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Suggest diet plan for a diabetic with high BP and hypothyroidism

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Posted on Mon, 14 Dec 2015
Question: Struggling to get level down now 10 was 12 at lunchtime. Need something to eat but don't want to eat the wrong thing. Type 2 diabetes on 150 mg morning and evening metformin. also have underactive thryoid high blood pressure (both controlled) and had a heart attack a couple of years ago and had a stent fitted.
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Answered by Dr. Saad Sultan (45 minutes later)
Brief Answer:
you can pick one from corn, boiled beans fresh salad , brown bread.

Detailed Answer:
Welcome at HCM..
I have gone through your query and being your physician i completely understands your health concerns.
For how long you are having diabetes? Are you using only METFORMIN ? Any other drug you are using for diabetes? What is your body weight? Are you physically active?
As far as controlling blood sugar is concerned , it requires a combined approach . The patient should be counseled about the diet, role of physical activity and medicine. In the given scenario, if i am your attending physician i will definitely add another agent along with METFORMIN , either SITAGLIPTIN or GLICLAZIDE.

Insulin is very good option if blood sugar levels are not getting controlled despite oral hypoglycemic therapy. I will encourage you to engage in physical activity too , since exercising muscles do not need insulin to utilize glucose.
Right now you can eat Corn, boiled beans, fresh salad , brown bread but only in moderation . You can pick anyone form it. Apart from it, 15 mins walk will help you lower your blood sugar .
Stay calm and continue with your medications . Do discuss with your attending doctor regarding the addition of another drug or insulin therapy.
Hope your query is adequately addressed, if you still have any feel free to ask.

Regards
Dr XXXXXXX XXXXXXX
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Saad Sultan

General & Family Physician

Practicing since :2013

Answered : 1049 Questions

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Suggest diet plan for a diabetic with high BP and hypothyroidism

Brief Answer: you can pick one from corn, boiled beans fresh salad , brown bread. Detailed Answer: Welcome at HCM.. I have gone through your query and being your physician i completely understands your health concerns. For how long you are having diabetes? Are you using only METFORMIN ? Any other drug you are using for diabetes? What is your body weight? Are you physically active? As far as controlling blood sugar is concerned , it requires a combined approach . The patient should be counseled about the diet, role of physical activity and medicine. In the given scenario, if i am your attending physician i will definitely add another agent along with METFORMIN , either SITAGLIPTIN or GLICLAZIDE. Insulin is very good option if blood sugar levels are not getting controlled despite oral hypoglycemic therapy. I will encourage you to engage in physical activity too , since exercising muscles do not need insulin to utilize glucose. Right now you can eat Corn, boiled beans, fresh salad , brown bread but only in moderation . You can pick anyone form it. Apart from it, 15 mins walk will help you lower your blood sugar . Stay calm and continue with your medications . Do discuss with your attending doctor regarding the addition of another drug or insulin therapy. Hope your query is adequately addressed, if you still have any feel free to ask. Regards Dr XXXXXXX XXXXXXX