Fiber is a
carbohydrate absorption, slows down the rise of blood sugar and so
reduces the drug requirement
An intake of about
40 g dietary fibre is beneficial for diabetics.
Some high fiber
foods are whole cereals like buck wheat (kootu), barley, ragey
and oats, leafy vegetables, beans, whole pulses and legumes.
Refined foods like Maida,
Suji, Arrowroot, Sago, Juices etc are low in fibre and should
therefore be avoided
Fenugreek Seeds contain an alkaloid called
trigonelline which has been shown to lower blood sugar
and prevent diabetes induced cataract. It also lowers
cholesterol and triglycerides.
Bitter gourd (Karela) juice is a popular remedy for
the diabetics in the tropics.50 ml raw karela juice
daily improves blood glucose tolerance in non insulin
or the blood glucose response of certain foods is
important in deciding whether to include them or not in
the meals of a person with diabetes.
Foods with high glycemic index must be avoided in the
diets of diabetic individuals.
Foods cooked by dry and short time methods like roasting
have lesser glycemic effect as compared to foods cooked by
boiling and long cooking processes which reduce particle
Preparations like roasted chanas, chapattis, sprouted dals,
and whole fruits are more suitable than boiled rice,
khichri, washed dals and fruit juices.
Glycemic Index of certain foods
is a metabolic disorder
characterized by the decreased ability or complete inability of
the tissues to utilize carbohydrates, accompanied by changes in
the metabolism of fat, protein, water and electrolytes. The
disorder is due to a deficiency or diminished effectiveness of the
There are two common types of diabetes mellitus:
General instruction for patients
suffering from diabetes;
- Insulin dependent diabetes
mellitus (IDDM) or type I: It usually occurs before the age of
40 years. The disease usually has an abrupt onset and the
abnormality of carbohydrate metabolism is severe due to lack
of endogenous insulin to control blood glucose levels. These
diabetics require high doses of insulin.
- Non-Insulin dependent Diabetes
Mellitus (NIDDM) or Type II: This type usually occurs in
middle life or beyond the age of 40 years, although it may
also occur in the younger age group. The patients are most
often obese. The onset is gradual and there is some amount
though limited, of endogenous insulin.
- Keep strictly to your diet if
any change is required then consult the dietician
- If you do not feel well or if
you are in difficulty about your medicine, consult the doctor.
- If you are gaining or losing
weight, inform your doctor
- Test your urine regularly and
get your blood examined once a month
- Walk at least a mile daily.
- Keep your skin clean and feet
dry. Avoid wearing tight shoes and socks. Consult your doctor
on any skin problems.
- If you have any injury or you
are going for an operation, declare to your doctor that you
are a diabetic.
- If any other problem worrying
you, see the social worker / counselor.
Instructions to patients
- Do not alter the dose of
Insulin without consulting the doctor.
- Do not allow more than an hour
to elapse between a injection of Insulin and your food.
- If you get a cold, sore throat
or feverish illness, do not stop taking Insulin. Take plenty
of milky food instead of solids, if it is difficult to
Norms for sugar level of Urine
Urine - Blue reduction
with benedict solution
Blood - Fasting and two
hours after meal below 120 mg per 100 ml
Glucose, sugar , honey and
all sweets, jaggery, ice-cream, pastries, cake, jam, jelly, squash, canned
fruit juice, sugarcane juice, chocolates, bourn vita, all aerated waters
Foods to avoid
Potatoes, Yam (zimikand),
Arbi, Mangoes, Grapes, Cheeku and Bananas, Dried food stuffs, Dried fruits
and Nuts e.g. peanuts, almonds, cashew nuts, raising and coconut etc., all
to be used freely
Green leafy vegetables,
tomatoes, cucumber, radish, lime, clear soups, black coffee without milk
and sugar, butter milk (lassie), sour chatnis and pickles without oil,
pepper and zeera water, jamun fruit and karela juice.
that help diabetics bring down sugar levels
Diabetics should fill up on
leafy vegetables, bitter gourd (karela), papaya, oranges, lentils and
legumes with strings and skin intact, whole grain cereals, bran, pulses,
sprouted mung, and 10 to 20 grams of guar gum (from cluster beans)
Suffering from Diabetes! Get a Diet Plan
Customized for yourself >>
DIET FOR DIABETIC
Therapeutic diet plays an important role in the treatment of
Nothing helps a Diabetic
more than a Diet, custom-made by his Dietician. The general principle is
to control body fat means less sensitivity to Insulin, which keeps the
blood sugar level in check.
A Proper diabetic diet
includes a balance of high proteins, low fat and complex carbohydrates,
( Whole grain cereals, whole wheat flour, vegetables) which are digested
more slowly and therefore don't cause a rapid rise in blood sugar.
The most important
consideration in diet is the total amount of calories ingested for an
average diabetic, about 60% of calories are derived from carbohydrates,
25 to 30% from fats, and 12 to 15% from proteins.
The Diet plan of an
individual is based on height, weight, age, sex, physical activity and
nature of diabetes.
Following are the essential
considerations in planning a diabetic diet-
- Determining energy
- Distribution of energy
in terms of carbohydrates, fat and protein.
- Determining the type of
carbohydrate, fiber and the type of preparation.
- Distribution of
- Stage of diabetes with
the absence or presence of any complication.
Supplementation of cereals with
gram (pulse) is beneficial.
- 3 parts of whole
wheat flour with one part of gram flour in making chapattis or
- One part rice with one
part whole pulse to make Idli, dosa, khichri, or
- 2 parts suji
with 1 part of pulse to make Upma
In all diabetics the
amount and time of food intake particularly the carbohydrate, should be
controlled to prevent the fluctuations of blood glucose beyond the
|Sample Diet Plan >>
Mr. Khanduja, a middle
aged businessmen is 5 ft 6 inches tall and weighs 75 kgs. He is suffering
from Non Insulin dependent diabetes mellitus. A days sample diet is
Approx 1800 calories
240 g of carbohydrate
60 g of protein
60 g of fat
Tea without sugar
1cup with 1 desert spoon milk (20 ml) or lime juice.
Whole wheat porridge (25 g) with milk (170 ml)
Paneer (25 g) on toast (1 slice)
Apple ( 100 g)
Any one of the
Chana curry or lobia curry - 1/2 bowl (25 g)
Veg: Beans or Capsicum or spinach
vegetable or any desirable green vegetable; good helping
Curd: Ghia raita - 1/2 bowl (100 g)
Salad: Cucumber + Tomato + Onion
Chapatti: 2 to 3 without butter (75 g). Make dough from 3 parts of whole
wheat flour with one part of gram flour for making chapattis
Oil for cooking: 3 teaspoons (15 g)
Fruits: Papaya (100 g)
sugar: 1 cup with 1 desert spoon milk (20 ml)
Salty biscuits: Qtty 4 or roasted chana (20g)
Salad: Onion + tomato
Pulse: Sprouted Mung mixed with onion and tomato
Curd: 1/2 bowl (100 g)
Chapatti: Missi roti (75g)
Fruits: Fruit custard without sugar
Oil: 2 teaspoonfuls
Note: If fish or chicken or
paneer is to be taken the quantity should be 25 g and pulse should be
omitted from the meal.
1 cup skimmed milk (170 ml) without sugar
Note: 10 g butter
in lieu of 10 g oil may be used
Saccharine, sucaryl or sweeten may be used instead of sugar
Instead of 25 g of wheat flour one of the following may be taken
# Brown bread: 1.5 slices
# Wheat porridge: 1/2 bowl cooked
# Dosa: 1 small plate
# Cream cracker biscuits: Qtty 4
above diabetic diet plan is only a sample one. Calorie, protein, fat and
carbohydrate requirements will vary from individual to individual as per
his/her height, weight, age, sex, physical activity and type of diabetes.
Those who want a
diet plan tailored as per their specific requirements by renowned
Nutritionist Ms Shubi Husain, just log into our