7 g total carbs; 1 cup sliced: 34.3 g total carbs; Large (8 to 8⅞ in): 31.1 g total carbs; Medium (7 to 7⅞ in): 27 g total carbs; Small (6 to 6⅞ in): 23.1 g total carbs; Extra small (under 6 in): 18.5 g total carbsUSDA FoodData Central record for raw bananas · USDA portionweights from 81 g to 225 g1 cup mashed51.4 g total carbsExtra large (9in or longer)34.7 g total carbs1 cup sliced34.3 g total carbsLarge (8 to 8⅞in)31.1 g total carbsMedium (7 to 7⅞in)27 g total carbsSmall (6 to 6⅞in)23.1 g total carbsExtra small(under 6 in)18.5 g total carbs
    Source: USDA FoodData Central, SR Legacy (FDC 173944) [1]Grams of total carbohydrate per banana or cup, including fiber.

    A medium banana's 27.0 grams is about 10% of the 275-gram daily value for carbohydrate.17 If you weigh your fruit, USDA's record works out to 22.84 grams of carbohydrate and 2.6 grams of fiber per 100 grams, or about 20.2 grams of net carbs.1 Bananas are about three-quarters water by weight, 74.9 grams in every 100, so their carbohydrate comes packed with water and fiber.1

    Get the free Insulin Resistance & Prediabetes protocol

    If you count carbs for the sake of your blood sugar, this free 90-day protocol shows you how to build meals that keep it steady:

    • Why eating vegetables and protein first and carbs last leads to a smaller blood-sugar rise
    • A 10- to 15-minute walk after your two biggest meals
    • Four phases, in order, with the foods to eat freely and the ones to avoid

    Free with your Dr. Axe account (email or Google). You'll also get the protocol's short email series and the Dr. Axe newsletter; unsubscribe anytime.

    Open the free protocol →

    How many net carbs are in a banana?

    Quick answer

    A medium banana has 23.9 grams of net carbs: its 27.0 grams of total carbohydrate minus 3.1 grams of fiber.1 Net carbs leave out fiber because fiber doesn't raise blood sugar the way starch and sugar do.8

    Net carbs are the number to watch on keto and other low-carb plans, which hold them to about 20 to 50 grams a day.8 The keto section below shows where a banana fits.

    Green bananas change the math in your favor. USDA's banana record makes no distinction by ripeness, and its fiber figure comes from an older lab method that doesn't capture the resistant starch in green fruit.3 When researchers at Virginia Tech and the USDA tested one shipment of bananas both ways at four stages of ripeness, unripe fruit measured 17.9 grams of fiber per 100 grams with the newer method, which counts resistant starch as fiber, against 1.4 grams with the older one. By the overripe stage, the two methods were close, at 1.6 and 1.1 grams.3 So a greener banana gives you fewer digestible carbs than the standard count suggests.

    How much sugar is in a banana?

    Quick answer

    A medium banana has 14.4 grams of natural sugar, about 5.9 grams of glucose, 5.7 grams of fructose and 2.8 grams of sucrose, and no added sugar.1 The rest of its carbohydrate is mostly starch, 6.3 grams in USDA's average banana, and 3.1 grams of fiber.1

    USDA works out total carbohydrate as what's left after water, protein, fat and minerals are measured, so the sugar, starch and fiber figures don't add up to the total exactly.1 The split between sugar and starch also depends on ripeness, as the next section shows.

    The sugar in a banana is a different thing from the sugar in a soda. I've made this point on my show before: sugar itself isn't the culprit; the trouble is sugar that comes without the fiber and nutrients of a whole food.6 A banana delivers its sugar with fiber, water, potassium and vitamin B6, while a soda or a candy bar brings sugar with little else. For the limits that apply to added sugar, see how much sugar per day and the hidden sugar foods that add it without your noticing.

    How does ripeness change a banana's carbs?

    Quick answer

    Ripening turns a banana's starch into sugar. In a lab analysis of bananas at four stages, unripe green fruit carried 12.7 grams of starch and 4.0 grams of sugar per 100 grams; by the slightly ripe stage, starch had dropped to 3.4 grams and sugar had climbed to 15.1.3

    For that analysis, researchers at Virginia Tech and the USDA took one shipment of Cavendish bananas, the everyday grocery variety, and tested medium-size fruit at four stages, from green to speckled, averaging 3 samples of 3 to 5 bananas at each stage.3

    What ripening does to a banana's carbs, in grams per 100 grams of banana. Averages of the 3 samples at each stage, from the study's supplementary data. The starch test and the newer fiber test both pick up resistant starch, so these columns aren't meant to be added together.3

    StageStarchTotal sugarsFiber, newer method (counts resistant starch)Fiber, older method
    Green (unripe)12.7 g4.0 g17.9 g1.4 g
    Slightly ripe3.4 g15.1 g3.8 g1.2 g
    Ripe1.9 g16.0 g2.8 g1.2 g
    Overripe0.4 g14.2 g1.6 g1.1 g

    As a banana ripens, its starch turns to sugar

    As a banana ripens, its starch turns to sugarOne shipment of Cavendish bananas, medium size · 3 samples of 3 to 5 bananas at each stage. Green (unripe): Starch 12.7 g per 100 g, Total sugars 4 g per 100 g, Fiber, newer method (counts resistant starch) 17.9 g per 100 g; Slightly ripe: Starch 3.4 g per 100 g, Total sugars 15.1 g per 100 g, Fiber, newer method (counts resistant starch) 3.8 g per 100 g; Ripe: Starch 1.9 g per 100 g, Total sugars 16 g per 100 g, Fiber, newer method (counts resistant starch) 2.8 g per 100 g; Overripe: Starch 0.4 g per 100 g, Total sugars 14.2 g per 100 g, Fiber, newer method (counts resistant starch) 1.6 g per 100 gOne shipment of Cavendish bananas, medium size · 3 samplesof 3 to 5 bananas at each stage12.73.41.90.4Starch (g per 100 g)415.11614.2Total sugars (g per 100 g)17.93.82.81.6Fiber, newer method (counts resistant starch) (gper 100 g)Green (unripe)Slightly ripeRipeOverripe
    Source: Phillips et al. · PLoS One, 2021 [3]Grams per 100 grams of banana at each stage of ripeness.

    Bananas bought from stores told the same story. In the same study's samples from several suppliers, starch averaged 4.50 grams per 100 grams in slightly ripe fruit, 2.52 grams in ripe fruit and 0.48 grams in overripe fruit, while total sugars ran from 15.0 to 17.1 grams across the three stages, with no statistically significant difference between them.3 Once a banana is yellow, its sugar stays in about the same range while the last of its starch keeps shrinking.

    Here's what that starch does once you eat a green banana:

    1Green bananas store starch

    In under-ripe bananas, starch makes up 80% to 90% of the carbohydrate, much of it the raw, granular resistant starch researchers call type 2.29

    2Resistant starch slips past digestion

    Much of a green banana's starch passes through the small intestine without being broken down into sugar.10

    3Blood sugar rises more gently

    In 10 adults with type 2 diabetes, under-ripe bananas raised blood sugar less than over-ripe ones, which the researchers credited to the slow-digesting starch.2

    4Bacteria in the colon ferment it

    In the colon, gut bacteria ferment resistant starch and fiber into short-chain fatty acids, including butyric acid, also called butyrate, the main fuel for the cells that line the colon.11

    5Ripening breaks the starch down

    As the banana ripens, its starch breaks down into glucose, fructose and sucrose, until an overripe banana keeps only 0.4 grams of starch per 100 grams.3

    Each of a banana's stages has its use. Reach for a greener banana when you want a gentler rise in blood sugar and more resistant starch for your gut, and a ripe one when you want quick fuel before exercise or natural sweetness in a recipe. If you'd like that starch without eating firm green fruit, green banana flour is made from unripe bananas.

    What is the glycemic index of a banana?

    Quick answer

    A raw banana's glycemic index averages 51, which puts it in the low range (55 or less) on the scale where pure glucose scores 100.4 Its glycemic load, which also counts how much carbohydrate a serving carries, works out to about 12 for a medium banana.41

    That 51 comes from the 2008 international glycemic index tables, which average the results of testing from multiple labs, and it puts bananas among the low-glycemic foods.4 Glycemic load multiplies a food's glycemic index by the digestible carbohydrate in a serving and divides by 100. For a medium banana, 51 × 23.9 ÷ 100 comes to about 12.41

    Ripeness moves the number. In a Danish study, 10 adults with type 2 diabetes each ate three test meals on separate days: 120 grams of under-ripe banana (about one medium banana), 120 grams of over-ripe banana and 40 grams of white bread. Over the next 4 hours, the under-ripe banana produced the smallest blood-sugar response, 62, against 106 for the over-ripe banana and 181 for the bread, and both bananas raised blood sugar significantly less than the bread did.2 Insulin responses were similar after all three meals.2

    Banana benefits, ranked by evidence

    Human research on bananas, and on the starch in green bananas, supports five benefits, ranked here by the strength of that evidence: steady fuel for exercise, potassium for healthy blood pressure, a gentler blood-sugar rise from greener fruit, food for your gut bacteria, and a lower type 2 diabetes risk when bananas replace fruit juice.

    1

    Steady fuel for exercise

    Moderate evidenceHuman study2 randomized trials · 14 and 20 trained cyclists, each tried every option

    Bananas have been tested head to head against a sports drink in two randomized trials. In the first, 14 trained male cyclists each rode two 75-kilometer time trials, one fueled with bananas and one with a 6% carbohydrate sports drink, taking 0.2 grams of carbohydrate per kilogram of body weight every 15 minutes. They finished in 2.41 hours on bananas and 2.36 hours on the drink, a difference that wasn't statistically significant, and their blood sugar didn't differ.12

    In the second, 20 cyclists each rode four times, fueled by two kinds of banana, the sugar drink or water. Bananas and the sugar drink were comparable at curbing the metabolic stress and inflammation of the ride, and all three did better than water.13 Compared with water, both bananas and the drink meant less muscle cramping after the ride, with cramping scores up 1.8 and 2.0 points on the bananas and 2.3 on the drink, against 3.7 on water. They also brought more fullness and bloating: fullness scores rose 3.0 and 3.2 points on the bananas and 0.3 on the drink, and fell 1.1 on water.13 A banana company funded both trials.1213

    Before or after a workout, I often have fruit with protein powder.14 A banana blended with a scoop of protein powder covers both, and you'll find more ideas in pre-workout snacks and post-workout meals.

    Study takeaway: in 14 trained cyclists, bananas fueled a 75-kilometer ride as well as a sports drink.

    Bananas fueled a 75-kilometer ride as well as a sports drink

    Bananas fueled a 75-kilometer ride as well as a sports drink14 trained male cyclists, each rode once on each fuel · 0.2 g of carbohydrate per kg of body weight every 15 minutes. Bananas: 2.41 hours to finish; 6% carbohydrate sports drink: 2.36 hours to finish14 trained male cyclists, each rode once on each fuel · 0.2g of carbohydrate per kg of body weight every 15 minutes
    2.41 hours to finish
    BANANAS
    2.36 hours to finish
    6% CARBOHYDRATE SPORTS DRINK
    Source: Nieman et al. · PLoS One, 2012 [12]Time to finish the 75-kilometer time trial; shorter is faster, and the two times weren't significantly different.
    2

    Potassium for healthy blood pressure

    Moderate evidenceHuman studyReview of 22 randomized trials (1,606 adults) and 11 cohort studies

    A medium banana gives you 422 milligrams of potassium, 9% of the daily value.115 In a review of 22 randomized trials with 1,606 adults, higher potassium intake lowered systolic blood pressure by 5.32 points and diastolic by 3.10 points in people with high blood pressure, and by 3.49 and 1.96 points across all adults, with no significant drop in people without high blood pressure; in 11 cohort studies, higher intake went with a 24% lower risk of stroke.16 The trials tested higher potassium intake rather than bananas themselves.

    My High Blood Pressure Protocol lists bananas among its eat-freely foods, alongside sweet potatoes and tomatoes, and sets a target of 4,000 to 4,700 milligrams of potassium a day from food.17 My wife and I lived in Puerto Rico for a short time and honeymooned in St. Lucia. In an episode on hydration, I pointed out that the fruits that grow most in the Caribbean, from pineapple, coconut and mango to bananas, all carry potassium, in places where the sun and humidity keep people sweating. It's a reminder of how God put certain foods in the parts of the world where people need them.18 For more, see potassium-rich foods and the high blood pressure diet.

    Study takeaway: in 16 randomized trials of people with high blood pressure, higher potassium intake lowered systolic blood pressure by 5.32 points.

    3

    A gentler blood-sugar rise from greener fruit

    Emerging evidenceHuman studyTest in 10 adults with type 2 diabetes · review of 36 trials (982 people) · 24-week randomized trial in 113 adults

    The glycemic index section above has the core result: in 10 adults with type 2 diabetes, under-ripe banana raised blood sugar less than over-ripe banana or white bread.2 Green banana has also been tested over months. In a 24-week randomized trial of 113 adults with prediabetes or type 2 diabetes, adding 40 grams a day of cooked green banana pulp, about 4.5 grams of resistant starch, to diet advice lowered HbA1c, fasting glucose, body weight, body fat and diastolic blood pressure within the banana group; the advice-only group's HbA1c fell too, and the two groups didn't differ at the end.19

    The starch behind these results has a larger body of research. In a review of 36 randomized trials with 982 people who had type 2 diabetes or prediabetes, which compared types of resistant starch, the type green bananas carry lowered blood sugar after meals, with a large effect in single-meal tests (an effect size of 0.96) and a smaller one over weeks of daily use (0.29), along with lower fasting glucose and fasting insulin, mostly when given as a starch supplement rather than as fruit.9

    Study takeaway: in a review that compared resistant starch types across 36 randomized trials, the type green bananas carry lowered blood sugar after meals in people with type 2 diabetes or prediabetes.

    4

    Food for your gut bacteria

    Emerging evidenceHuman studyStudy in people with ileostomies · review of 18 green banana studies, 12 in people

    Much of a green banana's starch survives digestion and reaches your colon. In people with ileostomies, whose small-intestine output can be collected and measured, up to 90% of the starch passed through undigested, and the less ripe the banana, the more starch reached the colon, up to 8 times the fruit's other fiber.10 There, your gut bacteria ferment it into butyrate and other short-chain fatty acids, as the steps above show. A systematic review of 18 studies of green banana flour and green banana pulp, 12 of them in people, found benefits for digestive symptoms most often, followed by blood sugar and insulin, and only one of the 18 didn't confirm the benefit it tested.20

    On my show, I've talked about resistant starch as a starch that supports butyrate production, and I've said I believe plantains, the banana's starchy cousin, carry a similar type.21 For more food sources, see prebiotic foods.

    Study takeaway: in people with ileostomies, up to 90% of a banana's starch passed through the small intestine undigested, ready to feed gut bacteria.

    5

    Lower diabetes risk when bananas replace juice

    Mixed evidenceHuman study3 U.S. cohorts, 187,382 adults · Singapore cohort, 45,411 adults

    In three long-running U.S. studies that followed 187,382 nurses and health professionals, 12,198 of whom developed type 2 diabetes, every three servings of bananas a week went with a 5% lower risk, and swapping three weekly servings of fruit juice for bananas went with a 13% lower risk, while fruit juice itself went with an 8% higher risk.22 The banana link showed up in two of the three cohorts and not in the third, the original Nurses' Health Study.22 In a Singapore study of 45,411 Chinese adults, bananas went with an 11% higher risk per three servings a week in men and no significant difference in women.23 Both are observational studies, which show links rather than cause.

    I've pointed to that U.S. study in an episode on high-sugar foods, along with the fiber in whole fruit, which slows how fast its sugar is absorbed.6 The practical message: eat your fruit whole and leave the juice on the shelf. See is juice healthy for more.

    Study takeaway: swapping three weekly servings of fruit juice for bananas went with a 13% lower risk of type 2 diabetes in 187,382 U.S. adults.

    Do bananas spike blood sugar?

    Quick answer

    A banana raises blood sugar moderately, less than white bread and less still when it's greener: its glycemic index averages 51, and in adults with type 2 diabetes, 120 grams of under-ripe banana raised blood sugar about a third as much as 40 grams of white bread.42 What you eat with it, and what you do afterward, can make the rise gentler still.

    A whole-food carbohydrate like a banana gives a moderate rise, and you can soften it. On my show, I've put the fix in three steps:24

    Let's flatten out the curve. Eat your protein and fiber before the carbs, cut the added sugar and the refined flour, and take a 10-minute walk after meals. That will steady your blood sugar.Dr. Josh Axe, DC, DNM, CNSFrom The Real Reason You Wake Up Tired Every Morning, The Dr. Josh Axe Show (2026), at 5:59

    The research backs both the food order and the walk. In a small pilot study, 11 adults with type 2 diabetes who took metformin ate the same meal of bread, orange juice, chicken and vegetables on two days a week apart, carbohydrates first on one day and last on the other. With the carbohydrates last, their blood sugar ran 28.6% lower at 30 minutes, 36.7% lower at 60 minutes and 16.8% lower at 2 hours.25 And in a randomized trial in which 41 adults with type 2 diabetes each tried both plans for 2 weeks, the rise in blood sugar over the 3 hours after meals was 12% smaller with a 10-minute walk after each main meal than with one 30-minute walk a day, and 22% smaller after the evening meal.26

    My protocols put the rule simply: never eat carbs naked; always pair them with protein or fat.27 My Insulin Resistance & Prediabetes protocol builds the day around it, with vegetables and protein first, carbohydrates last and a 10- to 15-minute walk after your two biggest meals.28 Timing helps, too. In the same episode, I described a breakfast built on one serving of fruit with plenty of protein and some extra fiber, and I said the ideal is very low carb at night, with protein, fat and fiber at dinner.24 That makes breakfast, lunch or the hour around a workout the natural place for a banana. For more ways to keep the curve flat, see normal blood sugar and the insulin resistance diet.

    If you'd like to see your own response, my Type 2 Diabetes Protocol suggests wearing a continuous glucose monitor for two weeks to expose the spikes.29

    Can you eat bananas if you have diabetes?

    If you've been diagnosed with diabetes, weight gain, cardiovascular issues, metabolic syndrome, PCOS, inflammatory conditions or Candida overgrowth, my guideline is two servings of fruit a day from a low-sugar list that leaves bananas out: avocado, lemons, limes, strawberries, blueberries, apples (especially green apples with the skin), blackberries, olives and grapefruit.5 If you're healthy and active, it's three to four servings of fruit a day, and I hold that some fruit is always better than none.5

    One small study has tested daily bananas in diabetes. In a study with no comparison group, 15 adults with type 2 diabetes ate 250 grams of banana, about two medium bananas, at breakfast every day for 4 weeks. Adiponectin, a hormone that helps insulin do its job, rose from 37.5 to 48.8 ng/mL, while their blood sugar and blood fats didn't change significantly. In 30 adults with high cholesterol in the same study, who ate 250 or 500 grams a day for 12 weeks, fasting blood sugar fell within 4 weeks, from 99 to 92 mg/dL and from 102 to 92 mg/dL, and stayed lower through week 12, and their ratio of LDL to HDL cholesterol improved, from 2.7 to 2.1 and from 2.8 to 2.5.30 For a full plan, see the diabetic diet plan.

    If you take medication to lower your blood sugar, read the safety section below before you change how you eat.

    Three blood tests that show how you handle carbs

    The glycemic index tells you how a food behaves on average. These numbers show how your own body has been handling sugar over time, though not how any single food affects you. Targets are Dr. Axe's functional ranges.

    • HbA1c: Your average blood sugar over about three months. The optimal range is 4.8% to 5.3%.
    • Fasting insulin: How much insulin your body needs to keep blood sugar in range. The optimal range is 2 to 8 µIU/mL.
    • Triglyceride-to-HDL ratio: A simple read on metabolic health. Dr. Axe's target is under about 1.5.

    See the cellular bloodwork panel

    Have results? Analyze them free →

    Are bananas keto?

    Quick answer

    Not on a strict keto day: a medium banana has 23.9 grams of net carbs, more than the 20 grams a day that gets most people into ketosis, so it's a healthy carb to set aside for now.18 Half a medium banana has about 12 grams of net carbs.1

    Keto plans hold net carbs to about 20 to 50 grams a day, and staying near 20 grams is what moves most people into ketosis within a few days.8 One banana would use up a strict day on its own, which is why the keto diet food list sets bananas aside with other healthy carbs, such as sweet potatoes and beans. The fruit that fits keto is berries in small amounts, plus lemon and lime;8 see keto fruit for the amounts.

    Setting bananas aside on keto is temporary. In one episode, I said I really like a ketogenic diet for certain conditions, but I don't typically like it long term, for more than about three months at a time; after that, you add some carbs back in.31 That's when bananas come back to the table.

    You don't have to go keto to eat well for blood sugar, either. My Type 2 Diabetes Protocol says you need not be strictly keto: cut refined carbs and sugar, lead with protein and fiber, and choose a carb level you can sustain.29 To find your own range, see how many grams of carbs per day.

    What else is in a banana?

    Beyond its carbs, a medium banana gives you about a quarter of a day's vitamin B6, plus useful amounts of manganese, vitamin C, fiber and potassium, for 105 calories and almost no fat.17

    Calculated from USDA FoodData Central record 173944 (Bananas, raw) at USDA's 118-gram medium banana. % Daily Value uses FDA reference values.17

    NutrientMedium banana (118 g)% Daily ValuePer 100 g
    Calories105n/a89
    Carbohydrate27.0 g10%22.84 g
    Fiber3.1 g11%2.6 g
    Total sugars14.4 gn/a12.23 g
    Starch6.3 gn/a5.38 g
    Protein1.3 g3%1.09 g
    Fat0.4 g<1%0.33 g
    Vitamin B60.43 mg25%0.367 mg
    Manganese0.32 mg14%0.27 mg
    Vitamin C10.3 mg11%8.7 mg
    Potassium422 mg9%358 mg
    Magnesium32 mg8%27 mg
    Folate24 mcg6%20 mcg
    Water88.4 gn/a74.9 g

    For a fruit, that's a strong share of vitamin B6. For what a banana's potassium does for blood pressure, see the benefits section above.

    How should you eat a banana for steady blood sugar?

    These habits give you a banana's fuel and nutrients with a gentler rise in blood sugar:

    • Pair it with protein or fat. Slice it over plain A2 or goat-milk Greek yogurt or kefir, or eat it with a handful of almonds or walnuts or a couple of eggs.27

    • Eat it earlier in the day. Breakfast, lunch or the hour around a workout suits a banana better than dinner, since the ideal dinner is very low carb.24

    • Choose a greener banana for a gentler rise. Yellow with green tips still carries more starch than a speckled one.32

    • Walk for 10 minutes after the meal. A short walk after each main meal lowered after-meal blood sugar in adults with type 2 diabetes.26

    • Keep smoothies to one banana, with protein. Blend it with a scoop of protein powder,14 a handful of greens and unsweetened almond milk; see these healthy smoothie recipes for more.

    • Sweeten with it, in small amounts. When a recipe needs sweetness, a little raw honey or mashed ripe banana can stand in for refined sugar.6

    • Freeze ripe bananas. Peel and slice them before they go too soft, then freeze them for smoothies or blend them on their own into a soft-serve dessert.

    Not sure how bananas fit your plan?

    Ask Dr. Axe AI. Its answers draw on this library and show their sources.

    Banana side effects and who should be careful

    Quick answer

    Bananas are a safe everyday food for most people. The cautions are blood-sugar medication, potassium if you have kidney disease or take certain blood pressure medicines, and latex-fruit allergy.

    If you take medication for blood sugar

    Never stop or change a diabetes medication on your own. As your numbers improve with the habits on this page, bring your labs and home readings to your prescriber and let them adjust your doses, as the Type 2 Diabetes Protocol explains.29

    Potassium, kidney disease and blood pressure medicines

    A medium banana carries 422 milligrams of potassium.1 In people with chronic kidney disease, or who take medicines such as ACE inhibitors or potassium-sparing diuretics, even dietary potassium below the usual recommended intake can cause hyperkalemia, too much potassium in the blood, and NIH's Office of Dietary Supplements also lists angiotensin receptor blockers (ARBs) among the blood pressure medicines that can raise potassium.15 If one of these applies to you, ask your doctor how much potassium is right for you before adding high-potassium foods.

    Banana and latex allergy

    Banana is among the fruits most often linked to latex allergy, along with avocado, kiwi and papaya, because their proteins can cross-react.32 If bananas make your mouth itch or your lips swell, stop eating them and see an allergist; throat swelling or trouble breathing is an emergency, so call 911. See food allergy symptoms for the signs.

    The bottom line

    How many carbs are in a banana?

    A medium banana has 27.0 grams of carbohydrate and 23.9 grams of net carbs, and it delivers them as a whole food, with fiber, potassium, vitamin B6 and, while it's still green, a good share of resistant starch for your gut.13 Its glycemic index sits in the low range, it fueled cyclists as well as a sports drink, and swapping juice for bananas went with a lower diabetes risk in a large U.S. study. Whenever you want something sweet, a banana beats added sugar or a dessert.6

    Choose the ripeness that fits the moment: a greener banana for a gentler rise, a ripe one for quick fuel. Pair it with protein or fat, eat it earlier in the day and take a short walk after meals. If you have diabetes or another blood-sugar condition, stick with two servings a day of low-sugar fruits, and on keto, set bananas aside until you add carbs back. Your body was designed to run on real food, and a banana is real food at its simplest.

    Get the free Insulin Resistance & Prediabetes protocol

    A four-phase plan for steadier blood sugar, starting with eating your carbs last and walking after meals. Free with your Dr. Axe account (email or Google). You'll also get the protocol's short email series and the Dr. Axe newsletter; unsubscribe anytime. Have recent bloodwork? Analyze it free.

    Open the free protocol →

    How many carbs in a banana: frequently asked questions

    How many carbs are in a medium banana?

    27.0 grams. A medium banana, 7 to 7⅞ inches long and 118 grams, has 27.0 grams of carbohydrate, including 3.1 grams of fiber and 14.4 grams of natural sugar, for 105 calories.1

    How many net carbs are in a banana?

    A medium banana has 23.9 grams of net carbs: 27.0 grams of total carbohydrate minus 3.1 grams of fiber.1 A greener banana gives you fewer digestible carbs than that, because more of its starch is resistant starch that passes through your small intestine undigested.310

    How many carbs are in a small banana?

    A small banana, 6 to 6⅞ inches long and 101 grams, has 23.1 grams of carbohydrate and 20.4 grams of net carbs. An extra-small banana, under 6 inches, has 18.5 grams of carbohydrate.1

    How many carbs are in a large banana?

    A large banana, 8 to 8⅞ inches long and 136 grams, has 31.1 grams of carbohydrate and 27.5 grams of net carbs. An extra-large banana, 9 inches or longer, has 34.7 grams of carbohydrate.1

    How many carbs are in a cup of banana?

    A cup of sliced banana (150 grams) has 34.3 grams of carbohydrate and 30.4 grams of net carbs, and a cup of mashed banana (225 grams) has 51.4 grams of carbohydrate and 45.5 grams of net carbs.1

    How much sugar is in a banana?

    A medium banana has 14.4 grams of natural sugar, about 5.9 grams of glucose, 5.7 grams of fructose and 2.8 grams of sucrose, and no added sugar.1 Riper bananas carry more of their carbohydrate as sugar and less as starch.3

    Are bananas high in carbs?

    Bananas are a moderate source of carbs: a medium one has 27.0 grams of carbohydrate, about 10% of the daily value, and it comes with fiber, potassium and vitamin B6.17

    Do green bananas have fewer carbs?

    Fewer digestible ones: green bananas carry more of their carbohydrate as starch, and much of that starch is resistant starch your body doesn't digest, so fewer of their carbs reach your bloodstream as sugar.310 In a lab analysis, unripe bananas carried 4.0 grams of sugar per 100 grams, against 15.1 grams once they were slightly ripe.3

    What is the glycemic index of a banana?

    A raw banana's glycemic index averages 51, in the low range of 55 or less, and a medium banana's glycemic load works out to about 12.41 Greener bananas raise blood sugar less than riper ones.2

    Do bananas spike blood sugar?

    A banana raises blood sugar moderately, and less when it's greener: in 10 adults with type 2 diabetes, 120 grams of under-ripe banana produced about a third of the blood-sugar response of 40 grams of white bread.2 Eating protein and vegetables before your carbs and walking after meals lowers the rise further.2526

    Can diabetics eat bananas?

    Not on my plan for diabetes, which keeps fruit to two servings a day of low-sugar fruits like berries, green apples and grapefruit; bananas aren't on that list.5 If you take medication for blood sugar, let your prescriber adjust it as your numbers improve, and never change it on your own.29

    Are bananas keto-friendly?

    Not on a strict keto diet: a medium banana's 23.9 grams of net carbs is more than the 20 grams a day that gets most people into ketosis.18 Set bananas aside while you're in ketosis and bring them back when you add healthy carbs back.31

    Is a banana good before a workout?

    Yes. In two randomized trials in trained cyclists, bananas eaten during a 75-kilometer ride fueled it as well as a 6% carbohydrate sports drink.1213 Before or after a workout, I often have fruit with protein powder.14

    How much potassium is in a banana?

    A medium banana has 422 milligrams of potassium, 9% of the daily value.115 Bananas are on the eat-freely list in my High Blood Pressure Protocol, which aims for 4,000 to 4,700 milligrams of potassium a day from food.17

    When is the best time to eat a banana?

    Earlier in the day or around a workout. On my show, I've said the ideal is very low carb at night, with protein, fat and fiber at dinner.24

    Freshness & update log

    October 16, 2026 — Updated the optimal lab ranges to DrAxe.com's current standard.

    October 12, 2026 — Rewritten and re-sourced. Recalculated every banana size from USDA's raw banana record to the decimal (a medium banana has 27.0 grams of carbohydrate and 23.9 grams of net carbs) and added a sliced and a mashed cup; replaced the glycemic index summary with the 2008 international glycemic index tables (an average of 51) and a test of under-ripe and over-ripe bananas in adults with type 2 diabetes, removing the slightly under-ripe value of 42; corrected the glycemic load from about 13 to about 12; added ripeness data from the USDA and Virginia Tech study's supplementary tables, including green bananas; gave the full results of the three-cohort U.S. diabetes study, including the cohort that showed no link, and added a Singapore cohort; corrected the 2018 cycling trial (bananas and the sugar drink were comparable) and added its fullness and bloating findings and the banana-company funding of both cycling trials; replaced the review of activity breaks during sitting with a trial of 10-minute walks after meals; corrected the description of the resistant starch review; removed the half-banana workout timing plan; added three charts, a step-by-step diagram and the Dr. Axe Score; tied Dr. Axe's words to his show, book and protocols; and added safety notes on blood-sugar medication, potassium with kidney disease or certain blood pressure medicines, and latex-fruit allergy.

    References

    1. U.S. Department of Agriculture, Agricultural Research Service. Bananas, raw. FoodData Central, SR Legacy, FDC ID 173944 (NDB 9040). Published April 1, 2019. Per-portion values computed from the record's per-100-gram values (carbohydrate by difference 22.84 g, fiber 2.6 g) at USDA's portion weights: extra small 81 g, small 101 g, medium 118 g, large 136 g, extra large 152 g, 1 cup sliced 150 g, 1 cup mashed 225 g. Accessed October 8, 2026.
    2. Hermansen K, Rasmussen O, Gregersen S, Larsen S. Influence of ripeness of banana on the blood glucose and insulin response in type 2 diabetic subjects. Diabet Med. 1992;9(8):739-43. doi:10.1111/j.1464-5491.1992.tb01883.x. PMID:1395467
    3. Phillips KM, McGinty RC, Couture G, Pehrsson PR, McKillop K, Fukagawa NK. Dietary fiber, starch, and sugars in bananas at different stages of ripeness in the retail market. PLoS One. 2021;16(7):e0253366. doi:10.1371/journal.pone.0253366. PMID:34237070. Ripening-study values: S1 Table (medium fruit, mean of 3 composites per stage); retail values: Table 2.
    4. Atkinson FS, Foster-Powell K, Brand-Miller JC. International tables of glycemic index and glycemic load values: 2008. Diabetes Care. 2008;31(12):2281-3. doi:10.2337/dc08-1239. PMID:18835944
    5. Axe J, Rubin J. The Biblio Diet. Hachette Book Group; 2025. ISBN 9781546008439. Food lists ("Fruits"); fruit chapter (fruit servings guidance and the low-sugar fruit list).
    6. Axe J. 11 Foods with SHOCKINGLY High Amounts of Sugar (Best Sugar Substitutes). The Dr. Josh Axe Show (episode). 2024. Lines cited at 22:15, 22:43 and 22:54 (pull quote). YouTube: https://www.youtube.com/watch?v=KG7_2ZYmHLU&t=1335s
    7. U.S. Food and Drug Administration. Daily Value on the Nutrition and Supplement Facts Labels.
    8. DrAxe.com. Keto Diet: Benefits, Food List, 7-Day Meal Plan & How to Start (A Doctor's Guide). 2026. Section "Keto macros & net carbs."
    9. Pugh JE, Cai M, Altieri N, Frost G. A comparison of the effects of resistant starch types on glycemic response in individuals with type 2 diabetes or prediabetes: A systematic review and meta-analysis. Front Nutr. 2023;10:1118229. doi:10.3389/fnut.2023.1118229. PMID:37051127
    10. Englyst HN, Cummings JH. Digestion of the carbohydrates of banana (Musa paradisiaca sapientum) in the human small intestine. Am J Clin Nutr. 1986;44(1):42-50. doi:10.1093/ajcn/44.1.42. PMID:3014853
    11. Koh A, De Vadder F, Kovatcheva-Datchary P, Bäckhed F. From Dietary Fiber to Host Physiology: Short-Chain Fatty Acids as Key Bacterial Metabolites. Cell. 2016;165(6):1332-1345. doi:10.1016/j.cell.2016.05.041. PMID:27259147
    12. Nieman DC, Gillitt ND, Henson DA, Sha W, Shanely RA, Knab AM, et al. Bananas as an energy source during exercise: a metabolomics approach. PLoS One. 2012;7(5):e37479. doi:10.1371/journal.pone.0037479. PMID:22616015
    13. Nieman DC, Gillitt ND, Sha W, Esposito D, Ramamoorthy S. Metabolic recovery from heavy exertion following banana compared to sugar beverage or water only ingestion: A randomized, crossover trial. PLoS One. 2018;13(3):e0194843. doi:10.1371/journal.pone.0194843. PMID:29566095
    14. Axe J. Creatine Isn't Just for Muscle: What It Does for Your Brain, Energy and Healthy Aging. The Dr. Josh Axe Show (episode). 2026. Line cited at 20:55. YouTube: https://www.youtube.com/watch?v=bqe0ZGM4U1g&t=1255s
    15. National Institutes of Health, Office of Dietary Supplements. Potassium: Fact Sheet for Health Professionals. Updated June 2, 2022. Read October 8, 2026.
    16. Aburto NJ, Hanson S, Gutierrez H, Hooper L, Elliott P, Cappuccio FP. Effect of increased potassium intake on cardiovascular risk factors and disease: systematic review and meta-analyses. BMJ. 2013;346:f1378. doi:10.1136/bmj.f1378. PMID:23558164
    17. Axe J. The High Blood Pressure Protocol. DrAxe.com; 2026. The Pressure Reset, Remineralize phase (eat-freely foods; potassium target from food).
    18. Axe J. How to Hydrate Your Brain, Boost Energy & End Brain Fog. The Dr. Josh Axe Show (episode). 2025. Lines cited at 22:48 to 23:51. YouTube: https://www.youtube.com/watch?v=8nmGynV_jjQ&t=1368s
    19. Costa ES, França CN, Fonseca FAH, Kato JT, Bianco HT, Freitas TT, et al. Beneficial effects of green banana biomass consumption in patients with pre-diabetes and type 2 diabetes: a randomised controlled trial. Br J Nutr. 2019;121(12):1365-1375. doi:10.1017/S0007114519000576. PMID:30887937
    20. Falcomer AL, Riquette RFR, de Lima BR, Ginani VC, Zandonadi RP. Health Benefits of Green Banana Consumption: A Systematic Review. Nutrients. 2019;11(6):1222. doi:10.3390/nu11061222. PMID:31146437
    21. Axe J. The Shocking Reason Your Anxiety, Brain Fog & Bloating May Start in Your Gut. The Dr. Josh Axe Show (episode). 2026. Lines cited at 38:58 to 39:18. YouTube: https://www.youtube.com/watch?v=yumJczZ1_JM&t=2338s
    22. Muraki I, Imamura F, Manson JE, Hu FB, Willett WC, van Dam RM, et al. Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies. BMJ. 2013;347:f5001. doi:10.1136/bmj.f5001. PMID:23990623
    23. Alperet DJ, Butler LM, Koh WP, Yuan JM, van Dam RM. Influence of temperate, subtropical, and tropical fruit consumption on risk of type 2 diabetes in an Asian population. Am J Clin Nutr. 2017;105(3):736-745. doi:10.3945/ajcn.116.147090. PMID:28179225
    24. Axe J. The Real Reason You Wake Up Tired Every Morning. The Dr. Josh Axe Show (episode). 2026. Lines cited at 5:59 (pull quote), 6:13 and 6:36. YouTube: https://www.youtube.com/watch?v=UYvHrFB_g50&t=359s
    25. Shukla AP, Iliescu RG, Thomas CE, Aronne LJ. Food Order Has a Significant Impact on Postprandial Glucose and Insulin Levels. Diabetes Care. 2015;38(7):e98-9. doi:10.2337/dc15-0429. PMID:26106234
    26. Reynolds AN, Mann JI, Williams S, Venn BJ. Advice to walk after meals is more effective for lowering postprandial glycaemia in type 2 diabetes mellitus than advice that does not specify timing: a randomised crossover study. Diabetologia. 2016;59(12):2572-2578. doi:10.1007/s00125-016-4085-2. PMID:27747394
    27. Axe J. The PCOS Protocol. DrAxe.com; 2026. "What to do" panel (never eat carbs naked; always pair them with protein or fat).
    28. Axe J. Insulin Resistance & Prediabetes: The 90-Day Healing Protocol. DrAxe.com; 2026. Phase 1, "Stabilize" (eat in order; walk after your two biggest meals).
    29. Axe J. The Type 2 Diabetes Protocol. DrAxe.com; 2026. Troubleshooting & FAQ, p. 22 (wearing a CGM for two weeks; medication changes only with your prescriber; "Do I have to go keto?").
    30. Cressey R, Kumsaiyai W, Mangklabruks A. Daily consumption of banana marginally improves blood glucose and lipid profile in hypercholesterolemic subjects and increases serum adiponectin in type 2 diabetic patients. Indian J Exp Biol. 2014;52(12):1173-81. PMID:25651610. Full text: Tables 5-7.
    31. Axe J. Top 12 Foods & Herbs for Weight Loss (BETTER THAN OZEMPIC). The Dr. Josh Axe Show (episode). 2025. Lines cited at 26:17 to 26:47. YouTube: https://www.youtube.com/watch?v=-Uq92QA3MKw&t=1577s
    32. Gromek W, Kołdej N, Świtała S, Majsiak E, Kurowski M. Revisiting Latex-Fruit Syndrome after 30 Years of Research: A Comprehensive Literature Review and Description of Two Cases. J Clin Med. 2024;13(14):4222. doi:10.3390/jcm13144222. PMID:39064262
    Dr. Josh Axe

    Dr. Josh Axe, DC, DNM, CNS

    Doctor of Natural Medicine · Founder, DrAxe.com

    Dr. Axe is a certified doctor of natural medicine, clinical nutritionist, and multiple New York Times bestselling author. He has spent 20+ years in clinical practice helping people heal at the root cause and founded one of the most-visited natural-health platforms in the world.

    Read the full bio →

    This article is for educational purposes. See our medical disclaimer.