Post-Surgery Diet Tips for Diabetic Patients: Managing Blood Sugar Levels - Nutrition

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Diet for Diabetic Patients After Abdominal Surgery


Hello, my friend is a 60-year-old mother who recently underwent abdominal surgery.
She has diabetes and has only been able to consume liquid foods post-surgery.
For the past two days, she has been drinking porridge, which has caused her blood sugar levels to spike.
What dietary precautions should we take after the surgery?

Yu, 40~49 year old female. Ask Date: 2020/06/16

Dr. Cai Xiuwen reply Nutrition


Hello Ms.
Yu, due to illness and surgery, physiological stress and hormonal changes can affect blood sugar levels.
If porridge is consumed in appropriate portions and combinations, it may not necessarily be the cause of elevated blood sugar.
Post-operative dietary restrictions may also apply due to intestinal adaptation.
Managing diabetes requires an understanding of physiological factors, detailed dietary information, and current medications, along with a discussion of individual eating habits with the patient.
If still hospitalized, it is recommended to consult a nutritionist.
If already discharged, it is advisable to join a diabetes care network in outpatient settings, where professionals can assess individual conditions and provide tailored plans.
Wishing you safety and health.
This response is from Dietitian Tsai Hsiu-Wen at Nantou Hospital, Ministry of Health and Welfare.

Reply Date: 2020/06/16

More Info


After surgery, especially for diabetic patients, managing blood sugar levels becomes crucial. The physiological stress of surgery can lead to increased blood sugar levels due to hormonal changes in the body. Here are some dietary tips and considerations for your friend’s mother, who is recovering from abdominal surgery and has diabetes.


1. Understanding Blood Sugar Fluctuations
Post-surgery, it is common for blood sugar levels to fluctuate. Stress hormones such as cortisol can increase blood glucose levels. Therefore, it’s essential to monitor blood sugar levels regularly to understand how different foods affect them.


2. Initial Dietary Restrictions
In the immediate post-operative period, patients are often advised to start with clear liquids and gradually progress to more solid foods. This typically includes broths, clear soups, and eventually, soft foods like porridge or oatmeal. However, it’s important to choose these foods wisely to avoid spikes in blood sugar.


3. Choosing the Right Foods
- Low Glycemic Index (GI) Foods: Opt for foods that have a low glycemic index, which are less likely to cause rapid spikes in blood sugar. For example, whole grains, legumes, and non-starchy vegetables are good options.

- Portion Control: Even healthy foods can raise blood sugar if consumed in large quantities. It’s important to control portion sizes, especially with carbohydrate-rich foods like rice, bread, and porridge.

- Balanced Meals: Each meal should ideally include a balance of carbohydrates, proteins, and healthy fats. For example, if she is having porridge, consider adding a source of protein such as a small amount of nuts or seeds, or even some low-fat yogurt.


4. Monitoring Carbohydrate Intake
Since your friend’s mother has been consuming porridge, it’s crucial to monitor the portion size and frequency. Porridge can be high in carbohydrates, which can lead to elevated blood sugar levels. Consider mixing in some fiber-rich ingredients, such as chia seeds or flaxseeds, which can help slow down the absorption of carbohydrates.


5. Hydration
Staying hydrated is essential, especially after surgery. Encourage her to drink plenty of water. If she enjoys flavored beverages, consider herbal teas or infusing water with slices of lemon or cucumber, avoiding sugary drinks.


6. Regular Monitoring
Encourage her to check her blood sugar levels regularly, especially after meals. This will help identify which foods are causing spikes and allow for adjustments in her diet.


7. Consulting with Healthcare Professionals
It’s advisable to work closely with a healthcare team, including a registered dietitian or nutritionist, who can provide personalized dietary recommendations based on her specific health needs, medications, and recovery progress.


8. Gradual Introduction of Foods
As she recovers, gradually introduce a variety of foods back into her diet. This should include lean proteins (like chicken, fish, or tofu), non-starchy vegetables, and healthy fats (like avocados or olive oil).

9. Avoiding Sugary Foods
Post-surgery, it’s crucial to avoid foods high in sugar, as they can lead to rapid increases in blood sugar levels. This includes sweets, sugary drinks, and even some fruit juices.


Conclusion
Managing diabetes post-surgery requires careful attention to diet and blood sugar monitoring. By focusing on low-GI foods, controlling portions, and maintaining hydration, your friend’s mother can better manage her blood sugar levels during recovery. It’s essential to consult with healthcare professionals for tailored advice and to ensure a safe and effective recovery process.

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