Tuesday, January 5, 2016

DIABETICS AND HYPERTENSIVES: DIETARY GUIDES


Diet Plans for Diabetes, Hypertension Cardiovascular disease.
Food plays an important role in the treatment of specific diseases like diabetes, hypertension, cardiovascular diseases etc. The diet should be balanced and within the permissible calorie limits. Food should be distributed into small frequent feeds. The daily requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 
General Instructions
1.     Different cereals contain almost the same amount of carbohydrate and so the quantity of cereal consumed should be noted rather than the type consumed. 
2.     Whole grain cereals are better, preferred for their fiber content and satiety value.
3.     Rice Gruel if consumed should be done so by discarding the rice water, and adding hot water. 
4.     Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 
5.     Poultry (Without Skin) can be used occasionally. Beef, Pork, mutton, liver etc should be avoided by cardiac patients. Trim off Excess fat (if any) before cooking. 
6.     Egg yolk has to be avoided by individuals with hyperlipidemia. 
7.     Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 
8.     Root Vegetable like Tapioca, yam, potato, etc are better avoided and if used, should be in moderation instead of cereals.
9.     Include more vegetables (esp. raw salads and green leafy vegetables) in your diet, as it is rich in fiber which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhance the nutrient composition. 
10.                        Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 
11.                        Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. apple. guava etc.
12.                        Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc.
13.                        Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 
14.                        Garlic, curry leaves, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with Vit- E and B Carotene reduces the risk of cardiac diseases. 
15.                        Alcohol intake injurious to health, 1 ml of Alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 
16.                        Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat.
17.                        Hidden fat in bakery products and snacks should also be taken into account. 
18.                        Preferably use a combination of cooking oils like sesame. ground nut, sunflower, rice bran, corn oil etc. use of coconut and palm oil should be maintained at minimum levels. 
19.                        Dinner should be enjoyed two hours before retiring.
20.                        Include foods from all the different food groups and thus consume a balanced diet. 
21.                        Regular exercise is most useful but physical strain after a meal should be avoided.



Foods to be avoided by diabetics. 
1.     Sugar, Honey,, Glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 
2.     Roots and Tubers like potato, tapioca, yam etc
3.     Butter and fried preparations. 
4.     Horlicks, bournvita, boost etc
5.     Fruits like jackfruit, banana, mango, sapota etc. 
6.     Barley water, rice water etc. 
Cholesterol rich foods (To be avoided by cardiac patients)
1.     Whole milk and milk products
2.     Egg Yolk
3.     Shellfishes like prawn, crab, lobster etc. 
4.     Organ meats like kidney, liver, brain etc. 
5.     Chicken, duck with skin. 
6.     Sweet like pastries, ice creams etc. 
7.     Butter, dalda, coconut oil, palmoil
8.     Fried foods like chips, Samosa etc. 
9.     Alcoholic drinks, creams soups etc. 
Sodium rich foods (To be avoided by Hypertensive Patients)
  • Salt (Avoid extra salt in food and table)
  • Baking powder, baking soda, ajinomoto etc
  • Bakery Products like biscuits, cakes, pastries, chocolates, bread, bun etc. 
  • Salted chips, nuts, popcorn etc
  • Pappads, pickles, dried fish etc
  • Canned and Salt preserved foods
  • Sauces, soup cubes
  • Sausages, lobsters, meat and yeast extracts
  • Carbonated beverages
  • Readymade foods like cornflakes, noodles, fast foods etc.
  • Proprietary drinks eg. Horlicks, complan, bournvita etc.





Send feedback to Dr Adesanya via 08186549147 OR roayad@yahoo.com

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