Diet Advice for diabetic Individuals

Dr. Sanoop Kumar Sherin Sabu M.B.B.S., M.D. (Int Med), MRCP-I(UK),FCPM , Physician & Diabetologist

Right diet plan is very important for controlling your sugars. Treating diabetes is not just doctors job but doctor do 25% job while patient should put rest of the efforts.

Correct diet plan will help your body respond well to the medicines that are provided to you and the medicine requirement will also be reduced.

While eating major meals the below Plate Plan should be done:

  1. Use a Medium to small sized plate to eat meals from. A large sized plate motivates you to eat more. While a average sized plate appears full even with little rice/meals and its curry
  2. Ideal recommended size is about  9inch diameter

The proportion of food that you can eat during every major meals ( Lunch / Dinner)

Food items in a plate  For people without diabetesFor Diabetic People
Rice/ wheat / millets50% ( Half plate)25 % ( 1/4th plate)
Vegetables    25%  50% ( Half plate)
Meat/ fish  25%  25% ( 1/4th plate)

Calculating calories of food that you eat in every day life is merely impossible. But If you practice this concept it is very easy in daily life.


Breakfast- use any one of these items

 Maximum amount  in a meal 
Dosa3 ( 9 inch size )
Iddily3  
Uppuma1 1/2 Cup (350 ml)
  Oats1 1/2 Cup (350 ml)
Bread3  
 Chapati / Rotty3  
Naan3 piece

Rice and Cereals

 Maximum amount  in a meal 
Rice / wheat / biriyani1 cup cooked rice  (200ml)

Cereals like rice, wheat etc increase the sugar content in blood very much. So always reduce its quantity in meals


Vegetables  

Vegetables are very good as they increases the bulk of you meals, reduces your appetite and are less glycemic.

All vegetables are good except- tubers like potato, sweet potato,  Yam, Caasava, beet root, turnip.

Avoid all these tubers, as they increase sugars very much

All other vegetables can be taken in plenty especially spinach, cabbage, ladies finger, cauli flower, tomato, peas.


Fruits

Any 1 of the below fruit can be used in a day

 Fruits safe in diabetesMaximum amount in a day    
Apple1 small
Orange1 average size
Guava1 average size
Small banana1
Large banana½  of a large banana
Fruits to be reduced in quantityMaximum amount in a day  
Pappaya1 small slice only   
Watermelon1/10 of 1 medium sized Water melon. Or else avoid it  
Pomegranate1/3 of 1 average size
Mango½ of a small  sized mango
GrapesOnly 10 -12 nos.
Jack fruitOnly 3 pieces

Note-

  • Any Fruits should be taken only 2 hours after major meals.
  • Never take fruits along with major meals, as it will increase your sugars

Milk

  • Can use 100ml Cows milk or 60 ml goats ml per day

Nonvegetarian diet

  • While cooking reduce the oil used for preparing them
  • Prefer curries rather than fried items
  • Recommended amount of non vegetarian that be eaten per day is:
   Maximum amount in a day    
Egg1  
Chicken Curry1/2 Cup (125 ml) or 20 Gram meat
Beef Curry1/4 cup (75 ml) or 10 Gram Meat
Fish curry1 small sized fish 0r 50 grams

Food items that should be completely avoided by Diabetic individuals

  • White Sugar and brown colored country sugar
  • Honey
  • Chocolates
  • Jam
  • Cake and pastry
  • Dried fruits like dates, cashew, dry grapes
  • Fried chips
  • Fired Meat

Exercise

Exercise improves your body’s response to the medicines given. It can reduce your sugars. IT can reduce your HbA1C by average to 1 to 1.5 % from your previous value. I have seen many of my patients who have good diet habits and regular exercise living with the lowest doses of medicines without any diabetes related complications.

You must do at least 30 minutes of aerobic exercise every day either as brisk walking or thread mill or running or playing badminton or swimming

Read the below articles to know more about

Complications of diabetes

Diabetes and eye disease

Diet for patients with high uric acid

Ask our specialist at – yourfamilydoctor100@gmail.com

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