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Dietary precautions for weight control with family history of obesity - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Diet Plans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   Hi
Doctor :   hi
Doctor :   how can i help u
User :I am an IT professional
Doctor :   ok
User :   the problem is that, no matter how much I diet, I still keep on putting weight
Doctor :   please proceed with your query
Doctor :   ok
Doctor :   i will help yu in this
User :   the only source of excercise is that I go for a walk every alternate day
Doctor :   can i ask few Q
User :   and i walk around 2 kilometres
User :   sure

Doctor :   wats your age

User :   i will be 29 in June

Doctor :   ht and wt
User :   and i weigh 99 Kgs and height is 5.6 feet
Doctor :   ok
Doctor :   your BMI 35
User :   i guess tht is way too high
Doctor :   body mass index is 35
Doctor :   its over obesity
User :   :(
Doctor :   your ideal wt is 65 - 68 kgs
User :   so what do you suggest?

Doctor :   not to worry
Doctor :   i will help u in this
Doctor :   is there any family historyof obesity
User :   yes

Doctor :   ok
User :   nearly everybody in our house is obese
Doctor :   did yu test your blood glucose
User :   about a yr back whn I took a LIC
User :   and it came out normal
Doctor :   regarding cholestrol
User :   no, I have not done that
Doctor :   levels
Doctor :   any family histroy of hypertension
Doctor :   or diabetes
User :   mom has High BP and dad also had it
User :   Dad has diabetes as well
Doctor :   sorry to say yu are at a high risk

User :   ya i guess
Doctor :   for both hypertension and diabets
Doctor :   its better to get your lipid profile done
Doctor :   in a fasting state
User :   ok

User :   and how would that help?
User :   I mean, what exactly is the lipid test?
Doctor :   cholestrol level itself will cause obesity
Doctor :   yes the whole lipid profile
Doctor :   after a over nite fast
Doctor :   not to have any thing after 10 pm
Doctor :   get the test early in morning around 7 or 8 am
Doctor :   this is because if cholestrol is high then
Doctor :   thats the cause of obesity
User :   ok
User :   and any specific diet you would suggest?
Doctor :   so it can be treated at a proper time
Doctor :   yes i will advice
Doctor :   do yu feel to hungry
User :   and what is the cost for getting the Lipid Profile done
User :   yes, i feel hungry all the time
Doctor :   if yu dont have a proper meal
Doctor :   its 400- 500 rs
Doctor :   ok
User :   even if I have heavy meal, after 2-3 hours, I start feeling hungry
Doctor :   instead fo having more meal or food at one time have mini meals for 4-5 times
Doctor :   1. morning 8 am-- 2-3 XXXXXXXX biscuits with small cup of coffee tea
Doctor :   even 2-3 pcs of wheat breasd ok
Doctor :   reduce the amount of milk
User :   ok
Doctor :   its better to have skimmed milk
User :   I dont drink milk at all
Doctor :   as it contains less fat
Doctor :   not to have good day biscuits
Doctor :   or any chese or butter biscuits
Doctor :   can take salty and wheatish bisciuts
Doctor :   2. break fast of 2 idli with curry
Doctor :   or 2 dosa or chapathi
Doctor :   not to have spicy foods and oily foods
Doctor :   let the bread fast contain 1-2 vegetables
User :   ok
Doctor :   3. around 1 or 2 take 1- 1.5 chapathi
Doctor :   with a small cup of dal and sabji
Doctor :   no oil for chapathi
Doctor :   avoid ghee, butter, cheese, panneer
Doctor :   its better to use olive oil as it contains less fat
Doctor :   compare to sunflower oil
Doctor :   can take 1 cup of rice and sambhar
Doctor :   and curd in diluted form
Doctor :   not thick form
User :   ok
Doctor :   4. for 4 or 5 pm
Doctor :   not to have fried items or potato
Doctor :   take a fruit juice
Doctor :   or chopped friuts with a diluted milk
Doctor :   or even kellogs in minimal range
Doctor :   avoid carbonated drinks like coke and pepsi
Doctor :   5. nite 8 or 9 pm
Doctor :   do yu have ragi ball
User :   what is ragi ball?
Doctor :   its a ragi based food
Doctor :   ragi flour cooked and made into medium shaped balls
Doctor :   or nothing to worry
Doctor :   if yu are fine with chapati
Doctor :   u can have the same
Doctor :   2 chapati with a cup of rice and dal and sambhar
User :   that wld be cool
Doctor :   or even break fast like foods is ok
Doctor :   like dosa or rava idly is also ok
User :   how about have idlys made from Oat?
Doctor :   make sure the diet contains adequate green leafy veg and veg
User :   or having Oats or Corn flakes for breakfast in the morning?
Doctor :   yes they contain less calories
Doctor :   and can be easily burnt out
Doctor :   yu can have it
Doctor :   but plenty of water with it
Doctor :   almost 5 lts per day
Doctor :   yu need to have
User :   i drink around 2 and half litres of water everyday
Doctor :   this is the diet plan
Doctor :   no yu need atleast 4 lts of water
User :   ok
Doctor :   NEXT is how to burn out these foods into calories
User :   also, if I dont eat as much as I normally do, I get gas in my stomach
Doctor :   by exercises
User :   and i feel bloated
Doctor :   yes obesity itself can cause gas
Doctor :   have food on a proper time
Doctor :   not to skip any meals
Doctor :   these are gas pains
Doctor :   regarding exercises
Doctor :   1. Aerobic exercises
Doctor :   this include brisk walking, jogging and swimmilng
Doctor :   yu neee to do brisk walking
Doctor :   it means walking on a plain surface, speed more than walking, movements of both hands also
Doctor :   need to do 5 days in a week
Doctor :   for 30 - 45 min
Doctor :   per day
Doctor :   are yu there??/
Doctor :   hi are yu there
User :   yes
Doctor :   ok
User :   was talking to a colleagues
User :   and what about swimming?
Doctor :   this will incresae the good cholestrol HDL
Doctor :   do yu know swimming
User :   yes i do
Doctor :   adn reduce bad cholestrol LDL
Doctor :   its good 2-3 times in a week yu can do tis
User :   ok
User :   and any medicine to reduce my hunger?
Doctor :   2. Cardio exercise in gym
Doctor :   its better to not take medications
Doctor :   as they have more side effects
Doctor :   can cause problem in future
User :   oh ok
Doctor :   yu need a tread mill exercise on alternate days
Doctor :   3-4 days in a week in evening
Doctor :   wat ever yu eat yu need to burn out in the form of calories
Doctor :   so that its not stored as fat
User :   ok
Doctor :   is that ok
User :   agreed
Doctor :   ok
Doctor :   not to worry
User :   and where can I get the Lipid profile done?
Doctor :   be relaxed and cool
Doctor :   with these practises yu will reduce the wt
Doctor :   but it can take some time
Doctor :   but definitely yu will reduce the wt
Doctor :   i will assure yu
Doctor :   yu can get this done in any private or govt hospital near by your place
Doctor :   finally
Doctor :   yu need to maintain a dairy regarding the food habits
User :   ok
Doctor :   what yu take , how much yu take
Doctor :   and how many times yu take
Doctor :   so yu will be more motivated
Doctor :   to reduce the intake of food
Doctor :   is that ok
User :   sure thing
Doctor :   Is there any thing else i can help u with
User :   nope
User :   thts it for now
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   thankx

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