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Suggest Diet When Having High BP And Fatty Liver

Posted on Thu, 26 Feb 2015

Question: Would a dr on here be able to tell me exactly how much sugar, carbs, saturated fat, total fat, and sodium a pre-diabetic with high blood pressure (135/85) should have? Possible fatty liver as well. Trying to improve over all. I know what I need to do diet wise but I'd like to know specifics as to how much of everything i should have so i can keep a journal.

Answered by Dr. Ajish TP (2 hours later)

Brief Answer:
See detailed answer

Detailed Answer:
Hi XXXX,

Welcome to HCM. I have gone through the question and understand your concerns.

Good to know that you are serious about your diet.

The recommendations are:

Carbohydrates and mono unsaturated fat together should be 60-70% of energy intake.
Proteins 15-20% of energy intake.
Less than 10% of energy should be from saturated fat ( preferably less than 7%).
Dietary cholesterol should be less than 300 mg per day.
Polyunsaturated fat should be - 10%.
Salt intake less than 6 grams per day.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Ajish TP (8 minutes later)

thanks!! so how many grams of sugar per day being prediabetic and how many carbs?

Answered by Dr. Ajish TP (3 hours later)

Brief Answer:
3 meals each containing 45 to 60 g of carbohydrates

Detailed Answer:
Hi,
Welcome back.

Regarding carbohydrates.
3 meals each containing 45 to 60 g of carbohydrates can be taken.
2-3 snacks each with 10-15 g of carbohydrates a day.

1 teaspoon of sugar contains 4 gram of carbohydrates. It has to be taken in moderation. If you add sugar you have to cut other carbohydrates in meal, which will compromise the nutrient intake.

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ajish TP (34 minutes later)

thanks :) would that be considered low carb diet ?

Answered by Dr. Ajish TP (10 minutes later)

Brief Answer:
This is a low carb diet

Detailed Answer:
Hi XXXX,

This is a low carb diet. There is no fixed diet that suits all diabetics or pre diabetics. The amount of carb that can be taken while maintaining good blood sugar control varies.

So these values are useful just to start a diet plan. We should monitor the blood glucose and see which diet is favourable for our health.

Frequent low calorie diet rich in fibre - 3 major meals and 2-3 snacks - is the key in diabetes. Further modifications are based on blood sugars.

Wishing you good health.

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ajish TP (34 minutes later)

is 50 grams of sugar a day too much or too little? thanks for the help :D

Answered by Dr. Ajish TP (8 hours later)

Brief Answer:
It is high

Detailed Answer:
Hi XXXX,

Welcome back.

Maximum sugar intake recommended is 150 calories (37.5g) in males and 100 calories (25g) in females per day.

So 50 g is little high in females.

Regards

Dr Ajish TP

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari