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Suggest A Diet Chart To Keep Diabetes Under Control

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Posted on Tue, 23 Sep 2014
Question: Dear Doctor,

Report has been enclosed have a look and along with blood sugar HbA1C previously it was 9.7% FBS >140 In prescription medicines are mentioned along with HBA1C
and FBS, Please have a look and suggest along with diet chart


Thanks
doctor
Answered by Dr. Saumya Mittal (30 minutes later)
Brief Answer:
Prescription ok. Need input on regular diet

Detailed Answer:
I am assuming all the other tests- creatinine urea etc were not done
FBS > 140 could be any value between 141 to 800 (depending on the method)
And the latest FBS would be ideally needed to make a correct suggestion

In any case
Addition of Pioz will be acceptable in addition to Amaryl M2
The rest of the prescription would be acceptable as well

However, I would suggest a lipid profile.
If not needed (if the lipid profile is normal) I would suggest to hold atorvastatin (aztor). The medicine is known to increase blood sugars further.

As for dietary pattern
He should avoid high calorigenic foods like potatoes, rice, nonveg, sugars and refined sugars, juices and sweets, oils and fatty foods.
taking low calory foods like cucumbers and salads would help control his sugars better

If you can tell me his daily diet pattern, a better suggestion can be given. It will tell me his preferred foods. Suggestions can then be given accordingly
Please add the details
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (14 minutes later)
Dear Doctor,

I am very thankful for your prompt reply, Daily Morning he is having tea and home made roti,

Lunch : roti and vegetables


Dinner : Rice and Vegetables


Tea: Namkeen tea

Juices: Papaya

Do he needs to visit you in person or reports will be fine and moreover do u advise any more tests to be done and he sometimes is having chest infection and fever what medicines you suggest?

Regards
XXXXXX

doctor
Answered by Dr. Saumya Mittal (4 hours later)
Brief Answer:
Suggestions given

Detailed Answer:
Hi
I think you just need to cut down on the rice.
The number of chapatis should not be more than 2
The oils and ghee in the food should be completely avoided.
Papaya is ok, but only 1-2 portions (slices)

Chest infection and fever may be due to uncontrolled diabetes.
any infection can happen more easily if the sugars are not well controlled.
So we should focus on sugars first

Best of luck
Dr Mittal
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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Suggest A Diet Chart To Keep Diabetes Under Control

Brief Answer: Prescription ok. Need input on regular diet Detailed Answer: I am assuming all the other tests- creatinine urea etc were not done FBS > 140 could be any value between 141 to 800 (depending on the method) And the latest FBS would be ideally needed to make a correct suggestion In any case Addition of Pioz will be acceptable in addition to Amaryl M2 The rest of the prescription would be acceptable as well However, I would suggest a lipid profile. If not needed (if the lipid profile is normal) I would suggest to hold atorvastatin (aztor). The medicine is known to increase blood sugars further. As for dietary pattern He should avoid high calorigenic foods like potatoes, rice, nonveg, sugars and refined sugars, juices and sweets, oils and fatty foods. taking low calory foods like cucumbers and salads would help control his sugars better If you can tell me his daily diet pattern, a better suggestion can be given. It will tell me his preferred foods. Suggestions can then be given accordingly Please add the details Dr Mittal