Endocrinology-Diabetes Questions Diabetes

What should the diet of a diabetic patient ideally include?

My mother in law is heavily diabetic and has associated complications like edema, increased creatinine levels and so on. What should her diet ideally include?

5 Answers

The proper diet should favor vegetables, with protein, starchy foods and fruit in limited quantities. Fat in its natural form is useful as a dressing in the meal. Mealtimes are important with the largest meal being breakfast, followed by dinner (= lunch). Supper should be the lightest meal of the day, to be consumed preferably before 4 PM. For more details cehck out my book BLUEPRINT FOR A HEALTHY DIET : YOUR DIET GUIDE FOR THE NEW MILLENNIUM at www.mer-llc.com
I am sorry to hear your mother-in-law is struggling with her diabetes.

Diet is so important. I do not prescribe a particular diet (they all work if you can adhere for long periods). I do recommend everything in moderation, with exception to regular soda which has no nutritional value.

Humans should have ~50 gram of carbs per meal (or less). In America, we a carbohydrate-driven society. It is tough to eat less than that per meal (or snack).

I ask my diabetic patients to use everything in moderation and limit to somewhere between 30-90 grams of carbs per meal. Most people eat 3 meals per day. The idea is to not have excess carb/sugar intake and subsequent need for more insulin/medication.

50-75% protein / veggies
25-50% carb / fat

The greener, the better. If there is enough elevation in creatinine, meaning chronic kidney disease, there may be further dietary restriction for the kidneys. This would be to prevent potassium and phosphate excess.

I often defer to our local dietitians. They provide such excellent, detailed insight (beyond me) into the day to day foods to choose. Find people you trust and that will do best by you and your mother-in-law.

CH
Diet in persons with diabetes is a complicated & much discussed issue. It is too complex to discuss here. Also without more information, it would be impossible to give much more advice. The elevated creatinine indicates she has kidney disease & that would influence the diet. She should see a dietician who is knowledgeable in diets for diabetes & in renal disease diets and a physician to control her diabetes & renal disease.
Low in simple carbs -- no rice, potatoes, breads, increase dietary fiber, increased water, sufficient protein and minimal saturated fats.
A diabetic diet is low in carbs and sugar. The American Diabetes Association has some great info on their website for diabetic diet.