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DIET FOR DIABETICS

Objectives
Type of carbohydrate and amount of fibre
Sample diet plan (for NIDDM)
Sample diet plan (for IDDM)
To remember
Foods to be avoided
Foods to be restricted
Foods to be used freely
 
Wednesday, 03 August 2011
Written by : DoctorNDTV Team
 
Objectives
Objectives
  • To maintain adequate nutrition
  • To achieve and maintain desirable body weight
  • To maintain normal blood sugar levels
  • To prevent, delay or minimize the onset of chronic degenerative complications
Diet plays an important role in the treatment of diabetes. The diet may be used alone or in combination with insulin injections or oral hypoglycaemic drugs.

The diet plan of an individual is based on height, weight, age, sex, physical activity and nature of diabetes. One should consider the following points while planning a diabetic diet:
  • Determining energy requirements
  • Determining the type of carbohydrates, fibre and food preparations
  • Presence of any other complication such as high blood pressure, high cholesterol levels etc.
In case of insulin dependent diabetes mellitus, the energy intake is based on needs for normal growth and development, physical activity and maintenance of desirable body weight.

In case of non insulin dependent diabetes mellitus, the majority of patients are overweight or obese. Therefore, calorie restriction is required to achieve a desired weight.
Type of carbohydrate and amount of fibre
Type of carbohydrate and amount of fibreMore of carbohydrate must be given as complex starches rather than simple sugars as they breakdown more slowly to release glucose in blood. The presence of fibre in complex carbohydrate like grains, vegetables and other starches slows the glucose absorption. One should emphasise more on the high fibre foods instead of high fibre supplements available in the market.

Food groups
High fibre foods
Low fibre foods
Cereals
Whole cereals like whole wheat, dalia, whole wheat flour
Refined cereals like rice, bread, maida, suji, noodles, macaroni, etc
Milk and milk products
-
Milk and milk products
Pulses
Whole dals and dals with husk
Washed dals
Meat, fish and poultry
-
Eggs, chicken, fish
Vegetables
Vegetables like peas, beans, lotus stem etc.
Vegetables like potato, lauki etc.
Fruits
Fruits like apple, cherries, pears, peaches, plums, guava etc.
Fruit juices and fruits like banana and papaya
Fats
-
Fats
Sample diet plan (for NIDDM)
Sample diet plan (for NIDDM)
Meal
Menu
Early morning
Tea (preferably without sugar)
Breakfast
Dalia (salted)/ Paneer on toast
Tea without sugar
Apple
Lunch
2 chapatti
Channa curry / or any other whole dal
Beans sabzi / or any other sabzi (avoid potatoes)
Curds / ghia raita
Salad
Tea
Tea
Salty biscuits
Dinner
Vegetable soup / tomato soup / chicken soup
2 chapatti / missi roti (combining wheat flour with channa flour and soya flour)
Palak paneer sabzi / paneer bhurji
Curds
Sample diet plan (for IDDM)
Sample diet plan (for IDDM)
Meal
Menu
Early morning
Tea (without sugar)
Breakfast
Corn flakes
Boiled egg
Toast
Mid-morning
Fruit chat
Lunch
2 chapatti (add extra chapatti if required)
Lobia curry / or any other whole dal
Capsicum sabzi / karela / or any other sabzi
Curds / raita
Salad
Tea
Tea / milk
Vegetable sandwich
Dinner
2 chapatti
Dry dal
Cabbage sabzi / or any other sabzi
Salad
Bed time
Kheer / fruit custard
To remember
To remember
  • It is important to control the amount and time of food intake.
  • Meals should not be missed.
  • Consider the likes and dislikes of the patient.
  • Try to substitute the craving for sweet by taking some fruit.
Foods to be avoided
Foods to be avoidedGlucose, sugar, honey, all sweets, chocolates and candies.
Foods to be restricted
Foods to be restrictedPotatoes, yam, arbi, sweet potatoes, mangoes, grapes, bananas, alcoholic beverages, fried foods, paranthas, poories, pakoras, mathris, deep fried foods, dry fruits, salad oils, cakes and pastries.
Foods to be used freely
Foods to be used freelyGreen leafy vegetables, tomatoes, cucumber. radish, soups, buttermilk, tea and coffee without sugar.
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