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Suggest Treatment To Regulate Blood Sugar Levels

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Posted on Tue, 21 Jul 2015
Question: Hi
I have been diagnosed with diabetes:
Hb1ac 6.96
fasting blood sugar varies between 110-130

my doctor has suggested me to start on metformin but before I do so, I want to go on a strict exercise and diet routine and see if I can bring sugar under control without medication.
I want your help in designing a nutrition plan for me.
doctor
Answered by Meenakshi Attrey (16 hours later)
Brief Answer:
High fibre and high fluid diet with exercises

Detailed Answer:
Hi XXXXXXX

Greetings..!!

To keep the blood sugar levels under check, meal timings are as important as a balanced intake of food. In lack of a strict routine even the most perfect diet plans fail to perform and give positive results. It is true that many people get a bit scared when diagnosed with Diabetes and try to eat less fearing that eating more food, or taking fruits etc. would increase their blood sugar levels. But it is important to note that a balanced diet with all major food groups is important to manage blood sugar levels.

Here are some simple diet related tips to help you understand the type to food that you may include in your diet routine.

Avoid simple sugars like glucose, honey, candies, sugar, chocolates, ice creams, fried food and refined food like white bread. Fatty dairy products like cheese, cream, mayonnaise and butter are best avoided.. However you are required to maintain a fat intake of 3-4 tsp. per day as it is important for the absorption of fat soluble vitamins and other nutrients.

Restrict fruits rich in carbohydrates like XXXXXXX sapota, grapes, banana, custard apple and avocado and vegetables like potato, colocasia, yam, pumpkin and tapioca, Check the intake of nuts and dry fruits. Nuts provides the good fat and hence a moderate use is always beneficial. However avoid taking the fried or salted nuts. Eat the allowed fruits along with the skin but at the same time make sure that the fruits are washed properly. Avoid coconut and its products, except coconut water which may be included in moderation.

Ensure that there is sufficient intake of raw vegetables and salads in the diet. Raw vegetables, salads and fruits add the much needed fiber to the diet. It delays the absorption of sugar and helps in maintaining the blood sugar levels. Promotes regular bowl movements and support weight maintenance by regulating the calorie intake. Also include the cooked beans and peas and whole grain products in the diet.

Limit the intake of white bread and buns, cakes and cookies as these are mostly made with refined flour and contain Trans or Saturated fat and sugar.
Consider taking oils like soybean, mustard, canola, safflower, rice XXXXXXX olive and corn oil as these are good sources of unsaturated fat. The intake of these should be limited to 3-4 tsp. per day.

Add legumes and pulses in the diet. Low fat milk and its products are also good sources of quality protein. If you are non-vegetarian, than limit the intake of non-veg to lean cuts of chicken fish and take only the whites of egg.
Protein supplements may also be considered if you are losing weight or doing exercises. Any protein supplement which is especially formulated for people with diabetes can be included. Some examples are Resource High protein, Glucerna SR and D- Protein. You are advised to consult your doctor before taking the supplements.

Choose the foods with low GI value, Gi in simplest terms is the rate of conversion of food to glucose after eating. Choose low Gi Foods like Low fat dairy, vegetables and fruits (except those mentioned in the high GI list), whole grains and cereals, salads, oats, barley, pulses and non-sugary peanut butter.

My final tip is a simple yet the most important one… TAKE SUFFICIENT WATER AND AVOID ALCOHOL AND CARBONATED BEVERAGES.

Doing regular physical activities for 40 to 45 minutes every day would help . Changing the activity pattern throughout the week, leaves a positive impact on the activity pattern, so ensure at least 250 - 300 minutes of exercises in a week.

Since your fasting blood sugar values are high, start taking a glass of lukewarm water with lemon and 2 pinch cinnamon powder as first thing in morning.

Hope This helps.

Please feel free to ask further questions related to you diet.

Meenakshi



Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Meenakshi Attrey (23 hours later)
Hello doctor
Many thanks for the elaborate reply. I have a few more thing I'd like to understand:

1. During breakfast I usually eat oats cooked in skimmed milk with a spoon of honey, 4-5 almonds and 4-5 raisins. Sometimes I also add a small banana or apple.
2. Also sometimes I eat cornflakes with skimmed milk and some nuts. No added sugar.
3. I usually avoid desserts, cookies and other processed food. And usually eat salads 2-3 times in a week for lunch.
4. Dinner I usually take 2-3 chapatis with some dal & sabzi. I also try to keep a gap of 1hr+ between dinner & sleep.
5. While going to bed I sometimes take a glass of milk with some honey and turmeric.
6. Also sometimes I drink a glass of fruit shake (mango/banana) without any added sugar with a teaspoon of spirulina.

Would you suggest any changes to the above routine or you think I could continue as is? What are the other complex carbohydrates I could eat?

Further, I will do the following:
1. Increase the water intake
2. Include a protein supplement
3. Increase the salad intake
4. Be more regular with my morning exercise
5. Start taking warm water with lemon and cinnamon powder

I've seen its only fasting sugar on the higher side (110-130). Testing the same at other times shows perfectly normal readings (120-140).

Thanks
XXXX
doctor
Answered by Meenakshi Attrey (3 days later)
Brief Answer:
Minor changes suggested

Detailed Answer:
Hi XXXXXXX

Thanks For the reply.

You may continue taking oats and other cereals with skimmed milk for breakfast. Make sure that you add only the pre-soaked almonds and completely avoid taking the raisins in any form. Also, because of the elevated blood sugar levels you must avoid taking banana. Apple and other allowed fruits are safe (please refer previous reply.)

Also try and have the salads with all meals as it would improve the overall glycemic load of the meal. It is a good habit to maintain a gap of at least 1.5 hours between dinner and sleep time. You may continue taking turmeric milk post dinner but do not add honey to it.

The fruits that are strictly restricted in your diet include XXXXXXX sapota, custard apple, banana, litchi and ripe XXXXXXX fruit. While other fruits are allowed, their juices are still restricted, for example you may take an orange but avoid orange juice. This is because the fruits juices are devoid of their natural fibre and in lack of it the juices may cause an instant rise in blood sugar levels followed by sudden hypoglycaemia. Such contrasts in blood sugar levels have an adverse effect on the health. Spirulina is safe and helps manage blood glucose levels.

Complex carbohydrates are the ones that have a higher percentage of fibre like oats, barley, Jawar, buckwheat, beans, whole grains, fruits and vegetables.

The hormonal changes that occur in the body causes a rise in blood sugar levels during the morning hours. In most cases this rise is not the result of what you eat for dinner or just before sleep on the day before. It happens with non-diabetics also, but since their bodies produce enough insulin, these elevated blood sugar levels are easily controlled/ However, in your case as the body is not producing enough insulin the registered blood glucose levels are not only high but they also need medical intervention. I would suggest you to speak with your diabetologist and ask for assistance. Medication along with an effective diet would help you control the fasting and postprandial blood sugar levels.

Hope this satisfies your query.

Please feel free to contact me for further questions.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Meenakshi Attrey (2 hours later)
Thank you very much doctor. So honey is not a viable alternative even in moderation. I would assume same is the case with date syrup or maple syrup. Is that correct?

Thanks
XXXX
doctor
Answered by Meenakshi Attrey (14 minutes later)
Brief Answer:
sugar in all forms to be avoided

Detailed Answer:
Hi...

Yes you got it right... sugar in any form like honey, brown sugar, maple syrup, molasses, high fructose corn syrup or cane sugar is to be avoided. Please make sure that you take all your meals on time and avoid fasting for more than 3 hours at a single stretch.

Stay Fit.

Meenaksi
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Meenakshi
Meenakshi Attrey

Dietitian & Nutritionist

Practicing since :2004

Answered : 228 Questions

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Suggest Treatment To Regulate Blood Sugar Levels

Brief Answer: High fibre and high fluid diet with exercises Detailed Answer: Hi XXXXXXX Greetings..!! To keep the blood sugar levels under check, meal timings are as important as a balanced intake of food. In lack of a strict routine even the most perfect diet plans fail to perform and give positive results. It is true that many people get a bit scared when diagnosed with Diabetes and try to eat less fearing that eating more food, or taking fruits etc. would increase their blood sugar levels. But it is important to note that a balanced diet with all major food groups is important to manage blood sugar levels. Here are some simple diet related tips to help you understand the type to food that you may include in your diet routine. Avoid simple sugars like glucose, honey, candies, sugar, chocolates, ice creams, fried food and refined food like white bread. Fatty dairy products like cheese, cream, mayonnaise and butter are best avoided.. However you are required to maintain a fat intake of 3-4 tsp. per day as it is important for the absorption of fat soluble vitamins and other nutrients. Restrict fruits rich in carbohydrates like XXXXXXX sapota, grapes, banana, custard apple and avocado and vegetables like potato, colocasia, yam, pumpkin and tapioca, Check the intake of nuts and dry fruits. Nuts provides the good fat and hence a moderate use is always beneficial. However avoid taking the fried or salted nuts. Eat the allowed fruits along with the skin but at the same time make sure that the fruits are washed properly. Avoid coconut and its products, except coconut water which may be included in moderation. Ensure that there is sufficient intake of raw vegetables and salads in the diet. Raw vegetables, salads and fruits add the much needed fiber to the diet. It delays the absorption of sugar and helps in maintaining the blood sugar levels. Promotes regular bowl movements and support weight maintenance by regulating the calorie intake. Also include the cooked beans and peas and whole grain products in the diet. Limit the intake of white bread and buns, cakes and cookies as these are mostly made with refined flour and contain Trans or Saturated fat and sugar. Consider taking oils like soybean, mustard, canola, safflower, rice XXXXXXX olive and corn oil as these are good sources of unsaturated fat. The intake of these should be limited to 3-4 tsp. per day. Add legumes and pulses in the diet. Low fat milk and its products are also good sources of quality protein. If you are non-vegetarian, than limit the intake of non-veg to lean cuts of chicken fish and take only the whites of egg. Protein supplements may also be considered if you are losing weight or doing exercises. Any protein supplement which is especially formulated for people with diabetes can be included. Some examples are Resource High protein, Glucerna SR and D- Protein. You are advised to consult your doctor before taking the supplements. Choose the foods with low GI value, Gi in simplest terms is the rate of conversion of food to glucose after eating. Choose low Gi Foods like Low fat dairy, vegetables and fruits (except those mentioned in the high GI list), whole grains and cereals, salads, oats, barley, pulses and non-sugary peanut butter. My final tip is a simple yet the most important one… TAKE SUFFICIENT WATER AND AVOID ALCOHOL AND CARBONATED BEVERAGES. Doing regular physical activities for 40 to 45 minutes every day would help . Changing the activity pattern throughout the week, leaves a positive impact on the activity pattern, so ensure at least 250 - 300 minutes of exercises in a week. Since your fasting blood sugar values are high, start taking a glass of lukewarm water with lemon and 2 pinch cinnamon powder as first thing in morning. Hope This helps. Please feel free to ask further questions related to you diet. Meenakshi