Hi doc, I am Satish asking on behalf of my mother My mom has high sugar levels counting 260 I request you to pls suggest the food or diet along with the medicine in order to control the number. Reply Awaited.
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In food and diet. -consume frequent small meals at regular intervals through out the day, instead of eating heavy meals once or twice a day. This will help to avoid extremes of high or low blood glucose levels. ? Consume snacks high in protein before sleeping, prevents hypoglycemia at night. ? Consume about 2000 calories a day of which 50-60% calories coming from carbohydrates, 20% from proteins and less then 30% from fats. ? Have plenty of salads before you start your meal. ? Carbohydrates: - Consume complex carbohydrates (high fiber foods) then the simple carbohydrate diet, both will provide similar amount of calories, but complex carbohydrates are high in fiber which helps in lowering the blood glucose levels. - Avoid sugar as every food contains little sugar, and they are of no nutritive value and considered as empty calories. - Consume bitter gourd (karela), string beans (Chaulee), cucumber (kakadi), onions and garlic which are very beneficial for diabetics. - Consume lots of green leafy vegetables, beans and legumes. - As much as possible eat raw fruits and vegetables then cooked ones, cooked food increases blood glucose levels as compared to raw food. ? Fiber: - Consume high fiber diet (between 30 to 50 gm a day), it helps lowering the blood glucose levels - fruits, vegetables, peas, beans and whole- wheat breads, bran, brown rice, oats, seeds, nuts, barley are good sources of fiber. - Note: do not exceed more then 60 gm of fiber a day it can lead to nutrition deficiencies. ? Proteins: - Patients with diabetic kidney need to consume less protein. - Consume protein more from plant sources then animal sources. - Prefer fresh fish or soy protein to poultry or meat; consume fish not more then 2 servings per week. ? Fats: - Consume low fat diet ? avoid fried food or mayonnaise based food except if non-fat mayonnaise is used, avoid egg yolk, bacon, butter etc. - Cholesterol intake should not exceed 200 mg per day. - Consume Polyunsaturated fats (PUFA), and monounsaturated fats instead of saturated fats and cholesterol. - Monounsaturated fats are mostly present in olive, canola, and peanut oils and in most nuts. - Consume not more then 5gm of fats, as PUFA, monounsaturated fats or saturated fats they all provide same amount of calories, though they are different in kind. ? Consume 3-4 nuts regularly as they are high in proteins, fibers and also PUFA ? Consume bitter gourd (karela) or have � cup or more of bitter gourd juice every day. ? Before buying any products from the market check its label for amount of fats, carbohydrates and proteins. ? Consume less of salt, not more then 2gm (2,000 mg sodium intake) a day. ? Add garlic, onions and herbs to your food. ? Also add turmeric to food, it lowers the glucose levels. ? Vitamins: ? Include foods that are rich in vitamin A, C, E as they have antioxidant property and thus protect from heart diseases. ? Include adequate amount of B vitamins in your diet, certain B vitamins like folate, Vitamin B6 and Vitamin B12 lowers the levels of homocysteine. ? Magnesium deficiency is usually seen in diabetics. The best sources of magnesium are dark green vegetables, legumes, cereals, wheat bread, fish, and nuts. ? Chromium deficiency is observed to be a risk factor for diabetes type II. Shellfish, fish, eggs, wholegrain cereals, nuts are good sources of chromium. ? Zinc deficiency is also observed in patients with diabetes Type II. Zinc is abundant in certain seafood, and whole grains. ? Moderate alcohol intake is beneficial, especially red wine. One should limit to 1 drink per day for women and 2 drinks per day for men. Pregnant women and people at the risk of alcoholism should not consume alcohol. ? Tea has proved to have beneficial effects on the heart, as it is rich in flavanoids and thus protects from damage from LDL, green tea as well as black tea are beneficial for arteries. Consume frequent small meals at regular intervals through out the day, instead of eating heavy meals once or twice a day. This will help to avoid extremes of high or low blood glucose levels. ? Consume snacks high in protein before sleeping, prevents hypoglycemia at night. ? Consume about 2000 calories a day of which 50-60% calories coming from carbohydrates, 20% from proteins and less then 30% from fats. ? Pregnant woman needs 300 calories more from second trimester and extra 10-12 gm of protein for the growth of the baby. ? Have plenty of salads before you start your meal. ? Carbohydrates: - Consume complex carbohydrates (high fiber foods) then the simple carbohydrate diet, both will provide similar amount of calories, but complex carbohydrates are high in fiber which helps in lowering the blood glucose levels. - Avoid sugar as every food contains little sugar, and they are of no nutritive value and considered as empty calories. - Consume bitter gourd (karela), string beans (Chaulee), cucumber (kakadi), onions and garlic which are very beneficial for diabetics. - Consume lots of green leafy vegetables, beans and legumes. - As much as possible eat raw fruits and vegetables then cooked ones, cooked food increases blood glucose levels as compared to raw food. ? Fiber: - Consume high fiber diet (between 30 to 50 gm a day), it helps lowering the blood glucose levels - fruits, vegetables, peas, beans and whole- wheat breads, bran, brown rice, oats, seeds, nuts, barley are good sources of fiber. - Note: do not exceed more then 60 gm of fiber a day it can lead to nutrition deficiencies. ? Proteins: - Patients with diabetic kidney need to consume less protein. - Consume protein more from plant sources then animal sources. - Prefer fresh fish or soy protein to poultry or meat; consume fish not more then 2 servings per week. ? Fats: - Consume low fat diet ? avoid fried food or mayonnaise based food except if non-fat mayonnaise is used, avoid egg yolk, bacon, butter etc. - Cholesterol intake should not exceed 200 mg per day. - Consume Polyunsaturated fats (PUFA), and monounsaturated fats instead of saturated fats and cholesterol. - Monounsaturated fats are mostly present in olive, canola, and peanut oils and in most nuts. - Consume not more then 5gm of fats, as PUFA, monounsaturated fats or saturated fats they all provide same amount of calories, though they are different in kind. ? Consume 3-4 nuts regularly as they are high in proteins, fibers and also PUFA ? Consume bitter gourd (karela) or have � cup or more of bitter gourd juice every day. ? Before buying any products from the market check its label for amount of fats, carbohydrates and proteins. ? Consume less of salt, not more then 2gm (2,000 mg sodium intake) a day. ? Add garlic, onions and herbs to your food. ? Also add turmeric to food, it lowers the glucose levels. ? Vitamins: ? Include foods that are rich in vitamin A, C, E as they have antioxidant property and thus protect from heart diseases. ? Include adequate amount of B vitamins in your diet, certain B vitamins like folate, Vitamin B6 and Vitamin B12 lowers the levels of homocysteine. ? Magnesium deficiency is usually seen in diabetics. The best sources of magnesium are dark green vegetables, legumes, cereals, wheat bread, fish, and nuts. ? Chromium deficiency is observed to be a risk factor for diabetes type II. Shellfish, fish, eggs, wholegrain cereals, nuts are good sources of chromium. ? Zinc deficiency is also observed in patients with diabetes Type II. Zinc is abundant in certain seafood, and whole grains. ? Moderate alcohol intake is beneficial, especially red wine. One should limit to 1 drink per day for women and 2 drinks per day for men. Pregnant women and people at the risk of alcoholism should not consume alcohol. ? Tea has proved to have beneficial effects on the heart, as it is rich in flavanoids and thus protects from damage from LDL, green tea as well as black tea are beneficial for arteries. You can go for homoeopathic treatment .consult online for treatment.
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Diet & Lifestyle Include whole grains in the diet, such as wheat bread/pasta and brown rice. Cheese and yogurt prepared with skimmed (nonfat) milk may be taken. Use garlic, onion, bitter gourd, spinach, raw banana, and black plum. Make a flour mixture of 1 part barley, 1 part black chickpeas, and 4 parts whole-wheat flour and use this to form pancakes and bread. Avoid sweet fruits like pineapple, grapes, mangoes, etc. Avoid sweet, sour, and salty foods, potatoes, sweet potatoes, colocasia (taro), yams, fresh grains and pulses (legumes), whole yogurt (high in fat), and heavy, oily and spicy foods. Start doing some light exercise, such as brisk walking. Build up to a brisk walk of 30-40 minutes in the morning and again in the evening. Avoid sleeping in the daytime as it increases Kledaka Kapha. Remedy Home Remedies Dry the leaves of mango tree and grind to a powder. Mix 1 teaspoon dry powder in a glass of water and drink it daily to reduce high blood sugar levels. Take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. Take 1 teaspoon of Indian gooseberry (amla) juice mixed with 1 teaspoon of bitter gourd juice twice a day. If you want more better treatment than you can take online consultation.
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Mr. lybrate-user, Thanks for the query. From the details given I only know that your mom has diabetes and blood glucose is 260 mg (fasting or Pp or random is not mentioned). Plus HbA1c% is not mentioned. Weight and height, present dietary pattern and extent of daily exercise and any medications being taken. Unless all these details are given it s not possible to give any suggestions or treatment. In this communication we are supposed to give only general guidelines like: 1) Avoid sweets, deep fried foods, junk foods, pastries, bakery items and foods made of maida. 2) Consume more of green leafy vegetables, salads and fruits, 3) Always use whole grain flour for chapati and roti. 4) Refrain from alcohol and smoking, 5) Exercise for at least 1 hour a day, 6) Maintain near normal weight. Therefore, if you are looking for specific treatment and drug s, then please come in a private conversation where I can prescribe the drugs with specific advise. In this communication we are not supposed to prescribe any drugs. Thanks.
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