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Suggest Diet For A Diabetes And TB Patient

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Posted on Wed, 6 Jan 2016
Question: What is the diet for the diabetic TB (active TB) patient??
doctor
Answered by Dr. Dr. Abhay A Mali (5 hours later)
Brief Answer:
High protein diet is recommended.

Detailed Answer:
Hi Mr. XXXXXXX
For average XXXXXXX diabetic male patient with BMI (Body Mass Index <25) diet containing 1800 kcal with 1 gram/kg of proteins daily is recommended.
Though with TB high protein diet is recommended ie. 1.2 to 1.5 gram per kg.

I am here with giving simple tips on diet for diabetic male patient -

1) Calories:
- Restrict calorie intake depending upon BMI.
- Avoid sugar, food containing empty calories (food containing only calories and no other nutrients like soft drinks.
- Avoid potatoes and other roots.
- You can eat citrus fruits like orange, sweet lemon or other fruits like 1 cup pieces of papaya, pineapple, water melon, apple daily.
- Avoid fruit juices.
- Take adequate amount of salad containing tomatoes, cucumber, green leafy vegetables daily.
- Use green leafy vegetables in soup or salad.
- Use adequate intake of beans and nuts.
- You can use artificial sweeteners up to certain extent.

2) Fat intake:
- Restrict fat (all types of oil, butter, ghee) intake to less than 20 to 25 gram per day.
- Use combination of different types of vegetable oils.
- Avoid intake of saturated fat like coconut oil, pam oil, vanaspati ghee, regular butter.

3) Proteins:
- Take adequate amount of pulses, soybean, other beans.
- You can take 1 cup of Cow milk without cream daily.
- You can take daily one egg white (no yellow bulk).
- You can have Fish once or twice a week, 2 to 3 piece of chicken once in a week avoid red meat like lamb.
- You can use ready made protein supplements for diabetics.

It is advisable to consult nearby diabetologist and dietitian for proper clinical and nutritional assessment so diet can be planned depending upon your exact need and your food habits.

Hope I have answered your question.

Regards,
Dr. Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Abhay A Mali (2 hours later)
What should we give to the patient when he gt hungry
Because by eating vegetables only he is unable to fill his stomach .
He is vegetarian
He is unable to eat wheat chapati ...because now he doesn't like the smell of chapati
But he want to eat to full his stomach.

doctor
Answered by Dr. Dr. Abhay A Mali (21 hours later)
Brief Answer:
Release diet restrictions with blood sugar monitoring.

Detailed Answer:
In such situations it may be important to maintain good nutrition.
I may consider like and dislikes of patient while planning diet.
While doing this there may be need of frequent blood sugar monitoring and control of blood sugar using insulin.

If he won't like wheat chapati, he can try bread of other cereals, rice, ready made protein supplement along with milk, dry fruits, in fact whatever he like to eat. Only thing is there is a need for frequent blood sugar testing using home glucometer and appropriate changes in antidiabetic medicine according to Blood sugar levels, I may prefer insulin treatment in such situation.

It is always better to take help of his treating doctor and near by dietitian. So that considering his nutritional status, BMI, his likes and dislikes appreciate diet can be planned.

Hope this helps him.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 807 Questions

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Suggest Diet For A Diabetes And TB Patient

Brief Answer: High protein diet is recommended. Detailed Answer: Hi Mr. XXXXXXX For average XXXXXXX diabetic male patient with BMI (Body Mass Index <25) diet containing 1800 kcal with 1 gram/kg of proteins daily is recommended. Though with TB high protein diet is recommended ie. 1.2 to 1.5 gram per kg. I am here with giving simple tips on diet for diabetic male patient - 1) Calories: - Restrict calorie intake depending upon BMI. - Avoid sugar, food containing empty calories (food containing only calories and no other nutrients like soft drinks. - Avoid potatoes and other roots. - You can eat citrus fruits like orange, sweet lemon or other fruits like 1 cup pieces of papaya, pineapple, water melon, apple daily. - Avoid fruit juices. - Take adequate amount of salad containing tomatoes, cucumber, green leafy vegetables daily. - Use green leafy vegetables in soup or salad. - Use adequate intake of beans and nuts. - You can use artificial sweeteners up to certain extent. 2) Fat intake: - Restrict fat (all types of oil, butter, ghee) intake to less than 20 to 25 gram per day. - Use combination of different types of vegetable oils. - Avoid intake of saturated fat like coconut oil, pam oil, vanaspati ghee, regular butter. 3) Proteins: - Take adequate amount of pulses, soybean, other beans. - You can take 1 cup of Cow milk without cream daily. - You can take daily one egg white (no yellow bulk). - You can have Fish once or twice a week, 2 to 3 piece of chicken once in a week avoid red meat like lamb. - You can use ready made protein supplements for diabetics. It is advisable to consult nearby diabetologist and dietitian for proper clinical and nutritional assessment so diet can be planned depending upon your exact need and your food habits. Hope I have answered your question. Regards, Dr. Abhay Mali. Diabetologist.