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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Diet Should Be Followed By A Borderline Diabetic?

Hi, my dad is borderline diabetes and has been told to stick to a regular diet to avoid becoming a diabetic. The problem is he is eating the same foods on a daily basis and in my opinion is not going about it the right way. He has cereals for breakfast, numerous cups of tea throughout the day with sweeteners instead of sugar, 4 low fat yoghurts, either chicken or hard boiled eggs and various teas in the week such as oven chips with beans. He will not try alternative foods so things like spinach will never be part of his diet but could you offer any advice at all?
Fri, 18 Jul 2014
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Diabetologist,  's  Response
Hi, I had gone through your query and understood your concerns.

First let me appreciate for your positive approach.

The diet guidelines to be followed are:

* Avoid single high concentrated meals.
* Small frequent meals more times in a day.
* Food high in fibre content like vegetables, whole pulses, fruits, etc.
Ideal combination of diet should be:--
Carbohydrates: 55-60%, Fat: 30%, Proteins: 15-20% (0.8g /kg /body wt).
Fibres 40 g/day.
He can take
* Salads (cucumber, tomato, onion, raddish, salad leaves).
* Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak).
* Fruits (except banana, chockoo or mangoes).
* Sprouted beans and pulses.
* Marie biscuit (with less sugar).
* Clear soups, Lemon juice, Buttermilk

Do not eat at all:-
Sugar, jam, syrups, honey, sweets, chocolates, fruit juices, ice creams, cold drinks, glucose drinks, cakes and pastries, sweet biscuits, puddings and protein powder with sugar.
Eat in moderation:-
Bread, chapatis, oat porridge, cornflakes (No sugar), Cheese, butter, Noodles or spaghetti, macroni, Thick soups, Milk & milk products, Chicken, lean meat, fish.

Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Thank you.
Wishing your father good health.
Dr Phanindra Dulipala.
Diabetologist.
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General & Family Physician,  Dr. Bhalchandra Pedhambkar's  Response
Welcome to healthcare magic! He should bring down intake of teas eventhough he is using sweetener. He should increase intake of salads, vegetables and fruits. His protein intake looks to be fine. But the most important cause of Type 2 diabetes is insulin resistance means body cells do not respond properly to insulin and thus can't absorb glucose inside cells.Thus pancreas produces more insulin and thus blood sugar keeps on going high. You can reduce insulin resistance by reducing weight and giving lot of focus on physical activity. So ask him to exercise at least 5 days a week for one hour.
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What Diet Should Be Followed By A Borderline Diabetic?

Hi, I had gone through your query and understood your concerns. First let me appreciate for your positive approach. The diet guidelines to be followed are: * Avoid single high concentrated meals. * Small frequent meals more times in a day. * Food high in fibre content like vegetables, whole pulses, fruits, etc. Ideal combination of diet should be:-- Carbohydrates: 55-60%, Fat: 30%, Proteins: 15-20% (0.8g /kg /body wt). Fibres 40 g/day. He can take * Salads (cucumber, tomato, onion, raddish, salad leaves). * Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak). * Fruits (except banana, chockoo or mangoes). * Sprouted beans and pulses. * Marie biscuit (with less sugar). * Clear soups, Lemon juice, Buttermilk Do not eat at all:- Sugar, jam, syrups, honey, sweets, chocolates, fruit juices, ice creams, cold drinks, glucose drinks, cakes and pastries, sweet biscuits, puddings and protein powder with sugar. Eat in moderation:- Bread, chapatis, oat porridge, cornflakes (No sugar), Cheese, butter, Noodles or spaghetti, macroni, Thick soups, Milk & milk products, Chicken, lean meat, fish. Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Thank you. Wishing your father good health. Dr Phanindra Dulipala. Diabetologist.