Working habits – Retired /at home ,
Diagnosis – Type II Diabetes , Pancreatitis, Obese Stage – I ,Numbness, Leg Pain.
Diet Type : Low-Fat Diabetic Diet (Under observation for 45days)
Advice – Recommended Calorie 1200kcal/Day
Classification of Nutrients on the basis of total calorie: (Raw/Uncooked ingredients)
1. Carbohydrate (CHO) – 1200 x 60% = 720Kcal /4 = 180gm
Consumptions Approx : Breakfast -30gm Lunch -70gm Evening – 20gm,Dinner -60gm
2. Protein – (Mostly Plant based) – 1200 X 20% = 240/4 = 60gm or less to avoid high Uria in blood,that may create Gout.
Consumptions: 1 egg white/1 pc. small Daga fish, egg white only,soya, vegetables, pulses, some dairy(check allergy if any).
3. Fat (Only cooking oil ) 1200 X 10% = 180/9= 20ml/20gm or 2 TSF.
(Not allowed any trans fat , also keep away from saturated fat. Better to use Olive Oil).
4. BALANCE 10% Could be FRESUBIN -DM
TENTATIVE DIET PLAN – Very-Low fat & Low Protein, Diabetic Diet (1200kcal/day)
5.30/6 am - After Rise – 300ml water + lemon 3 drops ,after 30 min. methi water(fenugreek).
Outdoor Exercises -Then start, walking 15 mins , 2 kms walking in a day at campus/fresh air, avoid pollution, dust, fog, cold, rain water etc.
Indoor exercises – Yoga /Body poses to practice for 15mins. at early morning & also at bed time after 15/30 min. of Dinner .Then take 10 min rest & water. Some indoor exercises can be practiced safely & if discomfort should stop immediately.
7am/8am – Breakfast – 2 slice Brown breads/Oatmeal/Dalia/ Poha or Porridge (no nuts/oil) /veg. sandwitch 2 pcs. 2 Biscuits can be readymade snack any time in a day, as this is also low calorie any time .
9 am – at home – some water & 1 cup green /Liker tea.
10 am – Snacks - berries,light soft guava 1 orange,/pear, Cherries, peaches, amla, Talsash, small apple or similar types (NO Banana , dry fruits, No sweet all juices etc.)
12-1 pm – Lunch – 2 Phulka roti or 50gm brown rice or both mix in half/half , mix veg. gourds family (less oil & spices –only homemade-1 bowl) or sukta bengali recipe, 15gm dal soup, 50gm plain paneer, must add green salad mainly cucumber, sour curd 30- 50gm.
3 pm – any citrus fruit (one or two pcs ),some green salad/any suitable low calorie.
5pm/6pm – evening – Any light calorie meal –(like Breakfast as mentioned above ) ,some more like – low salt chira/muri (puffed rice/flakes) with green salad 50gm etc.Then - can have green/Liker tea
8.30/9.30pm – Dinner - 2 phulka ,15gm dal only Moong, mix veg (as Lunch), paneer 50gm . OR almost same calorie diet as like Lunch. (prefer veg. meals here). Try to not to repeat same meals as Lunch even after warming from refrigerator ,so its always advisable to cook separately & that is good for health.
10pm – Just have 10 min. mild walking & can try some Yoga/Fat burning poses as discussed above. Then go to bed & sleep tightly.
Some Important Advise to keep remembering always:
1> 20 grams of fat a day is the limitation including cooking oil usage.
2> No alcohol or smoking as these are very harmful always for you even for pancreatitis ,Obesity or other complications since you are suffering.
3> Plenty of water/fluid consumption is required. Sometimes fluid based diet helpful , in case of pancreas flare then also helpful.
4> No Breakfast skipping of meals but must /should have 30-50 gm plain Oatmeal/Dalia/porridge or at least 2-4 cream cracker Biscuits.
5> Low protein through moong dal, but no lenil, beans, excess sprouts,legumes, animal foods,
6> Take /try to consume less rice but whole wheat 2 pcs .phulka roti, (rice increase visceral fat for sedentary people like you). Avoid too much fiber.
7> Do not take banana, dry fruits all types, sweets, rich cream based all foods. Add more gourds vegetables, whole skins vegetables/fruits (except sweets in taste)..
8> No fast foods, junk, saturated , trans fat based foods or similar like pizza, burger, Biriyani, all types, chowmin, oily/fried foods, no hotel /Restaurant meal or even home made bhaji.
10> STOP/NO all kind of fried foods like street foods, chips, nuts, dry foods,salty foods ,No processed foods , no fried vegetables even at home, better to have soft/strew
11> No cola, soft drinks, sugary or open market drinks products, even chilled fruit juice , better to have fruit juice like Mosambi/orange in a small cup at home.
12> Sleep only 7 -8 hours tightly ,no day time or off time or unnecessary sleep.
13> Calcium, iron, folate, vitamin E, vitamin A, vitamin D, and vitamin B12 may be supplemented (as per Physician’s advice).
14> Small but frequent meals (every 2-3 hours interval) is always better in terms of digestion. Also, chew enough at mouth, take water after 5 min. of all meals.
15> Remember –timely eating & some exercises, altogether can help you a lot.
16> Table salt very less 5gm or less, no rich or rgaram masalas.
Pl. note : This Diet Plan is provided on the basis of latest test reports or available information given by patient/guardian at the time of consultation/counselling & may be changed/modified, if necessary or an emergency. Over all this is the most suitable Diet Plan, will be monitoring for 45 days an under observation.
Patient can expect good response if followed properly as per experience or after a certain span of time/few consultations, although medications & some more factors are involved.
Wish you speedy recovery & All the best
(Disclaimer: Result may vary from person to person)