High Fat vs High Protein diet for Type 2 diabetic

[prashantr]

I have consulted a renowned endocrinologist in Bangalore for my diabetes management. As my BMI is on lower side (18.5), he suggested to have 2200 KCal diet plan for increasing my weight and changed medication Olymprix M 500/20 mg (metformin/teneligliptin) from twice to once a day. Also regarding diet he said that to balance carbs with protein more than having high fat low carbs diet. This he explained will keep the lipid profile better. Now since i started my diet of low carb high fat, i have been able to control my FBS/PPS from 266/333 mg/dL at the time of diagnosis three weeks back to now 99/130 mg/dL with medication. What do you guys suggest, should i change my diet plan?

[sandybrown]

Diet !, you need to research very carefully before any change in your diet.

Whit is in this "2200 KCal diet plan "?

[prashantr in reply to sandybrown]

- More eggs, chicken, sprouts added for protein

- Added protein supplement with skimmed milk

- Fats like ghee and full fat milk is removed

- Chapati, rice & oats is added

[barani19 Administrator]

Hi prashantr ,

You seem to be in thin Type 2 diabetes category. The expert in this topic is namaha . Please contact him once.

Cheers

[prashantr in reply to barani19]

Yeah he has suggested good things in other post but somehow I feel every doctor has different take on diet. Hope to hear from namaha again. Thanks for your response.

[Srk1942]

Hi Prashant,

Your present diet and medication seem to help in bringing down the blood sugar within normal values. So why change it and meddle with your microbiome?

I think you should see for three months, check HbA1C and then decide on further course of action. The human body takes sometime to respond and adopt.

[prashantr in reply to Srk1942]

Hi Srk1942,

I was not going to change diet much anyways. Like you said I am planning to follow through completely. I was confused after consulting so asked here whether to change and see. Thanks for your suggestion.

[sandybrown]

There is a saying learn to walk first before think of running!

It has only been 16 days since your first post, you need to give time to work for your existing diet and medication. May be in three months do another HbA1c test to compare the numbers.

Once you have controlled your blood glucose then think of the next step.

One variable at a time.

[prashantr in reply to sandybrown]

Thanks a lot sandy for your sound advice. I am not going to change much except for adding some more protein. What do you think about in general about high protein vs high fat?

[gangadharan_nair]

OLYMPRIX M 500MG TAB (ALKEM LABORATORIES LTD) comes with a composition (formula) of Metformin 500 MG+Teneligliptin 20 MG.

You may adopt Mediterranean diet.

Links:-

en.wikipedia.org/wiki/Metfo...

en.wikipedia.org/wiki/Tenel...

medlineplus.gov/ency/patien...

[prashantr in reply to gangadharan_nair]

Thanks sir.

[namaha Administrator]

Dear Prashantr,

All of us are learning from each other's experience in this forum as every human body is different and so their response to different diets are going to be also different. Though most people with diabetes would respond to certain food in a very much similar way! So, most doctors would recommend diabetics to avoid high glycemic foods such as:

Sweets, sugar and refined carbs.....

Most of the members in our community as I could see are able to manage their blood sugar levels with a different dietary approach which they are comfortable with. Some are even managing their diabetes with conventional and balanced diets with a low caloric intake.. Some are pure vegetarians, vegans, some follow a Mediterranean or Paleo diet. We also have some carnivores.. Medicines are allopathy, homeopathy, Ayurvedic, unani , naturopathy.... list is endless.. The most important tool is a reliable glucometer at home which could indicate your body response to different food and medicines and exercise, yoga, pranayam ........ Primary goal is to manage your blood glucose levels and minimize side effects... Undergo test regularly for your eye, leg, liver, kidney, heart and bones..... ☺️

Here are my views. They are as follows:

(1) A diabete on injectable insulin has to meter his insulin dose proportionate to the amount of Carbs he takes or with a fixed dose of insulin , he needs to count the carbs he eats. Choice is his....or else he lands up in a situation with wild swings in blood glucose level...

He also needs to take in to account that some fraction of protein and fat also gets converted in to carbs/sugar as required by the body in a slow process called Gluconeogenesis...

(2)Same thing is also true for a thin type 2 Diabete on oral insulin secretagogues (people with HOMA B issue with low blood insulin and low C-Peptide levels.....)

While to minimise drug dosage, there is a need to restrict the amount of carbs and totally avoid high Glycemic foods to avoid blood sugar spikes...

However, it is very much essential that a thin type 2 adds some body weight to bring his BMI to a healthy range. He may find it a challenge to increase his body weight with a restricted LCHF diet which was primarily designed to reduce body weight and specifically suitable for obese / overweight type 2 .

A thin type 2 does not have muscles cells which could absorb the blood sugar where as the obese / overweight T2 has too much muscle cells such that the Blood sugar is not able to reach the muscle cells.. ..☺️

A thin type 2 remains thin even becomes thinner due to the deficiency of the master hormone Insulin which is very much essential for metabolism of all Macro's such as Carbs, protein and fat....

On the other hand in many cases an obese / overweight T2 could remain as obese / overweight and even put on further weight due to excessive circulating insulin in the blood and strong IR... until he takes action ...☺️

In the long run, if a thin type 2 continues to remain thin, his health conditions may get more complicated and same thing true for an obese type-2....

Having said that the LCHF diet seems to be a logical approach and can be easily adapted to one's need and comfort level. If you search this forum, you would get a lot of info on LCHF and there are a lot of info available in the internet on benefits of LCHF diet and its flexibility to suit every one...and it's possible side effects for some... I have just copied and pasted few links for the beginners.... Strict LCHF, Moderate LCHF and Liberal LCHF......

(3) For a liberal Carb LCHF diet for thin type 2 , apart from his quota of Fat and Protein, i would suggest a small portion of Oat bran or / and whole Barley, and Pulses such as chick pea, whole black gram which have the highest fiber up to 18%, which actually would slow down sugar absorption...and which are slow release carbs...

And with this one must take 2-3 portions of green vegetables (non starch) and low GI fruits with every meal for a complete set of vitamins and minerals...

(4) For Obese / overweight type 2 with high blood insulin levels usually have High IR ( HOMA IR issue).. The primary goal is to reduce weight which in turn improves his IR...and controls his blood sugar ...

He gets immensely benefitted with a strict LCHF diet, Intermediate fasting and or Low calori diet which is well known to reduce weight and control IR...control blood sugar... It appears to be less challenging.. With Diet and exercise planning, he may not even need any medication....

paleoleap.com/keto-paleo-5-...

dietdoctor.com/how-low-carb...

healthline.com/nutrition/lc...

[prashantr in reply to namaha]

Thanks a lot namaha for long and comprehensive response.

[Godfrey]

Count the Carbs and Keep it to a level which keeps you healthy.

[prashantr in reply to Godfrey]

I have limited carbs to less around 100 grams a day. I have not pushed it too far yet. Will try after gaining little more control over my HBA1C. Thank you.

[prashantr]

Yes thanks, I keep that in mind.

[Activity2004 Administrator in reply to prashantr]

prashantr and HOBIEONE ,

Some carbs. are needed for the brain and the rest of the body to function the correct way so that a person doesn’t get too low or sick.😀👍

[prashantr]

Yes i am pretty good. Thanks for asking.

[Jamjel]

Great, may i have the details of your Dr? Would like to meet him.

[prashantr in reply to Jamjel]

Jamjel Are you in Bangalore too? Please DM me, will share details there.

[Jamjel in reply to prashantr]

Yes,i am in Bangalore.

[prashantr in reply to Jamjel]

I have dropped you a message with details. Please check.

[Jamjel in reply to prashantr]

Yes, i am in Bangalore. Waiting for your response.

[prashantr in reply to Jamjel]

Please check your chat messages. I have sent details already. healthunlocked.com/messages

[prashantr]

Thanks 😊

[prashantr]

Please message, I couldn’t follow you.

[Activity2004 Administrator in reply to prashantr]

prashantr ,

Hidden is already willing to help you with your questions you may want to ask. 😀👍

[Activity2004 Administrator]

I will look into the transplant issue for you and then let you know. Would you like to have me send you a message with the information once I get some?

[Activity2004 Administrator]

Okay. I will have to do the message later tomorrow afternoon. Is that okay?

[Activity2004 Administrator]

Please check your private messages on HU. It’s okay!😀👍

[Activity2004 Administrator]

Click on the two bubbles that say Chat.😀👍

[Aajkal]

You are on track it seems. Continue consultations with your doctors. Good recovery & all the very best.

[prashantr in reply to Aajkal]

Thank you.

[Activity2004 Administrator]

Can you send messages on the HU site?

[prashantr]

I was diagnosed three months earlier only. I am at 5.7 hba1c now. Thanks for the response.

[prashantr]

Yes I am medication free for 4 weeks now. Only concern is high LDL cholesterol. I am not taking any medication apart from herbal remedy you suggested. Hope to keep everything in control without medicine. Thank you.

[prashantr]

As you suggested ACV, lemon, ginger & honey mixed in equal quantity heated with water. You don’t remember?

[prashantr]

Oh you didn’t mention last time. Anyways I had it already for few days without garlic. How can I be sure that this remedy is working? Is there any way to know? Also the PPS is little elevated than earlier.

[prashantr]

Ok thanks for the helpful information.