Wednesday 2 November 2011

low caloric diet for diabetic melitus


Diabetic diet   



                        
                   
  • A diabetic diet medically known as medical nutrition therapy(MNT) for diabetes.
  • The goal of nutrition for people with diabetes is to attain the ABC of diabetes.
                   A for HbA1 c
                   B for Blood pressure
                   C for healthy chloesterol levels.
  • Healthy diet and control diet to prevent complication of diabetes melitus.
Diet control is one of the treatment for diabetic patient.


Balanced diet                                                                                                                                                        




                                                                                                                                                                          Balanced diet is important to maintain health of diabetic patient.A balanced diet contains all nutrients required for health in correct proportion.      It is mainly five food groups are                                                            1.Bread,Rice,Cereal and pasta
.2.Fruit, vegetables
3. meat and fish
4.dairy products
5.fats, oils and sweets.
  • some one who needs 1,200and 1,600    cal/day
  • Increased intake of protein may help to increase insulin production.
  • may patient have high blood sugar level in morning so a smaller breakfast have to be given.
  • food should given within half an hour after the dose of insulin.



Metabolism in diabetes melitus    

  • Diabetes melitus the metabolism of carbohydrate,fat and protein are affected.
  • Glucose is not store in liver and muscles caused by lack of insulin. It is lead to high  glucose level in blood.
  • Excess glucose excreted by kindney into urine. This is known as the renal threshold point.

 Fat metabolism 


               Glucose  is not utlilsed , there is increased breakdown of fats to acetate and ketone bodies. This is known as ketoacidosis it may lead to dehydration and coma.

Protein metabolism


                Carbohydrates are not utilised for the production of energy, there is increased breakdown of tissue protein and increased oxidation of dietary protiens for use as energy. It is leading to negative nitrogen balance. Wasting muscle is common for diabetic melitus


     When glucose excreted in urine?
                        170
                        160          To urine
          
                        150
                        140          Hyperglycemia
                        130


                        120
                        110
                        100          Normal
                         90
                         80

                        70
                        60            Hypoglycemia
                        50
                        40


                        LOW CALORIE DIET FOR DIABETES MENU


    Food                                           Nonvegetarian                                                      vegetarian



    Break fast


    Milk                                             100ml                                                                  100ml

    Iddly                                             3                                                                           3

    Egg                                               1                                                                            1

    Mid Morning


    Pulses                                         1/2 cup cooked                                                     1/2 cup cooked


    Noon

    Cooked rice                               1cup                                                                        1 cup

    potato                                         100g                                                                       100g




    fish                                            1 slice                                                                          

    pulses                                                                                                                        1/2 cup cooked

    Vegetables        GroupA            
                                        
                                            cabbage                                                                           cabbage
                                            spinach                                                                             spinach
                                            cauliflower                                                                        cauliflower
                                            ladies finger                                                                       ladies finger
                                            cucumber                                                                          cucumber
                                        (any one 1/2 cup cooked)                                                 (any one 1/2 cooked

                         Group B

                                           double beans                                                               double beans
                                           coriandar leaves                                                           coriandar leaves
                                           beet root                                                                      Beet root
                                           carrot                                                                           carrot
                                           drumstick leaves                                                          drumstick leaves
                                   (any one 1/2 cup cooked)                                                (any one 1/2 cup cooked)


    Evening

              milk                100ml                                                                    100ml         

             Fruit                Orange  1                                                               Orange 1
                         
                                    Grapes 20                                                              Grapes 20

                                    Guva 1                                                                    Guva 1

                                    Dates 2                                                                    Dates 2

                                   Apple small                                                               Apple small

                                    any one                                                                        any one
     Dinner



        Chappathi           2                                                                                   2


        Pulses                                                                                                        1/2 cup

        Vegetables


                      Group A          any one 1/2 cup                                               any one 1/2 cup

                      Group B         any one 1/2 cup                                                any one 1/2 cup


                                                              
                    Milk                  100ml                                                                    100ml


    Restriction diet for diabetic melitus

    • life style is one of the cause  of diabetic melitus. Therefore we have to restrict some foods such as more fried foods, high fat food at the same time balanced diet is very important to maintain the health of the body.
    • Avoid fried fish
    • Avoid saturated fat, high fat dairy products,highfat animal protein such as beef, hot dogs, egg yolk,shelfish.
    • To eat no more than 200mgm of chlolesterol a days.
    •  sodium aim for less than 2000mg of sodium a day.
    •  you have to eat any rice but eating amount of food is very important.
    • fibre diet add to food  it lead to decrease blood sugar level.
    • Don not eat the following foods, sugar,Honey,jaggry,coconut oil, coconut jatany, horlicks, borunvita,cooldrinks, and  fruit juices. 
    • To avoid tin products..      

      Stop some habits

               Try to stop consumption of alcohol,smoking and tobacco, used habits.




             





                            





                            

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