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Have had hypertension. Diagnosed with diabetes. Suggest a diet plan?

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Dietitian & Nutritionist
Practicing since : 2003
Answered : 123 Questions
Spoke to Dr XXXXXXX Have had Hypertension for last 10 yrs but diagnosed with Diabetes recently. She asked me to send the following details to get a diet chart. Can you pls send a diet chart? Have given all necessary information here. Will also upload the scanned test results. Fasting around 160. PP - 190 when tested in March. RBS in the last 1 week 265. HbA1c -8.1% in March.Cholestrol 158 (Mar 2012). Ht 173 cms. Weight - 81kgs.
Posted Wed, 15 Aug 2012 in Diabetes
Answered by Grace Abraham 2 hours later
Thanks for writing in.
In order to prepare a detailed diet chart, please help with the following details:
Can you give me your daily routine eating habit from morning till night, and mention if you’re a vegetarian or non-vegetarian.
What is the frequency of consuming the following foods in a week:
Non-vegetarian foods, Eggs, Sweets or chocolates, soft drinks, fruit juices, bakery foods, alcohol or smoking habits, and also about your physical activity that you’re doing on a regular basis.
Kindly reply with details, that will help to plan your diet chart.

Grace Abraham
Above answer was peer-reviewed by
Follow-up: Have had hypertension. Diagnosed with diabetes. Suggest a diet plan? 1 hour later
Hi Dr Gace
I have two routines - one when I travel and other when I'm not. Am giving both. I m primarily a vegetarian + eggs.
When I'm not travelling
Coffee at 7am
Breakfast at 9am - mostly south indian (dosa, idli, pongal).
Coffee at 11am
Lunch at 1pm - 2 chapatis, rice (pulav, lemon rice, tamarind rice etc), 1 vegetable, dal
2 coffees between 1pm to 8pm
Dinner 8pm - mostly chapati - 3 nos + dal or vegetable or dosa.

When I travel (typicall USA or Asian countries like China)
breakfast 8am - brown bread + eggs, flavoured oats (apple cinnamon etc)
lunch 12.30pm - pasta or pizza or rice . Not much vegetables
1 or 2 coffes from lunch until 8pm
8pm dinner - rice + dal , MTR packaged food or pasta (vegetables or egg sometimes)

Non-veg : very limited. I have only boneless chicken kabab, XXXXXXX twice a month.
Eggs: when I travel - every day 2-3 eggs.
Sweets or chocolates - rare
soft drinks-diet coke once or twice a week
fruit juices- would like to have but was told that it not good and hence not having
bakery foods- occsinally - once or twice a week
alcohol - occasional (max once a week)
smoking -no

physical habits: try to walk 3 times a week for 30-40 mins.

Let me know if I can provide any more information.
can you also provide a diet plan which I can follow when I travel outside India?
Answered by Grace Abraham 39 hours later

Here are some recommendations which are to be followed by a diabetic patient.

The main Objectives of Diabetic diet are:
1. No fasting or No feasting;
2. To maintain adequate nutrition;
3. To achieve and maintain desirable body weight.
4. To maintain normal blood sugar levels.
5. To prevent, delay or minimize the onset of chronic degenerative complications.
6. To control the amount and time of food intake - take six small meals instead of three big meals which are equally time spaced.

Foods to be avoided: Glucose, sugars, honey, jaggery, all sweets, chocolates, ice creams and candies.

Foods to be restricted (not to be taken more than once in a week): Vegetables like potatoes, yam, arbi, sweet potatoes; Fruits like mango, bananas, sapota, seethaphal, jackfruit and avocado. Alcoholic beverages, carbonated beverages ,fried foods, dry fruits and nuts, salad dressings like mayonnaise, cream ,etc, cakes and pastries; tender coconut water; refined flours like Maida; papad; pickle; soda bicarbonate; MSG; sauces; Ketchup’s; non-vegetarian food like Red meats, organ meats (liver, kidney), shell fish like prawns, crabs, lobster and egg yolk.

Foods to be used freely: XXXXXXX leafy vegetables, tomatoes, cucumber, radish, carrot, homemade soups; tea / coffee without sugar and skimmed milk, buttermilk; whole wheat flour; ragi; corn flakes / wheat flakes; artificial sweeteners not more than 4 numbers/pellets per day, etc.

You may take only one fruit allowed in a day.

Try to follow the below advises when planning your diet:
- Restrict rice to one meal in a day; that includes idli, dosa, appam, etc.
- Have an early morning snack like tea without sugar along with two fiber biscuits or wheat rusk and a late night snack like a glass of skimmed milk without sugar or any fruit.
- Breakfast can be any south Indian foods. But try avoiding coconut or groundnut chutney; instead use onion, tomato, mint or coriander chutney.
- Lunch can be a combination of rice and roti, dhal, vegetables and salad with skimmed buttermilk.
- Have a light evening snack like aval upma, one idly with sambar, wheat bread vegetable sandwich- 2 slices or boiled legumes like channa, rajma with salt, etc.
- Try to have an early dinner preferably wheat dosa, chapathi without oil, broken wheat upma prepared with vegetables or ragi dosa and avoid rice or any rice preparation.
- Use more of fiber XXXXXXX foods in the diet, like raw vegetables, sprouts, Whole legumes like channa, rajma, etc
- Take six small meals instead of three big meals which are equally time spaced.
- Include XXXXXXX leafy vegetables at least twice in a week.
- Avoid red meat, preferably use skin out chicken or fish in a curry form without coconut in the preparation
- Daily physical activity of 30 - 45 minutes in a day is recommended throughout the week.

Hope this helps. Let me know if you have any other query.

Grace Abraham
Above answer was peer-reviewed by
Follow-up: Have had hypertension. Diagnosed with diabetes. Suggest a diet plan? 5 hours later
Hello Dr Grace

Thank you for the sugestions on diet. Have a few questions
1. How good or bad are the following
Rava (upma or dosa)?

2. I travel a lot outside India- can you give some suggestions on what diet to follow when I am out of the country?

3. Do I need to take precautions since I have hyper tension also?

Answered by Grace Abraham 4 hours later

Here are the answer for your query:
1. Paneer: which is made from full fat milk is not recommeded on a daily basis, you can altermnate with tofu, which is a low fat paneer made from soy milk.
- Rava: can be taken for breakfast, usually to be prepared with vegetables. not to be consumed during dinner .
- Pongal : can be taken for breakfast, but not for dinner, as it is a simple carbohydrate.
- Idli: is a ideal food for breakfast, is a combination of rice & pulse, and also it is steamed.but not to be taken for dinner.
2. Try to choose foods which are high in fiber, low calorie, since fiber delays digestion and will not bring your sugar levels down. Eat small meals in a gap of 2 hours, which will help you not to over eat, and also will maintain blood sugar levels.
3.Restrict processed foods, pickles, papads, instant foods, instant noodles, sauces , foods which are preserved, pickled since all of these will have chemicals which contain sodium in them. If possible, use low sodium salt.

Grace Abraham
Above answer was peer-reviewed by
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