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Diabetic, taking medicines regularly, take rice at night. Is rice advisable?

Dear Doctor First of all thanks for your prompt response. I am a diabetic for the last 1 year and regularly taking medicine twice daily (Geminor M 1) , morning before break fast and in the night before meal. I am taking two chappatis in the morning and two in the lunch but taking rice in the night. Is rice affects more than taking chappatis. My age is 38 Yrs and weight is 75 kgs.
Asked On : Tue, 25 Sep 2012
Answers:  2 Views:  177
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Few years back, diet for a diabetic patient was very restricted with avoidance of rice, potatoes and sweet.
With recent advances,now diet is called as "medical nutritional therapy" and patient has advised to take all edibles with restricted calories.
Yes...its true that rice contains more crbohydrates as compared to chappati but if your blood sugar fasting is below 110 mg% and post prandial sugar below 140-150mg%, your glycated hemoglobin is below 6% then you may take rice,potatoes and sweet.
All edibles shouldbe taken with controlled blood sugar.
Take care,
Dr.mayank Bhargava
Answered: Tue, 25 Sep 2012
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM
Diet in diabetes is very important aspect of management, 75 kg weight may be overweight as you have not given your height(It is OK if you are 175cms).
as for sedentary person 20-25 Kcals/Kg of IBW,is approximately 1800Kcal. carbohydrates 60to 65% proteins 15 to 20% and Fats 15 to 25%.
Rice is having high glycemic Index so use in small quantity.
Complex carbohydrates (polysaccharides) are preferable.
Take help of Dietician.
Increase physical exercise to loose weight.
Good Luck to you
Answered: Tue, 25 Sep 2012
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