PFILIENT FIRST

Patient Safety Our Priority

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F?OSPITALS o~u crMeE'iVE'S

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DEPARTMENT OF NUTRITION
LOW FAT & LOW CHOLESTEROL DIET

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Apollo Hospitals International Limited-Ahmedabad
Plot No.1-A, Bhat GIDC Estate, Near Indira Bridge, Ahmedabad-382 428, Gujarat, INDIA Tel: +91-79-66701800 Extn.1741 Email: info@apolloahd.com Emergency Call Center: +91-79-66701866 Central Appointment Desk: +91-79-66701800, .09724515003

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OII Apollo HOSpata:. GlrnlOCatlE .. Near Indira Bridge. PlotNo:~~ .. _... U? 428. Gujarat.INDIA ~741 EmaII.~.com Tel: +91-79-68701800 extn.1 . +91-79-68701866 h . ~ ~79-86701800. 09724515003 Central......,..,.nm_

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LOW FAT & LOW CHOLESTEROL

DIET

Your consultant has placed you on a Low Fat I Low Cholesterol Diet, and your meals have been specially prepared just for you based on this-but what does this mean? This diet is low in fat and in dietary cholesterol and is used to treat hypercholesterolemia, which is a major risk factor in cardiovascular disease. The total fat content of the diet is reduced (to 30% or less of energy from fat), and mono-unsaturated and polyunsaturated fats and oils are substituted for saturated fats wherever possible. Foods that are high in cholesterol such as offal meats, egg yolks and prawns are also restricted. 2 3

DIABETIC DIET Your consultant has placed you on a Diabetic Diet, and your meals have been specially prepared just for you based on this-but what does this mean? A diabetic diet is an important component in the treatment of diabetes. There are two types of diabetes-insulin dependant (100M) and non-insulin dependant diabetes (NIOOM). The aim of the diabetic diet is to achieve normal metabolism by carefully establishing a balance between diet, exercise and diabetic medications. The diet needs to provide good nutrition; to control energy intake to correct obesity and to maintain ideal weight; to control blood sugar levels to avoid both hyperglycaemia and hypoglycaemia; to provide adequate energy for growth and activity in the young diabetic and to prevent diabetic complications. In most cases the diet should remain constant, while the dosage of hypoqlycaernlc medications are adjusted. Carbohydrate foods are spread evenly throughout the day or may be varied according to the type of insulin used and the activity level of the patientespecially in 100M. Fat levels are set at approximately 35%* and protein provides about 15% of the total energy. Foods with a low energy value may be included freely in the diet. 2

The New Diabetic Diet based on Low Glycaemic Index Foods There has been a big change in dietary treatment of diabetes in the last few years due to recent research on the absorption of carbohydrates. The spee~ of conversion and absorption of carbohydrates into blood sugar is called its glycaemic index. Research on the absorption of carbohydrate foods Since the early 1980's there has been a lot of research into carbohydrates. It has disproved the widespread belief that "complex carbohydrates" or starches are absorbed into the blood stream slowly, whereas simple sugars are absorbed rapidly. The old diabetic diet was based on this incorrect belief and a sugar free diet was prescribed. Sugars .' A wider variety of foods can now be included in a healthy eating plan for diabetes. Sugars like fructose (the sugar in fruit), lactose (the sugar iri milk) and

Free Foods
Lime juice and tomato juice Diluted buttermilk Green leafy vegetables Fresh sala~s and other vegetables (except root vegetables) Pickles (Without oil)

All ~weetened Virgin, etc.

aerated

drinks like Coke '

Pepsi ,

Col a,

Proprietpry drinks like Horlicks, Boost Bournvita Complan, etc. " Fatty meals like-ham, red meat, shrimp fish egg egg yolk crabs, etc. ' , Pickles made in oil and salt. Coconut.

Food to be ~ken in limited quantity Refin~d 011.(4-5tsp) (like soyabean oil, sunflower seeds oil and olive 011) Fish (notfried) Chicken (without skin) S~immed or semi-skimmed or low fat milk. High calorie fruits like banana, mango, grapes, pomegranate, sapota, custard apple, jackfruits wood apple and dried fruits like dates and raisins. ' Egg yolk including those used in cooking not more than one or two per week and egg white may be taken more frequently. Roots vegetables like potato, sweet potato beetroots carrot, etc. " Refined starch products like cornflour, custard powder and arrowroot powder, etc. Foods to be avoided Sugar, honey, gur, glucose, jam and jelly. F~ts like vanaspathi, ghee, butter and coconut oil. Fried food items and food co~ked in too much oil like chips, papad, samosa, smqara, PUrl, cutlet, potato chips etc. Fath foods. ' Bakery ~roducts like pastries, cakes, cream biscuits. Sweets like laddu, pudding, ice-cream, firni, etc. 4

Bakery products Iike-cake cream biscuits, pastries, sucrose (table sugar) have little effect on blood sugar levels when taken in small amounts or as part of mixed food oras part of a meal e.g. in custard, yoghurt ora muffin. If you have any other questions about your diet please ask the dietician or your consultant. * For diabetic diet % of fat may depend on your lipid profile and body weight and shape. Free Foods Rawtea Lemon and unsweetened lime juice Butler milk Tomato juice Clear soup . Raw vegetable salad Green leafy vegetables Citrus fruits like Jambura, Kamranga, Guava, Amloki, etc. Salt seasonings like-Onion, Mint, Pepper, Vineger, Mustard and Spices. Foods to be avoided Sugar, glucose, honey, gur, etc. any kind of simple carbohydrates Any kind of dessert Iike-Iaddu halwa, firni, icecream, pudding, etc.
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cream roll, etc. proprietary drinks like-Horlicks,

Moltova, Complan,

Ovaltine, etc. All types of soft drinks. Jam, jelly, chocolates, etc. Nuts, coconut etc. Preserved fruits, dried fruits, etc. Alcohol and any kind of fried foods. Limited Foods Cereals and pulses. Refined cereal products like-refined wheat flour, rice powder, suji. Vegetables like-green peas, beetroot, beans, carrots, etc. Fruits-watermelon, ripe papaya, apple, sweet lime, sweet potato, beet,

etc. Roots vegetables like-pototato,

etc. High calorie fruits like-mango, banana, grapes, pomegranates, custard apple, plum, jackfruit and leeches, etc.

Free Foods for Diabetic Patient

Fruits Blackberry Hog plum Star fruits Gooseberry Jamrulemon Cantaloupe melon Leafy Vegetables Vegetables Palak Methi Tandaliya Shak Puisak Kalmeeshak Mulashak Laushak Lalshakand all kinds of leafy vegetables Tomato, lettuce, bitter gourd Cucumber, ladies finger Khira, bottle gourd Ridge-gourd Green chilli, snake gourd Green tomato, green papaya, chal kumra Raddish Capsicum, cabbage cauliflower Parwal, brinjal

Fruit Watermelon Pomegranate Ripe wood apple Pear Grapes Pineapple Plum

Amt.(gms)
-150gms 40gms 30gms 40gms 40gms 60gms 30gms

No./Size slice or 3y:''' x 3y," x 6" Y:,of medium size Y:,cup 1 no. medium size 5-6 nos. 1 slice '/3cupslice

(Bangi/footy)
Jambura

To keep healthy blood glucose level

Eat same amount of food each day. Eat your meals and snacks at about the same time each day. Do not skip meals or snacks. Take your medicines at the same time each day. Exercise at about the same time. Eat small and frequent meals i.e. every 2-3 hourly.

Anyone of the below fruits is allowed per day

Fruit Mango Orange or malta Lichi Custard apple Jackfruit Apple Ripe papaya Ripe banana Mishti boroi

Amt.(gms)
30gms 60gms 40gms 30gms 50gms 40gms 60gms 25gms 25gms 6

No./Size 1 small ~i~e:."/3:/ ~/ p 1 medium size 5-6 nos. 1 nos. 3-4 cell, medium size medium size 3y:''' x 2" x Y:," Y:,piece of med. size 5-6 nos. med. size

Tips

Take care ot.your feet. Check your feetfor redness after exercise. Eat a variety of food to get vitamins and minerals you need. ., . Eat fruits raw or cooked as JUice With no sugar added. Take plenty offluids. Do not smoke.
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