Diabetes mellitus
Hello, Nutritionist: I have the following questions regarding diabetes.
1.
I have an elder who is nearly fifty years old, female, with a history of diabetes.
She recently underwent gastric bypass surgery due to morbid obesity.
I would like to buy Abbott's Glucerna to visit her; which type would be the most suitable? 2.
Regarding weight loss, if breakfast consists of a sandwich, lunch includes multigrain rice with shredded burdock, shredded carrot, and meatballs, and dinner is just a fruit salad (apple, romaine lettuce or lettuce, cherry tomatoes, yogurt), is this diet nutritionally adequate? Can a diabetes patient eat like this as well? 3.
Can a diabetes patient consume brown rice bran if their blood sugar is around 140-150? Thank you for your response.
Tongtong, 20~29 year old female. Ask Date: 2009/08/19
Dr. Huang Ruipei reply Nutrition
Tong Tong: Hello! The elder's diabetes is closely related to obesity.
After undergoing gastric bypass surgery, blood sugar levels may rise due to stress factors.
Polysaccharides can help with blood sugar control; additionally, post-surgery, food intake will decrease, and it may be necessary to have smaller, more frequent meals.
It can also be incorporated as part of regular meals or snacks (for example, replacing a sandwich or brown rice with polysaccharides for breakfast).
However, it is important to follow the nutritionist's recommended amount and include it in the total caloric intake rather than adding it on top.
Based on your weight loss meal plan, it is acceptable without the use of blood sugar-lowering medications.
In fact, balanced nutrition and portion sizes are also very important.
Since I am unaware of the elder's height, meal portions, and sleep patterns, I cannot assess the actual dietary needs.
However, if blood sugar-lowering medications are used or if there is a tendency to feel hungry in the evening, it is advisable to include some whole grains and protein sources such as beans, eggs, fish, or meat in the dinner, rather than only consuming fruits and vegetables.
Diabetic patients can eat brown rice flour, but it is essential to adhere to the nutritionist's recommended amount and include it in the calculation of staple food portions: consuming 40 grams (about 5 tablespoons) of brown rice flour is equivalent to half a bowl of rice.
Wishing you peace and well-being.
RD Huang Rupei
Reply Date: 2009/08/19
More Info
Managing diabetes effectively requires a comprehensive understanding of nutrition, meal planning, and lifestyle choices. Here are some essential nutrition tips tailored for individuals managing diabetes, particularly for your inquiries regarding your relative's situation.
1. Choosing Nutritional Supplements
For your relative who has undergone gastric bypass surgery, selecting the right nutritional supplement is crucial. Abbott's Ensure or Glucerna are often recommended for individuals with diabetes, as they are designed to provide balanced nutrition while being mindful of blood sugar levels. Glucerna, in particular, is formulated with slow-release carbohydrates to help manage blood glucose levels. It's important to consult with a healthcare provider or a registered dietitian to determine the most suitable option based on her specific health needs and dietary restrictions.
2. Meal Composition and Nutritional Adequacy
Your proposed meal plan includes a sandwich for breakfast, a lunch of whole grains with vegetables and meatballs, and a dinner of fruit salad with yogurt. While this plan incorporates a variety of food groups, it may not provide adequate nutrition for someone with diabetes, especially considering the potential for blood sugar spikes.
- Breakfast: A sandwich can be a good option, but it's essential to choose whole-grain bread and include a source of protein (like lean turkey or eggs) to help stabilize blood sugar levels.
- Lunch: The combination of five-grain rice with vegetables and meatballs is a balanced choice. However, be mindful of portion sizes, especially with carbohydrates, as they can significantly impact blood sugar levels. Including a source of healthy fat, such as avocado or olive oil, can also enhance satiety and nutritional value.
- Dinner: While fruit salads are nutritious, they can also be high in sugars. It's advisable to balance fruit intake with protein and healthy fats. Consider adding nuts or seeds to the salad or pairing it with a small serving of Greek yogurt for added protein.
Overall, while the meal plan includes healthy components, it may lack sufficient protein and healthy fats, which are essential for blood sugar management and overall health. A registered dietitian can help tailor a meal plan that meets her caloric and nutritional needs while considering her diabetes.
3. Consumption of Brown Rice and Wheat Bran
Brown rice is generally a better option than white rice for individuals with diabetes due to its higher fiber content, which can help regulate blood sugar levels. However, portion control is key; a serving size should be about 1/2 cup cooked.
Wheat bran can also be beneficial as it is high in fiber, which aids in digestion and can help control blood sugar levels. However, if your relative has a blood sugar level of 140-150 mg/dL, it's essential to monitor how her body responds to these foods. It may be helpful to incorporate them gradually and check blood sugar levels after meals to assess their impact.
Additional Tips for Managing Diabetes
- Regular Monitoring: Encourage your relative to monitor her blood sugar levels regularly, especially after meals, to understand how different foods affect her glucose levels.
- Balanced Diet: Aim for a balanced diet that includes a variety of foods from all food groups: whole grains, lean proteins, healthy fats, fruits, and vegetables. This diversity helps ensure adequate nutrient intake.
- Hydration: Staying hydrated is crucial. Water should be the primary beverage, and sugary drinks should be avoided.
- Physical Activity: Encourage regular physical activity, as it can help improve insulin sensitivity and overall health.
- Consultation with Professionals: Regular check-ups with healthcare providers and consultations with a registered dietitian can provide personalized guidance and adjustments to her meal plan as needed.
In summary, managing diabetes effectively involves a holistic approach that includes careful meal planning, regular monitoring, and professional guidance. By focusing on balanced nutrition and understanding how different foods affect blood sugar levels, your relative can maintain better control over her diabetes and overall health.
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