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01/27/12 10:05 PM

"I suffer from IBD and type 2 insulin dependant diabetes caused by the cortisone food for diabetes affect my colitis what can I eat. help"
Asked By: anneabell  
Category: Food and Nutrition

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type 2 caused by prednisolone last year on insulin other meds caused problems for my IBD. Food is causing my sugar to spike and well as my medications food for IBD effects my sugar and food for diabetes affects my IBD. I need help not sure what to eat. I found even cealic recommended grains can also bother me.... help.

Expert Answers (1)

02/01/12 05:06 PM

Thanks for your question. Living with IBD and type 2 diabetes can be very challenging! If you are lactose intolerant, (or have difficulty digesting the sugar in milk products), please consider limiting your consumption of dairy containing foods. If you do choose to eat lactose containing foods, it might be helpful to try a lactase digestive enzyme (available in most supermarkets or drug stores). Fresh fruits and vegetables may not be well tolerated (due to their high fiber content) during an IBD flare-up. Therefore, cook your veggies until they are soft. Broccoli, cauliflower and cabbage (or cruciferous vegetables) may not be easily digested. If you become constipated, slowly increase the fiber content of your diet. Do not take a fiber supplement unless you discuss it with your doctor! Please also make sure that you are drinking at least 48-64 ounces of water each day. It's very important to stay well hydrated. To control your blood sugars and IBD, your meals and snacks should contain an adequate amount of protein. Fish, chicken, poultry, eggs and meat should be incorporated into every meal and snack. Distribute your carbohydrates throughout the day, and limit your consumption of simple and refined carbs (to help improve your diabetes control). Keeping a detailed food journal (including a blood sugar record) will help you figure out which foods you tolerate, and which foods you need to limit or eliminate. Gastric irritants such as caffeine and alcohol can worsen your IBD symptoms. Eating 5-6 times a day can help improve your IBD symptoms and regulate your blood sugars. Sometimes chewing with your mouth open (or chewing gum) will cause additional bloating. Try to eat in a relaxed setting and chew your food thoroughly. A registered dietitian and CDE can help you plan out nutritious meals which will address your diabetes and IBD. If you're able to exercise, it can help reduce your stress and improve your blood sugars. Stay in touch and keep us updated on your progress!
Answered By: Susan Weiner
Accreditations: R.D., M.S., C.D.E.,C.D.N.
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