High Fat vs High Protein diet for Type 2 di... - Diabetes India

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High Fat vs High Protein diet for Type 2 diabetic

prashantr profile image

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?

43 Replies

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

Whit is in this "2200 KCal diet plan "?

prashantr profile image
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 profile image
barani19Administrator

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 profile image
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.

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 profile image
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.

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 profile image
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?

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...

Thanks sir.

namaha profile image
namahaAdministrator

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 profile image
prashantr in reply to namaha

Thanks a lot namaha for long and comprehensive response.

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

prashantr profile image
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.

Yes thanks, I keep that in mind.

Activity2004 profile image
Activity2004Administrator 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.😀👍

Yes i am pretty good. Thanks for asking.

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

prashantr profile image
prashantr in reply to Jamjel

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

Jamjel profile image
Jamjel in reply to prashantr

Yes,i am in Bangalore.

prashantr profile image
prashantr in reply to Jamjel

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

Jamjel profile image
Jamjel in reply to prashantr

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

prashantr profile image
prashantr in reply to Jamjel

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

Thanks 😊

Please message, I couldn’t follow you.

Activity2004 profile image
Activity2004Administrator in reply to prashantr

prashantr,

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

Activity2004 profile image
Activity2004Administrator

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 profile image
Activity2004Administrator

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

Activity2004 profile image
Activity2004Administrator

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

Activity2004 profile image
Activity2004Administrator

Click on the two bubbles that say Chat.😀👍

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

prashantr profile image
prashantr in reply to Aajkal

Thank you.

Activity2004 profile image
Activity2004Administrator

Can you send messages on the HU site?

What is your A1c - last six months ? checked every 3 months ?

Chapati - any wheat not good

Try 3 months - without medicine --just LCHF diet , make sure to check sugar four - five times

a day - and write down what you eat and count carbs - compare sugar spikes with waht you ate.

Ghee is good fat - add more - two to three spoons a day

Limit protein to no more than 50 gram per pound body weight

Do some weight lifting and squats exercises in addition to brisk walking - 30 to 40 minutes 3 or 4 times a week

prashantr profile image
prashantr in reply to Fatbuddy

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

Fatbuddy profile image
Fatbuddy in reply to prashantr

You don't need any medicines - just keep it up- keep A1C below 6.5

prashantr profile image
prashantr in reply to Fatbuddy

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.

Fatbuddy profile image
Fatbuddy in reply to prashantr

which herbal remedy for LDL ?

prashantr profile image
prashantr in reply to Fatbuddy

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

Fatbuddy profile image
Fatbuddy in reply to prashantr

yes- just want to make sure -- you forgot garlic juice- ONE cup each

add honey last - when 5 cups liquid becomes 4 cups

prashantr profile image
prashantr in reply to Fatbuddy

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.

Fatbuddy profile image
Fatbuddy in reply to prashantr

I have tried my self --and works.

You need to check your lipid profile - again after two months -

prashantr profile image
prashantr in reply to Fatbuddy

Ok thanks for the helpful information.

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