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?
High Fat vs High Protein diet for Type 2 di... - Diabetes India
Diet !, you need to research very carefully before any change in your diet.
Whit is in this "2200 KCal diet plan "?
Hi prashantr ,
You seem to be in thin Type 2 diabetes category. The expert in this topic is namaha. Please contact him once.
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.
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.
OLYMPRIX M 500MG TAB (ALKEM LABORATORIES LTD) comes with a composition (formula) of Metformin 500 MG+Teneligliptin 20 MG.
You may adopt Mediterranean diet.
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....
Count the Carbs and Keep it to a level which keeps you healthy.
Yes thanks, I keep that in mind.
Yes i am pretty good. Thanks for asking.
Great, may i have the details of your Dr? Would like to meet him.
Jamjel Are you in Bangalore too? Please DM me, will share details there.
Yes,i am in Bangalore.
Please message, I couldn’t follow you.
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?
Okay. I will have to do the message later tomorrow afternoon. Is that okay?
Please check your private messages on HU. It’s okay!😀👍
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.
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
I was diagnosed three months earlier only. I am at 5.7 hba1c now. Thanks for the response.
You don't need any medicines - just keep it up- keep A1C below 6.5
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.
which herbal remedy for LDL ?
As you suggested ACV, lemon, ginger & honey mixed in equal quantity heated with water. You don’t remember?
yes- just want to make sure -- you forgot garlic juice- ONE cup each
add honey last - when 5 cups liquid becomes 4 cups
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.