Case Study
Name Male Remarks
Age 35
Gender Male
Socio Economic Group Middle Class
Height (cm) 180
Weight Kgs 70
IBW 80 (Height -100) For Men Brocas index
BMI 21.6 BMI is kgs/m2
Hypertensive Co-morbidity (Newly
Medical Condition Type 2-Diabetic No Good Control 300 above
Diagnosed)
Grade of
Weight Normal,Type 2 Diabetes : High, Hypertensive Co-
Obesity/BP/Liver/Kidney
morbidity
Disease:
Symptoms Frequent urination,polydipsia,polyphagia
Recommended :
Renal Profile eGFR Test.
Fasting and PP Sugars Recommnded ( not known the time of hypo/hyper )
Important To Check Inflamatory Markers (HS-CRP, CRP)
Renal Profile GFR Test. If GFR is way high than Electrolytes tested
GOALS And Objectives Of Diet Therapy
To bring down Blood Glucose levels and Manage Blood Pressure
Objective
Dietary Guidelines : Exercise Basic depending on Age.
Small Frequent meals (2 small 3 large Meals)
To start SMBG Atleast 2 to 3 readings perday
Including Functional Food,vitamins ACE and Antioxidant
Energy 25k cal /per kg body weight.
Correcting Protein Carb Fat Ratio
Carbs (As per Recall) can go upto 50-55%
Complex Carbs
FATS :(20% TO 25%)
Principles of Diet P/C/F Ratio.
Energy K Cal
1800
Protein g
72
288
16
288
72.0
Can be Rounded up to 75 g
Quality Protein Source (Vegetarian) :
Sprouted Moong ,Udad Dal,rajma,Kabuli Chana,Masoor dal
Low Fat Paneer and Curd (No malai),Milk (No full Fat )
Almonds Walnuts Pistachios (Unsalted)
Fruits (Berries,Apples,Guava,Pears,Papaya,Cherries,Kiwi)
Carbohydrate g
1125
281
Can be Rounded up to 281 g
These veggies can offer a range of health benefits and antioxidants which aid in regular bowel movement AND Lip
Fats g
432
48
Can be Rounded up to 50 g
Protein (g)
Carbohydrates (g)
Fats (g)
General Tips
Portion Control: Always keep fruit portions moderate to prevent blood sugar spikes.
Choose Whole Fruits: Avoid fruit juices as they lack fiber and can cause rapid blood sugar
increases.
Eat with Fiber and Protein: Pair fruits with nuts, seeds, or yogurt to slow down the absorption
of sugars and maintain steady blood sugar levels.
Fruits to Consume with Caution :Bananas,Mangoes and Grapes
Best Grain-Based Carb Sources for Hypertension and Diabetes
Barley ,Oats,Brown Rice,Quinoa,Kuttu Atta,Millets (Bajra, Ragi, Jowar),Daliya
Best Vegetables for Diabetes and Hypertension:
Leafy
Greens,Broccoli,Cauliflower,Capsicum,Beans(Gawar,Frenchbeans),Cabbage,Cucumber,Bitter
Gourd ,Karela,Bhindi,Tomatoes,
No Starchy Vegetables: Starchy vegetables like pumpkin, sweet potatoes, and carrots can be
consumed but in moderation due to their higher carb content.
ALS And Objectives Of Diet Therapy
Blood Glucose levels and Manage Blood Pressure.
Remarks
For Good Glucose Response
Before/after main meals or at Night before going to sleep
High ALA,High Fiber ,High Antioxidant (Good for cad,lipid)
Also considering his recall
Could be high on Carbs
Cant go directly 50, need to go slowly 60 to 55 to 50 or else person can go into Hypo.
(High Fiber ) ,High GL Low GI , To space evenly/ Sugar to be restricted/Junk and simple carb (complete No No)
(PUFA RICH , Omega Rich)
Principles of Diet P/C/F Ratio.
Remarks
No need to loose weight taking 25 kcal of 72
Remarks
1 gram per body weight
To convert grams into calories (protein is 4 calories /gram)
16% of 1870 cal would be 300 calories
(protein is 4 calories /gram) 72 grams looks fine (HPD)
Can be Rounded up to 75 g
Lentils/Beans
Dairy products
Nuts
Remarks 100
50% of 1875 meal (Sticking to 60 as fat has to be dropped )
Carb 4 cal / 100 gram
Can be Rounded up to 281 g
health benefits and antioxidants which aid in regular bowel movement AND Lipid Profile
Remarks
24% of 187 5
Fat 9 cal/100
Can be Rounded up to 50 g
75
281
50
84
FOOD GROUP NO. OF EXCH AMNT (G) ENERGY (KCAL) CARB (G) PROTEIN (G) FAT (G) Remark
CEREALS 4 120 400 84 9.6 0.8
STARCHES 1 100 100 21 2.4 0.2
DALS & PULSES 5 150 500 70 32.5 2.5
SOY MILK 1 150 120 16.5 4 3.2
SKIMMED MILK 2 300 90 14 8 0.2
FRUITS B (Others) 2 100 56 15 0 0
VEG C (Leafy Veg) 1 100 40 3.5 3.1 0
VEG A,B,C 5 500 150 25 5 0
DRY FRUITS 1 30 90 21 0.7 0
NUTS & OILSEEDS 2 30 170 5.2 6 13
EGGS WHITE 2 60 30 0 7.4 0
FATS 3 15 135 0 0 15
Total 29 1655 1881 275 78.7 34.9 want to keep fats less than 40
TARGET CALORIES 1875 281 75 50
Actual Variation -6 6 -3.7 15.1
Variation Allowed (+-50) (+- 10) (+-5) (+-5)
Distribution Table
Total Exchanges Early Morning Breakfast Mid Morning Lunch Snack Dinner Bedtime
CEREALS 1 1 1 1
STARCHES 1
DALS & PULSES 1 1 1 1 1
SOY MILK 1
SKIMMED MILK 1 1
FRUITS B (Others) 1 1
VEG C (Leafy Veg) 1
VEG A,B,C 1 2 2
DRY FRUITS 1
NUTS & OILSEEDS 1 1
EGGS WHITE 1 1
FATS 1 1 1
Total Exchange
4 4
1 1
5 5
1 1
2 2
2 2
1 1
5 5
1 1
2 2
2 2
3 3
Meals and
Timings House Hold Measures
Early Morning
1 tablespoon
Breakfast 1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
150 ml-medium size cup
1 medium size paratha
150 ml-medium size cup
Mid Morning
15 grams (Refer to image)
15 grams (Refer to image)
1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
Lunch 1 Medium Size Roti
1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
2 Medium Katori Mix Sabzi and 3 to 5 cubes Paneer (Small) / 2 medium katori if leafy vegetable and 3 to 5 cubes Paneer (Small)
150 ml-medium size cup
2 medium katori if leafy vegetable and 3 to 5 cubes Paneer (Small) (1 Medium Size Roti ) and (Salad 1 katori 100 g)
1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
150 ml-medium size cup
1 Tablespoon Spoon
Snack 1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
15 grams (Refer to image)
1 medium katori Veggies,1 medium katori Suzi Rawa, 1 Medium Katori Chana Dal
Dinner 1 Medium Size Roti
1 Medium Katori (Thick), 2 katoris (Thin)(100g)
2 Medium Katori Mix Sabzi
Bedtime 2
150 ml-medium size cup
15 grams (Refer to image)
Tips and Guideline
Daily intake of Fish oil : Lipid Management and Strong Antioxidant (Good for cardiovascular function,inflamation)
Kindly Incorporate Garam Masala and Amchur Powder,Chat Masala to enchance food's Taste.
(Mustard oil, Rice Bran Oil-Prefered High Mufa ) Not more than 3 spoons of Visible Oil
Do not skip any meal especially Breakfast
You don't skip the essential requirements for a balanced diet.
Nuts are high-fiber and low-carb, making them suitable for maintaining healthy cholesterol levels.
Beans have a low GI value and keep you feeling full for a long time.
To Replace Millets with Wheat and Rice.
No White bread and rice,Sugary beverages,processed foods,Sweetened cereals,Canned veggies and pickles,Tinned fruits, jams, a
Food Items Nutritional Benefits
person could be in Hyper (due to s0mogyi effect or dawns
ACV syndrome) so ACV as Insulin Sensitizer.
Breakfast -1
Vegetable Upma with Side dish of Chana Dal chutney , 1 egg white
Add 1 tea spoon oil Max
Soy milk Protein Intake ( NITROGEN BALANCE)
OR
Breakfast -2
Vegetable Moong Paratha ,1 egg white Add 1 tea spoon oil Max
Soy milk Protein Intake ( NITROGEN BALANCE)
4 Almonds,2 Walnuts,(2 teaspoon Pumpkin Seeds or 1.5 teaspoon Chia seeds) High ALA,High Fiber ,High Antioxidant (Good for
cad,lipid),helps in keeping
(Fruits rich in vitamin C andArteries healthy
fiber, like . regulate
berries,
Fruit Bowl (Preferable Fruits are Pomogranet,Strawberies,Citrus Fruit,kiwi,apple) blood sugar well.)
Sprout Chat (Mixing Pomogranate ,AMCHUR Powder)
Meal -1
Weight and Lipid Management , Calcium ,High Fibre only
1 Missi rotis (Mixed Millet Flour) Roti 1 (low on High Carbs)
Thick Dal (any pulses)-masoor rajma,udad,tuar, 1 Spoon Rice Bran Oil can be used
Weight and Lipid Management , Calcium ,High Fibre (More
(Mix Sabzi with Paneer pieces )and (Palak or any Leafy Vegetable seperately ) Vegetables for sugr and lipid management
Chaas-Butter Milk
1 Egg White
OR
Meal -2
Weight and Lipid Management , Calcium ,High
Palak Methi Mix Partaha with Paneer Crushed and Salad (Ghee or Oil only 1 spoon) Fibre ,Protein, Complex Carbs , Calcium ,High
Weight and Lipid Management
Thick Dal (any pulses)-masoor, rajma,udad,tuar, Fibre ,Protein, Complex Carbs
Chaas-Butter Milk
1 Egg White Protein to control your blood sugar levels.
Sweet potatoes are good sources beta carotene, vitamin C
and potassium helps in keeping Arteries healthy. (Boiled
sweet potatoes are known to be high in fiber and
ACV To bring down the sugar spike in blood
have a low glycemic index.) can be a good replacement
(Sweet Potato Cooked with little lemon Dash coriander and Spices) OR for Potatoes.
Beetroot semi boiled with lemon Dash and spices Good for Vaso Dilation/Heart
Channa Chat , Moong sprout chat make it palatable with Lemon,Corrinader,
Fruit Bowl (Preferable Fruits are Pomogranet,Citrus Fruit,kiwi,apple) Vit C ,Pottasium, High Fiber
Raisins/prunes/figs/date
Weight and Lipid Management , Calcium ,High
1 Wheat Phulkas (added "Jau" Husk)or Raggi Chilla/Dosa or 1 Bhakri (any Millet) Fibre ,Protein, Complex Carbs , Calcium ,High
Weight and Lipid Management
Mix Lentil Dal (udad ,masoor, mung..etc) Fibre ,Protein, Complex CarbsBroccoli Peas Spinach)High
Try (Gawar,Pumpkin ,Beans,
(Mix Sabzi ) proein Vegetable
1 Spoon Rice Bran Oil can be used
Brown bread slices(toasted) Long Time without meal can get into Hypo MID night
Plain Milk (with Turmeric) low
Highfat Turmeric
ALA,High Milk(for
Fiber ,High Antioxidant (Good for
4 Almonds,2 Walnuts,(2 teaspoon Pumpkin Seeds or 1.5 teaspoon Chia seeds) cad,lipid),helps in keeping Arteries healthy
Tips and Guideline
ntioxidant (Good for cardiovascular function,inflamation)
Masala to enchance food's Taste.
an 3 spoons of Visible Oil
aintaining healthy cholesterol levels.
time.
essed foods,Sweetened cereals,Canned veggies and pickles,Tinned fruits, jams, and jellies,Deep-fried foodstuffs
