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Diabetic, blood sugar levels keep changing. Suggest diet and week plan? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:I need some suggestion on newtrition for adiabetic patients
User:my mom is known diabetic since last 8 years. Blood sugar levels keep changing whenever I do the test
User:it's quite common that it increases / decreases based on the food that she takes...The only concern I have is, there is no consisitency on the sugar levels even though she maintains the nutritions on daily basis.
User:I am trying to impose some rules on her on diet if I get a complete week plan on what she should be eating for breakfast/lunch and dinner.
Doctor:May I know her age/
Doctor:Since when is she diagnosed to have diabetes?
User:she is at her 58 and weight about 48
Doctor:And what treatment is she on?
User:about 9 years now
User:she is taking GLIZID MR 30 and METLONG 500, two tablets in the morning and evening
Doctor:While testing sugars, have you got glycosylated hemoglobin (Hba1c) test too?
User:i do the test at I am sure it's only the glucose level test.I use a machine from RiteCheck
Doctor:Let me brief you.
Doctor:In a diabetic patient, clinically the Hba1c test is more important than blood sugar values.
Doctor:This is a blood test which is done at any laboratory.
Doctor:This gives us an average blood sugar value for 3 months.
Doctor:If the test results is below 6.5, it indicates her sugars are well controlled.
User:Ok, is there any device that I can buy so that I can do this at home or it should be always done at laboratory ?
Doctor:The reason why I suggested this test is because as you said her diet is constant, so we need to verify if any changes needs to be done with her medication.
Doctor:This test can be performed only at a laboratory.
User:Ok, I would proceed with the test today on a laboratory.
Doctor:Home test detects only gross random blood sugar which can vary depending on the time of testing, the duration of fasting and other parameters.
Doctor:As you are testing only with a glucose strip (home kit)
User:yes, only the glucose strip
Doctor:I would suggest you to go to a lab and get her fasting, post prandial as well as glycosylated hemoglobin test done.
Doctor:This should charge you about 600 to 750 INR.
User:sure sir. I will get that done asap.
Doctor:If the values are abnormal, you may consult her treating doctor to modify her treatment.
Doctor:As far as your initial query,
Doctor:regarding diet, I would suggest the following tips.
Doctor:1. Break her meals to small meals rather than large meals. Perhaps 4-6 meals a day.
Doctor:2. Include more of vegetables (fibre diet).'
Doctor:3. Let there be good amount of healthy, less calorie fruits like berries, apples, kiwi fruit, pomegranates, avacados, apricots, etc.
Doctor:Avoid orange, banana, grapes, watermelon, pineapple.
Doctor:4. Fresh fruits are better than fruit juice, but if your mom wishes to try fruit juice, fresh fruit juice without sugar are better alternatives.
Doctor:5. Avoid high calorie diets like chocolates, sweets. (I think you would know this).
User:orange is the one which she takes a lot...I think I should let her know not to now.
Doctor:Oranges contains high glycemic index.
Doctor:If she loves oranges, restrict the amount rather than complete no-no...
User:got it sir
Doctor:6. Avoid adding sugar in her beverages.
Doctor:7. Since your mother is not very old, encourage her to go for daily walks and involve her in mild to moderate physical activities (if she doesn't have any contraindication) to do that.
Doctor:8. Lastly she needs to be very regular with her diabetes medications as suggested by her doctors.
Doctor:Do get those test done and we can make further changes in her diet, if the values are deranged.
Doctor:Have you followed?
User:absolutely doctor...
Doctor:Before I close this discussion,
Doctor:diabetes patients are also advised to get yearly if not biennially check up of renal functions, heart and retinal functions.
Doctor:So plan health check ups once a year atleast (if you haven't done this any time).
User:eye is the one which I do on 6 months basis. The other two are rare (probabaly once in 3 years), I will make a not of it now to do this on regular basis as suggested
Doctor:If you have been doing regular check ups, you may get an ECG and serum creatinine levels done once a year.
Doctor:Have you followed?
User:yes sir
Doctor:Do you have any other query?
User:No sir. not at this point of time..Thanks a million to answer the questions on chat...Thanks again
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:bye sir
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