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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Diet Should Be Followed By A Diabetic?

hai sir,my mother is having sugar of 328mg after food in take.with fasting it was 200.her age is 52 yrs.her weight is 46 kg.her b.p level is 90/130.we did not do any sugar test from 7 months .now she has been suffering from back pain since 5 months.now we got her to physician and after taking sugar test he advised me for physiotheropy treatment.what should we do now?what is required chart of her food ? please suggest.
Wed, 24 Sep 2014
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Diabetologist 's  Response
Dear sir i can understand your concern.
i am very sorry for her condition.
in diabetes test like Hba1c% should be done once in every 3 months to check our blood sugar control.
once in week we need to check blood sugar at home using glucometer.

i would like to suggest some diet tips for your mom.


when it comes to diet,its very important to maintain balanced and timely diet schedule.Diet in diabetes should contain 60-65% of carbs. 20% of proteins and 20-15%of fats.
*Brown rice can be taken in diabetes but should be limited to a cup.Most of bread made out of whole wheat can be taken in diabetes.
This brown rice and whole wheat contain the same amount of glucose as normal white rice but the release of glucose will be slow due to presence of fiber in them.
This kind of slow realize will prevent the rapid raise of glucose in your body.

*Nuts are very good in diabetes and can be take daily in a quantity of small cup or you can take them not more than 50-75 grams.
This nuts should be a mix of walnuts,almonds,hazelnuts,peanuts and cashew nuts.

*Its better to prefer low fat milk than full cream milk.

1.Avoid all kinds of refined carbohydrates like sugar
2.Take all kind of fresh veggies kindly restrict use of potato and sweet potato.
3.Daily taking green tea is good for pre diabetes as it contains lots of antioxidants
4.low fat curd should be taken to provide probiotics to body.
5.Avoid all kinds of carbonated drinks they are not good for your bone health.
6.low fat milk can be consumed about 200ml per day
7.low fat cheese can be taken.
8.Daily you can take a small cup of almonds,walnuts,pista and peanuts which are good for your good cholesterol.
9.Daily take only one fruit, avoid banana and mango ...if you like take only minimal quantity
10.you can take protein, Choosing plant-based protein, such as beans and legumes more.
11.Alternate days you can take 2 egg white...pls discard yolk(yellow) since it contains bad cholesterol
12.use olive and sunflower oil for cooking.
13.prefer grill than oil fry.
14.occasionally you can take ice creams and dark chocolate
15.take good amount of green leaf veggies to avoid constipation
16.Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily.

17.It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks


kindly mention height and weight of your wife to advise calories per day.

Hope I was able to help you.

If you have any further question feel free to write me back. I will be happy to help.
Take care.
Best Regards.
Dr Vamsi Krishna
Consultant Diabetologist
Apollo Hospital

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What Diet Should Be Followed By A Diabetic?

Dear sir i can understand your concern. i am very sorry for her condition. in diabetes test like Hba1c% should be done once in every 3 months to check our blood sugar control. once in week we need to check blood sugar at home using glucometer. i would like to suggest some diet tips for your mom. when it comes to diet,its very important to maintain balanced and timely diet schedule.Diet in diabetes should contain 60-65% of carbs. 20% of proteins and 20-15%of fats. *Brown rice can be taken in diabetes but should be limited to a cup.Most of bread made out of whole wheat can be taken in diabetes. This brown rice and whole wheat contain the same amount of glucose as normal white rice but the release of glucose will be slow due to presence of fiber in them. This kind of slow realize will prevent the rapid raise of glucose in your body. *Nuts are very good in diabetes and can be take daily in a quantity of small cup or you can take them not more than 50-75 grams. This nuts should be a mix of walnuts,almonds,hazelnuts,peanuts and cashew nuts. *Its better to prefer low fat milk than full cream milk. 1.Avoid all kinds of refined carbohydrates like sugar 2.Take all kind of fresh veggies kindly restrict use of potato and sweet potato. 3.Daily taking green tea is good for pre diabetes as it contains lots of antioxidants 4.low fat curd should be taken to provide probiotics to body. 5.Avoid all kinds of carbonated drinks they are not good for your bone health. 6.low fat milk can be consumed about 200ml per day 7.low fat cheese can be taken. 8.Daily you can take a small cup of almonds,walnuts,pista and peanuts which are good for your good cholesterol. 9.Daily take only one fruit, avoid banana and mango ...if you like take only minimal quantity 10.you can take protein, Choosing plant-based protein, such as beans and legumes more. 11.Alternate days you can take 2 egg white...pls discard yolk(yellow) since it contains bad cholesterol 12.use olive and sunflower oil for cooking. 13.prefer grill than oil fry. 14.occasionally you can take ice creams and dark chocolate 15.take good amount of green leaf veggies to avoid constipation 16.Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. 17.It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks kindly mention height and weight of your wife to advise calories per day. Hope I was able to help you. If you have any further question feel free to write me back. I will be happy to help. Take care. Best Regards. Dr Vamsi Krishna Consultant Diabetologist Apollo Hospital